2648 Receipt of Distributee to Attorney-In-Fact or Consul (Rev. 9/24/01) CCP 0388 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - PROBATE DIVISION Estate of _____________________________________________________ Deceased } No. __________________________________ Docket _______________________________ Page ________________________________ RECEIPT OF DISTRIBUTEE TO ATTORNEY-IN-FACT OR CONSUL I, ____________________________________________________________________, acknowledge receipt of my distribute share of this estate as follows: Cash $______________________ Deductions authorized by me: ____________________________________________ $ _____________________ ____________________________________________ _____________________ ____________________________________________ _____________________ Total deductions Amount paid to me $______________________ $______________________ Property distributed to me in kind: _______________________________________, 20_______ * _______________________________________________ Distributee Signature ________________________________________________ Distributee Name (Print or Type) Address ________________________________________ City/State/Province _______________________________ Country ________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form