2648 RECEIPT OF DISTRIBUTEE TO ATTORNEY-IN-FACT OR CONSUL In accordance with Rules 12.18 and 12.19 of the Circuit Court of Cook County, I, , acknowledge receipt of my distributive share of this estate as follows: [printed name of the distributee] þ Cash: þ $ Deductions authorized by me: þ $ þ $ þ $ þ Total deductions: þ $ Amount paid to me: þ $ Property delivered to me in kind: Dorothy Brown, Clerk of the Circuit Court of Cook CountyPage 1 of 1CCP-0388 (Rev. 10/1/2018) Case No. Calendar Estate of DeceasedIN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT 226 PROBATE DIVISION Dated: Attorney Number Name þ Firm Name þ Attorneys for þ Address þ City/State/Zip þ Telephone þ Email þ [signature of the distributee] [address] [city/state/province] [country]