2515 Statement of Notice to Trust Beneficiaries(Rev. 09/06/13) CCP 0492IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOISCOUNTY DEPARTMENT-PROBATE DIVISIONEstate of No. Deceased STATEMENT OF NOTICE TO TRUST BENEFICIARIESThe undersigned states under the penalties of perjury that:1.A part or all of this estate is distributable to the trustee(s) of a trust, and each trustee of the trust is also arepresentative of this estate;2.*(a) Notice of the hearing on the account under Section 24-2 of the Probate Act of 1975 (755 ILCS 5/1 et seq.)or*(b) Notice of the filing of the final report under Section 28-11 of the Probate Acthas been given to or waived by all beneficiaries currently entitled to receive or eligible to have the benefit ofthe income from the trust; and3.In the case of each beneficiary of the trust who is a minor or disabled person, notice has also been given to theguardian of the estate of the beneficiary or, if no guardian of the estate has been appointed, to the personalfiduciary for the beneficiary under Section 28-3 of the Probate Act or, if none, to the spouse, parent, adult,child, or guardian of the person of the beneficiary.(Representative)Date: , Attorney Certification (Sup. Ct. Rule 137)*Strike whichever is not applicable.DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOISAtty. No.: Firm Name: Attorney for: Address: City/Zip: Telephone: