IN THE CIRCUIT COURT FOR THE TWENTY-THIRD JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS IN THE MATTER OF THE ESTATE OF _________________________________________________ Deceased/Disabled/Minor Case No.__________________________________ OATH OF REPRESENTATIVE/OFFICE DECEDENT/Alleged Disabled Person/Minor Name Address City State Zip -------------------------------------------------------------------------TYPE OF REPRESENTATIVE: [ ] Administrator Only [ ] Person [ ] Administrator: [ ] Estate [ ] To collect [ ] Person & Estate [ ] De Bonis Non [ ] With Will Annexed [ ] Executor -------------------------------------------------------------------------REPRESENTATIVE/GUARDIAN Name Address City State Telephone --------------------------------------------------------------------------CO- REPRESENTATIVE/GUARDIAN Name Address City State Telephone Zip Zip I solemnly Swear (or affirm) that I will truly administer the estate of the decedent, so far as I know and that in administering the estate I will do and perform all acts required of me by law to the best of my ability. _____________________________________ Representative Subscribed, Signed and sworn to before me __________________________________________, 20_____. __________________________________________________ Circuit Clerk, Notary Public I ___________________________________________ on oath state that I will discharge faithfully the duties of the office of [ ] Temporary [ ] Limited [ ] Plenary Guardian of the above named disabled person/minor. NAME: ATTORNEY FOR: ADDRESS: CITY: TELEPHONE: __________________________________________________ __________________________________________________ __________________________________________________ Subscribed, signed and sworn to before me __________________________________________, 20____. __________________________________________________ Circuit Clerk, Notary Public Probate05\Oath of Representative-Office 11/20/2012 American LegalNet, Inc. www.FormsWorkFlow.com