IN THE CIRCUIT COURT FOR THE TWENTY-THIRD JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS IN THE MATTER OF THE ESTATE OF: __________________________________ Deceased PETITION FOR LETTERS OF ADMINISTRATION [ ] WITH WILL ANNEXED [ ] DE BONIS NON [ ] DE BONIS NON WITH WILL ANNEXED The undersigned on oath states that the decedent whose name and address are named herein died leaving no will or with a will which has or has not been admitted to probate as stated herein. That the nominated executor is unable to act or that the prior representative is unable to continue to act for the reasons stated herein. The petitioner further states that he or she is legally qualified to act as administrator or to nominate a resident of Illinois to act as administrator and that the decedent's heirs, legatees and personal fiduciaries, and all persons entitled to nominate an administrator in preference over or equally with petitioner, where applicable, are named herein. Therefore, petitioner asks that, if the decedent died leaving a will not admitted to probate, the will be admitted to probate, and that appropriate Letters of Administration be issued to the within named. ___________________________________________ Petitioner ___________________________________________ Address ___________________________________________ City, State, & Zip Signed and sworn to before me this _____ day of _______________________________, 20____. ___________________________________________ Clerk of Court ­ Notary Public (continued on reverse side) CASE NO.______________________________ DECEDENT'S PLACE OF RESIDENCE: City: County: State: Zip: DATE AND PLACE OF DEATH: Date of Death City & State [ ] With No Will [ ] With a Will which petitioner believes to be the valid last will of the decedent, which is dated ___________________. [ ] With a Will admitted to probate on _______________________________. APPROXIMATE VALUE OF REAL AND PERSONAL ESTATE IN ILLINOIS: Personal Estate $ Real Estate $ PERSON NOMINATED AS ADMINISTRATOR: Name: Address: City: State: Zip: RELATIONSHIP (if any) OF PETITIONER TO DECEDENT: PETITIONER REQUESTS: [ ] Independent Administration [ ] Supervised Administration ATTORNEY'S NAME AND ADDRESS: Name: Address: City & State: Telephone: Zip: Probate14\Petition for Letters of Administration 11/19/2012 American LegalNet, Inc. www.FormsWorkFlow.com