IN THE CIRCUIT COURT FOR THE TWENTY-THIRD JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS IN THE MATTER OF THE ESTATE OF __________________________________ Deceased CASE NO.______________________________ DECEDENT'S PLACE OF RESIDENCE: City: County State: Zip: PETITION FOR PROBATE OF WILL AND FOR LETTERS TESTAMENTARY The undersigned on oath states the decedent whose name, residence and date of death are named herein, died leaving a will dated as shown herein. The petitioner further states that the person nominated is legally qualified to act as Executor, and that the decedent's heirs, legatees and personal fiduciaries are named herein. Therefore, the Petitioner asks that the will be admitted to probate and letters testamentary issue. DATE AND PLACE OF DEATH, DATE OF WILL: Date of Death City & State Date of Will Which Petitioner believes to the valid last will of the decedent. APPROXIMATE VALUE OF REAL AND PERSONAL ESTATE IN ILLINOIS: Personal Estate $ Real Estate $ ___________________________________________ Petitioner ___________________________________________ Address ___________________________________________ City, State & Zip Signed and sworn to before me this ______ day of ____________________, 20 ___. PERSON NOMINATED AS EXECUTOR: Name: Address: City & State: Zip: RELATIONSHIP (if any) OF PETITIONER TO DECEDENT: ___________________________________________ Clerk of Court � Notary Public PETITIONER REQUESTS: [ ] Independent Administration [ ] Supervised Administration ATTORNEY'S NAME AND ADDRESS: Name: Address: City & State: Telephone: Zip: If Consul or Consular Agent is to be notified, name country: (continued on reverse side) Probate13\Petition Probate of Will & Letters Testamentary 11/19/2012 American LegalNet, Inc. www.FormsWorkFlow.com Names of Heirs, Legatees Fiduciaries Relation Heir = H Legatee = L Personal Fiduciary = PF Minor = M Disabled Person = P Address, City, State, Zipcode (if unknown, so indicate) Probate13\Petition Probate of Will & Letters Testamentary 11/19/2012 American LegalNet, Inc. www.FormsWorkFlow.com