Order Approving Settlement Of Minors Claim With Minors Funds To Be Administered In Probate Proceeding
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Order Approving Settlement Of Minors Claim With Minors Funds To Be Administered In Probate Proceeding Form. This is a Illinois form and can be use in Dupage Local County.
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Tags: Order Approving Settlement Of Minors Claim With Minors Funds To Be Administered In Probate Proceeding, Illinois Local County, Dupage
STATE OF ILLINOIS
)
) SS.
COUNTY OF DU PAGE)
IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT
DU PAGE COUNTY, ILLINOIS
)
)
)
)
)
vs.
No.
ORDER APPROVING SETTLEMENT OF MINOR’S CLAIM
WITH MINOR’S FUNDS TO BE ADMINISTERED IN PROBATE PROCEEDING
This cause coming on for hearing for approval of settlement of minor’s claim, the Court
does find:
1.
The minor plaintiff is (name) ____________________________________________ and
the minor’s birth date is ______________________________.
2.
The minor plaintiff makes claim for personal injuries against ______________________
arising out of ________________________ on ________________________________.
3.
At the time of the occurrence, a policy or policies of liability insurance were in effect
providing coverage of _________ per person or __________ per occurrence. The
insurer is ______________________________.
4.
As a result of the occurrence, the minor plaintiff received injuries of: _______________
______________________________________________________________________.
5.
Medical and hospital expenses incurred on behalf of the minor plaintiff amount to
___________.
6.
A current statement of a medical doctor evaluating the condition of the minor plaintiff is
attached to this order.
7.
An offer of settlement of the claim for damages for personal injuries to the minor plaintiff
has been made in the sum of _________________ in exchange for a properly executed
release.
8.
_______________________________, ____________________________ of the minor
(name)
(relationship)
plaintiff has requested approval be granted to accept the offer.
9.
_______________________________, attorneys for minor plaintiff, have rendered
10.
_______ hours of professional services valued at __________________.
Costs and expenses of minor’s claim have been incurred in the amount of __________.
(name)
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IT IS FURTHER ORDERED that a probate estate for the minor plaintiff shall be opened
in the Circuit Court of the 18th Judicial Circuit for appointment of a guardian to execute the
release and for the administration of the minor’s funds.
ENTER: ____________________________
Judge
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