APPEARANCE FOR LETTERS - ADMINISTRATION STATE OF ILLINOIS UNITED STATES OF AMERICA 3737 (Rev. 2/16) COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT IN RE THE ESTATE OF CASE NUMBER DECEASED File Stamp Here APPEARANCE FOR LETTERS OF ADMINISTRATION We, the heirs of the deceased of legal age and under no legal disability, appear, waive notice and consent to the immediate appointment of as administrator* and to the issuance of letters of office. *If appropriate, insert "with the Will annexed", "De bonis Non", or "De bon Non with the Will Annexed" signature signature print full name print full name signature signature print full name print full name signature signature print full name print full name DATE Name: DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone Number: Email: PRO SE CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60187-0707 American LegalNet, Inc. www.FormsWorkFlow.com