NOTICE OF FINAL REPORT - INDEPENDENT REPRESENTATIVE - PROBATE STATE OF ILLINOIS 3830 (Rev. 2/17) UNITED STATES OF AMERICA COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT IN RE THE ESTATE OF CASE NUMBER DECEASED NOTICE OF FINAL REPORT INDEPENDENT REPRESENTATIVE File Stamp Here Attached to this notice is a copy of the report filed by the independent representative for this estate in order that the estate be closed and the independent representative discharged. If no objection to the attached report is filed with the Court within forty-two (42) days after the date the report was filed, the independent representative will be discharged and the estate closed. In the absence of fraud, accident or mistake the order discharging the independent representative and declaring the estate closed is binding on all person to whom the notice is given. Date Independent Representative PROOF OF SERVICE On I, on oath state that I served this notice by delivering a copy personally to each person to whom it is directed. I served this notice by mailing a copy to each person to whom it is directed and depositing the same in the U. S. Mail at , Illinois, with the proper postage prepaid. Name: DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone Number: Email: Pro Se Signature of Party Signed and sworn to before me Date Circuit Clerk or Notary Public CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60187-0707 American LegalNet, Inc. www.FormsWorkFlow.com