ORDER DECLARING HEIRSHIP - PROBATE STATE OF ILLINOIS 3795 (Rev. 7/16) 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 File Stamp Here ORDER DECLARING HEIRSHIP After considering evidence concerning heirship, the Court declares that the decedent left surviving as his/her only heirs: Name and Relationship Place of Residence Age of Minor Child Portion of Estate Name: DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone Number: Email: Pro Se Date Judge CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60187-0707 American LegalNet, Inc. www.FormsWorkFlow.com