ORDER OF DISCHARGE (EX-ADM-IND REP) - PROBATE STATE OF ILLINOIS UNITED STATES OF AMERICA IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT 3773 (Rev. 4/17) COUNTY OF DU PAGE IN RE THE ESTATE OF CASE NUMBER DECEASED File Stamp Here ORDER OF DISCHARGE On presentation of the final account of the: Executor Administrator Independent Representative due notice having been Given Waived the Court finds: 1. All assets have been collected. 2. * No claims have been paid or dismissed. * No claims have been presented. 3. 4. 5. 6. All The The No personal property taxes No Illinois estate taxes No Federal estate tax Paid have been paid have been paid have been paid Released settled adjudicated and the proceeds County, Illinois. have been provided for have been provided for have been provided for are due is due is due All Court costs have been 7. * The estate consists solely of a cause of action which has been distributed in accordance with the order of the Circuit Court of Case Number 8. ** The remaining estate has been distributed to the person(s) entitled thereto as shown by the final account. IT IS HEREBY ORDERED that the final account is approved and the Executor Administrator Independent Representative is discharged, the bond cancelled, and the estate is closed. Name: DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone Number: Email: * Strike if not applicable Pro Se Date Judge ** As set forth in attached copy of distribution. American LegalNet, Inc. www.FormsWorkFlow.com CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60187-0707