PETITION FOR LETTERS OF ADMINISTRATION (TESTATE) - PROBATE STATE OF ILLINOIS 3807 (Rev. 3/16) 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 PETITION FOR PROBATE OF WILL AND FOR LETTERS TESTAMENTARY Executor * Independent Supervised Administrator with the Will Annexed The undersigned, on oath states: 1. The decedent , whose place of residence at the time of death was died on , at leaving a Will. 2. The approximate value of the estate in this state is: Personal $ Name Real $ Relationship Heir - H Legatee - L Annual Income From Real Estate $ Minor - M Disabled - D Address (If unknown, so state) 3. The name and addresses of the testator's heirs and legatees are (list heirs first): list on additional sheet 4. The testator nominated the following to act in the office indicated above: Name Address 5. Petitioner, as indicated above, is legally qualified to act, or nominate a resident of Illinois to act. Petitioner asks that letters testamentary be issued. 6. * If so indicated above, the Petitioner requests independent administration. The name and address of the personal fiduciary designated to act during independent administration for each heir who is a minor or disabled person are shown on Exhibit A attached and made part of this petition. PRO SE Name: DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone Number: Email: If a consul or consular agent is to be notified, name Country Petitioner Signature Address , City, State, Zip Signed and sworn to before me Date Circuit Clerk or Notary Public American LegalNet, Inc. www.FormsWorkFlow.com CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60187-0707