P1-PR-040 (03/19)16th JUDICIAL CIRCUIT NEW CASE PROBATE INFORMATION SHEET(PLEASE TYPE OR PRINT)1.Case Type:240 Probate2.Description:3.Name:(Last)(First)(M.I.)(Last)(First)(M.I.)Attorney Registration Number:Attorney's Name:Date of Death (if deceased):Type of Administration:Date of Birth:(Month/Day/Year)4.Please give the complete name, address, zip code and title of your nominee(s) for:Name:Address:City, State, Zip:5.List all heirs, first name, middle initial, last name below: File Stamp Defendant/Respondent Plaintiff/PetitionerCase No.(Month/Day/Year) (Last)(First)(M.I.) DeceasedDisabled PersonMinor/GuardianSupervisedIndependentExecutorAdministratorGuardian American LegalNet, Inc. www.FormsWorkFlow.com