IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS Case No. IN THE MATTER OF THE ESTATE OF (DECEDENT): Name: Address: City, State, Zip: Date and Place of Death: HEARING SET FOR: Date: at the Time: Room: File Stamp No Will PETITION FOR LETTERS OF ADMINISTRATION With Will Annexed De Bonis Non De Bonis Non With Will Annexed Independent Administration Supervised Administration (and or has not been admitted ) which has been admitted to probate on The petitioner certifies the above decedent died leaving no will or with a will dated codicil(s) dated to probate. The decedent owned real estate and/or personal estate in Illinois with the approximate value of each being as follows: Personal Real The nominated executor is unable to act or the prior representative is unable to continue to act for the following reason: The petitioner further states that he/she is legally qualified to act as administrator or to nominate an adminstrator and that the decedent's heirs, legatees and personal fiduciaries, and all persons entitled to nominate an administrator in preference over or equally with petitioner, where applicable, are named herein. PERSON NOMINATED AS ADMINISTRATOR: Name: Address: City, State, Zip: THEREFORE, the petitioner asks that if the decedent died leaving a will not admitted to probate, the will be admitted to probate and the appropriate Letters of Administration be issued. Under penalties as provided by law pursuant to 735 ILCS 5/1-109, the undersigned certifies that the statements set forth in this petition are true and correct, except as to matters stated to be on information and belief and as to such matters the undersigned certifies that he/she verily believes the same to be true. Signed pursuant to Supreme Court Rule 137: Attorney/Pro Se: Address: City, State, Zip: Telephone No.: Atty. Registration No.: Attorney E-mail: P1-PR-003A (11/12) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Petitioner's Signature: Print Name: Address: City, State, Zip: (Attorney or Party) Case No. Names of heir, legatees and personal fiduciaries Relationship Right to nominate Heir "H" Minor "M" Post Office Address Preference "P" Legatee "L" Disabled Person (If "Unknown" so state) Equally "E" Personal Fiduciary "DP" "PF" P1-PR-003 (11/12) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com