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 of Death: File Stamp PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY Independent Administration The petitioner certifies the decedent died leaving a will dated dated Supervised Administration (and codicil(s) ), which the petitioner believes to be the valid last will of the decedent. The decedent owned real estate and/or personal estate in Illinois with the approximate value of each being as follows: Personal Real The petitioner further states that the person nominated is legally qualified to act as Executor, and that the decedent's heirs and legatees are named herein. Unless supervised administration is requested, the name and address of any personal fiduciary acting or designated to act pursuant to 755 ILCS 5/28-3 is also listed. PERSON NOMINATED AS EXECUTOR: Name: Address: City, State, Zip: OR PERSONAL FIDUCIARY: Name: Address: City, State, Zip: Therefore, the petitioner asks that the will be admitted to probate and letters testamentary 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-001A (11/12) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Petitioner Signature: Print Name: Address: City, State, Zip: (Attorney or Party) Case No. Names of heir, legatees and personal fiduciaries Relationship Right to nominate Preference "P" Equally "E" Heir "H" Legatee "L" Personal Fiduciary "PF" Minor "M" Disabled Person "DP" Post Office Address (If "Unknown" so state) P1-PR-001B (11/12) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com