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: File Stamp PUBLICATION NOTICE INDEPENDENT ADMINISTRATION TO: CREDITORS AND CLAIMANTS (ONLY) 1. Notice is hereby given of the death of who died on , a resident of 2. The Representative for the estate is: , Illinois. 3. The Attorney for the estate is: 4. Claims against the estate may be filed on or before . Claims against the estate may be filed with the Clerk of the Circuit Court, 540 S. Randall Rd., St. Charles, IL, 60174 or with the Representative, or both. Any claim not filed within that period is barred. Copies of a claim filed with the Clerk must be mailed or delivered to the Representative and to the attorney within 10 days after it has been filed. 5. The estate will be administrated without Court supervision unless an interested party terminates independent supervision administration by filing a petition to terminate under Article XXVIII 5/28-4 of the Probate Act (755 ILCS 5/28-4). Signature of Executor P1-PR-036 (10/13) American LegalNet, Inc. www.FormsWorkFlow.com