176 STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT COUNTY IN PROBATE In the Matter of the Estate of No. ESTATE CLAIM CLAIM OF: ADDRESS CITY AND STATE ZIP Total on oath states that said estate is indebted to the Claimant in the amount shown above as of , 20 . (Claimant) Signed and sworn to before me , 20 . (Clerk of the Circuit Court Notary) By: (Deputy) The undersigned of this (Administrator or Executor, etc.) estate enters his appearance and waives issuing of process and approves allowance of this claim. Dated , 20 . American LegalNet, Inc. www.USCourtForms.com>>>> 2The above claim against said estate has been (Allowed, set for trial, continued, or dismissed, etc.) (Judge) Dated , 20 (Clerk of the Circuit Court) By: (Deputy) American LegalNet, Inc. www.USCourtForms.com