IN THE CIRCUIT COURT FOR THE TWENTY-THIRD JUDICIAL CIRCUIT KENDALL COUNTY, ILLINOIS IN THE MATTER OF THE ESTATE OF: __________________________________ Case No._____________________________ TYPE OF INVENTORY: [ ] First or Original Inventory [ ] Amended Inventory Supplemental Inventory _________________________________________________ ESTATE IS THAT OF: [ ] a deceased person [ ] a disabled person [ ] a minor _________________________________________________ OFFICER COMPLETING INVENTORY: [ ] Administrator [ ] Executor [ ] Guardian [ ] Other Note: If officer of corporate fiduciary, state position, such as "Vice-President of ABC Trust Co." _________________________________________________ TOTAL VALUE OF PERSONAL PROPERTY: $ Type _________________________________________________ AMOUNT/TYPE OF BOND, IF ANY: $ __________________________________________________ ATTORNEY FOR ESTATE: Name Address City State Telephone Zip INVENTORY The undersigned on oath states that all information contained herein is true and correct and that this is a full, true and perfect inventory of all the real and personal estate of the above named decedent, minor or disabled person so far as the same has come to my knowledge and of any cause of action on which I have a right to sue. Signed_______________________________________ and/or _______________________________________ Sworn to before me this_________________________ Day of _______________________________, 20_____ _____________________________________________ Clerk of Court/Notary Public ITEM NO. DESCRIPTION Rev. 07/16 American LegalNet, Inc. www.FormsWorkFlow.com CC142-1 ITEM NO. DESCRIPTION Rev. 07/16 American LegalNet, Inc. www.FormsWorkFlow.com CC142-2