IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS ESTATE OF ) ) ) ) ) _____________________________________________ ) Deceased ) Case No. ________________________ ORDER DECLARING HEIRSHIP After considering evidence concerning heirship, the Court declares that the following are the only heirs of the decedent: Relationship to Decedent ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ENTER: _____________________________________________ JUDGE Dated this _______ day of ____________________, 20_____. Prepared by: Name: ____________________________________________ Attorney's Name: ____________________________________ Address: __________________________________________ City: ______________________________ State: __________ Phone: ______________________Zip Code: _____________ Fax: ______________________________________________ ARDC #: __________________________________________ 171P-87 (Rev. 12/11) American LegalNet, Inc. www.FormsWorkFlow.com Name _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ Minor/Disabled Minor Minor Minor Minor Minor Minor Minor Minor Minor Disabled Disabled Disabled Disabled Disabled Disabled Disabled Disabled Disabled