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Petition For Letters Of Administration Form. This is a Illinois form and can be use in Lake Local County.
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Tags: Petition For Letters Of Administration, Illinois Local County, Lake
IN THE CIRCUIT COURT OF THE NINETEENTH
JUDICIAL CIRCUIT, LAKE COUNTY, ILLINOIS
PROBATE DIVISION
Estate of
Deceased.
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Hearing on petition set for
________________________, ______
_________ ___.M., Room ________
18 N. County Street
Waukegan, Illinois 60085
No.
PETITION FOR LETTERS OF ADMINISTRATION
1.
______________________________________________, states under penalty of perjury:
________________________________________, whose place of residence at the time of death was
________________________________________________________________________________,
(address)
(city)
(county)
(state)
died ___________________________, 20 _____, at _________________________leaving no will.
2.
The approximate value of the estate in this state is:
Personal
Real
$ ________________
$ _________________
3.
The names and post-office addresses of decedent’s heirs are set forth on Exhibit A and made a part
of this petition. (Indicate the relationship and whether an heir is a minor or disabled person.)
4.
The names and post-office addresses of persons who are entitled to nominate an administrator in
preference to (P) or equally with (E) petitioner are set forth on Exhibit A made a part of this petition.
If none, so state: _______.
5.
Petitioner is a _____________________________of decedent and is legally qualified to act, or to
nominate a resident of Illinois to act, as administrator.
*6.
The name and post-office address of the personal fiduciary designated to act during independent
administration for each heir who is a minor or disabled person are shown on Exhibit A made a part
of this petition.
7.
Annual Income
From Real Estate
$ ___________________
Petitioner asks that Letters of __________________issue to the following, qualified and willing to act:
(Administration) (Independent Administration)
Name
Address
________________________________________________________________________________________
Name
Attorney for
Address
City & Zip
Telephone
________________________________________
Petitioner
Address _________________________________
________________________________________
Attorney Certification
*If supervised administration is requested, so state and strike Paragraph 6.
SEE EXHIBIT A
171P-29 Rev. 10/00
Page 1 of 2
2002 © American LegalNet, Inc.
EXHIBIT A
To Petition for Probate and for
Letters of Administration
Estate of
Deceased
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No.
LIST OF HEIRS OF
__________________________, DECEASED
Name/Address
Relationship
Heir (H)
Minor (M)
Disabled (D)
Preference (P or E)
Description of
Interest*
If a consul or consular agent is to be notified, name country: _________________________
*List specific percentage (or fractional) interest in estate.
(e.g., 50% (1/2); 33.3% (1/3), etc.)
171P-29 Rev. 10/00
Page 2 of 2
2002 © American LegalNet, Inc.
