IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT, LAKE COUNTY, ILLINOIS Probate Division Estate of ) ) ) ) No. PETITION FOR WITHDRAWAL OF FUNDS Petitioner, _______________________, who is the ____________________________________ (Name of Petitioner) (Mother, Father, Spouse, Guardian, etc.) of said ward(s), respectfully states under penalty of perjury: 1. That the guardian heretofore appointed by the Court was discharged on the _______day of ___________________________, 20______. *2. (a) That heretofore by order of this Court, the sum of $ ____________ was deposited with _______________________________________ for the use and credit of said ward(s). (Name of Depositary) 2. (b) That heretofore by order of this Court the sum of $ ____________ was invested in United States Government Obligations and deposited for safekeeping for the account of said ward(s) with ____________________________________________________________________________________ (Name of Bank or Trust Company) 3. That the ward(s) at this time is (are) in need of the sum $ __________ for h____(their) comfort, support, education or other benefit as set forth below: ____________________________________________________________________________________ ____________________________________________________________________________________ Wherefore your Petitioner prays that this Court enter an Order allowing the withdrawal of said sum for the reasons heretofore stated, and any further Order in the premises as to the Court may seem proper. ______________________________________ Petitioner The undersigned certifies that the statements set forth in this instrument are true and correct, except as to matters therein stated to be on information and belief and as to such matters the undersigned certifies as aforesaid that he/she verily believes the same to be true. ______________________________________ Petitioner Name Attorney for Address City & Zip Telephone Atty No *Strike either 2(a) or 2(b) 171P-44 Rev. 09/00 2002 � American LegalNet, Inc.