IN THE CIRCUIT COURT OF THE TWENTY-SECOND JUDICIAL CIRCUIT McHENRY COUNTY, ILLINOIS Probate Division Estate of ) ) ) ) ) Case Number_____________________________ Date Will filed:______________________,20___ ______________________________________ Deceased PETITION FOR PROBATE OF WILL AND FOR LETTERS TESTAMENTARY ___________________________________________________________, states under penalty of perjury: 1. ___________________________________________, whose place of residence at the time of death was _____________________________________________________________________________________, (address) (city) (county) (state) died ___________________________, 20_____, at _______________________________ leaving a Will. dated _________________________, ________, (and codicil dated _____________________, ________) which petitioner believes to be the valid last Will of the testator. 2. The approximate value of the estate in this state is: Annual Income Personal $__________________ Real $____________________ From Real Estate $________________ 3. The testator maintained a safe deposit box. Box Number _____________ Location ______________________________________________________ Notice to said institution has been provided. 4. The names and post-office addresses of testator's heirs and legatees are set forth on Exhibit A and made a part of this petition. (List heirs first, indicate the relationship of each heir and legatee and, if the heir or legatee is a minor or disabled person, so state.) 5. The testator nominated as executor the following, qualified and willing to act: Name Address *6. The name and post office address of the personal fiduciary designated to act during independent administration for each heir or legatee who is a minor or disabled person are shown on Exhibit A made a part of this petition. *If supervised administration is requested, so state and strike Paragraph 6. PR-PET1: Revised 12/01/06 Page 1 of 3 Estate of Deceased American LegalNet, Inc. www.FormsWorkflow.com Petitioner asks that the Will be admitted to probate and that Letters Testamentary issue to __________________ __________________________________________ as _______________________________________________ (Executor) (Independent Executor) __________________________________________ Petitioner's Signature Address ___________________________________ __________________________________________ __________________________________________ Attorney Certification Name_________________________________________ Attorney for____________________________________ Address________________________________________ City, State Zip___________________________________ Telephone______________________________________ PR-PET1: Revised 12/01/06 Page 2 of 3 Estate of Deceased American LegalNet, Inc. www.FormsWorkflow.com EXHIBIT A To Petition for Probate of Will and for Letters Testamentary Estate of ) ) ) ) ) Case Number_____________________________ ______________________________________ Deceased LIST OF HEIRS AND LEGATEES OF __________________________________________, DECEASED Name/Address Relationship Heir, Legatee, Minor or Disabled Personal Fiduciary for Minor If a consul or consular agent is to be notified, name country:____________________________________________ PR-PET1: Revised 12/01/06 Page 3 of 3 Estate of Deceased American LegalNet, Inc. www.FormsWorkflow.com