CIRCUIT COURT OF THE JUDICIAL CIRCUIT COUNTY, ILLINOIS ESTATE OF No. Deceased INVENTORY The following is the * inventory of the real and personal estate of the (decedent) (minor) (disabled person) that has come to the knowledge of the legal representative of this estate and of any cause of action on which there is a right to sue: REAL ESTATE (legal description, improvements, encumbrances) ** Value CHATTEL PROPERTY AND CAUSES OF ACTION ** Value PERSONAL ESTATE OTHER THAN CASH. GOODS AND CHATTELS (describe) ** Value NOTES ** Value * Insert "amended" or " supplemental" if applicable. ** Use Addenda if necessary. INVENTORY Form # 106 2000 © American LegalNet, Inc. Amount of money on hand at date of deain On deposit in On deposit in On deposit in at at at $ $ $ $ The approximate value of personal estate at date of deain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ The approximate annual income from real estate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Legal Representative AFFIDAVIT * on oath states that-the above inventory is complete and correct. SUBSCRIBED AND SWORN to before me this 20 day of Notary Public - Clerk Name: Attorney for. Address: Telephone: 2000 © American LegalNet, Inc.