In The Circuit Court For The Seventh Judicial Circuit of Illinois Sangamon County, Springfield, Illinois IN THE ESTATE OF: (Deceased) } Case Number: PETITION FOR PROBATE OF WILL AND FOR LETTER TESTAMENTARY Your Petitioner, 1. and State of 20 , at , 20 20 , which Petitioner , a resident of , died on the day of day of on oath states: in the County of , , leaving a Will dated the , and (if applicable), a codicil dated the day of believes to be the valid last Will of the testator. 2. The approximate value of the Estate in this State is: Personal: $ Annual Income from Real Estate: $ 3. The following are the names and Post-Office addresses of all of the heirs and legatees of testator and whether or not any of them is a minor or disabled person: Heir-H Legatee-L Minor-M Disabled-D Post Office Address Real: $ Name Relationship 4. The Decedent nominated as executor, willing to act and whose address is , who is qualified and . Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 5. Independent Administration under Article XXVIII [choose one] Administration is requested, the following are the names and addresses of all personal fiduciaries acting or designated to act pursuant to Section 28-3 of the Probate Act. Name Post Office Address 6. PETITIONER PRAY that said Will be admitted to further probate and that the Letters Testamentary issue. And Petitioner pray that Independent Administration [choose one] Petitioner Petitioner Address Petitioner Petitioner Address SIGNED AND SWORN to before this _______ day _________________________, 20______ in the County of ______________________________ and State of____________________________. Notary Public Name: Attorney for: ARDC No: Address: City: Area Code/Telephone: State: Zip code: If a consul or consular agent is to be notified, state name of Country here: Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com .