STATE OF ILINOIS IN THE CIRCUIT COURT OF THE 20TH JUDICIAL CIRCUIT ST. CLAIR COUNTY- IN PROBATE In the Matter of the Estate of ) ) ) ) ) ) _________________________________ Case No._____________________ CLAIM- CONTRACT 1. Claimant___________________________________________________ has a claim (Name and Address) for $________________________ against this estate, which is just and unpaid after following all just credits, deductions and set-offs. 2. The nature of the claim is ____________________________________ Claimant AFFIDAVIT _______________________________________on oath states that the allegation in this claim are true. ____________________________________ Signed and sworn to before me ____________________________, 20______ _____________________________________ Notary Public ORDER Allowed for $_______________________ and costs. Class______________________ ____________________________, 20___. ___________________________________ Judge Name________________________________ Attorney for Claimant___________________ Address______________________________ City_________________________________ Telephone____________________________ American LegalNet, Inc. www.FormsWorkflow.com