IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS - IN PROBATE Estate of Deceased CASE NO:______________________ APPLICATION FOR AWARD The undersigned representative of this estate applies to the court to allow a surviving spouse's and child's award as follows: 1. 2. For surviving spouse For minor and adult dependent children of decedent $ residing with decedent, payable to spouse 3. For minor and adult dependent children of decedent not residing $ with spouse, payable to 4. For minor and adult dependent children of decedent when $ decedent leaves no spouse $ TOTAL $ Representative Subscribed and sworn to before me this day of , 20 . Notary Public (SEE REVERSE SIDE) American LegalNet, Inc. www.FormsWorkFlow.com PRINT CLEAR IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS - IN PROBATE Estate of Deceased CASE NO: AWARD TO SURVIVING SPOUSE AND CHILDREN It is ordered that the following reasonable award is allowed, to be paid in not more than 3 installments: 1. 2. For surviving spouse For minor and adult dependent children of decedent $ residing with spouse, payable to spouse 3. For minor and adult dependent children of decedent not residing $ with spouse, payable to 4. For minor and adult dependent children of decedent when $ decedent leaves no spouse $ TOTAL $ ,20 ENTER JUDGE Name Attorney for ARDC# Address City Telephone ANDREA LYNN CHASTEEN, CLERK OF THE CIRCUIT COURT OF WILL COUNTY American LegalNet, Inc. www.FormsWorkFlow.com 31E 12/16