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IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS IN PROBATE IN RE THE ESTATE OF ______________________________________ Name of disabled adult CASE NO:__________________________ A Disabled Adult OATH AND BOND OF GUARDIAN OF DISABLED ADULT SURETY I, __________________________________________, on oath state that I will faithfully discharge Name of guardian the duties of the office of guardian of disabled adult. I and the undersigned sureties jointly and severally bind ourselves to the People of the State of Illinois to the faithful discharge of those duties. The obligation of this bond is limited to $___________________________________________. 1.5 times value of estate *____________________________________ Signature of guardian as guardian and principal Address ______________________________ _____________________________________ Dated: _________________________, 20______ *____________________________________ Signature of guardian Entered: _________________________________ Judge as guardian and principal Address ______________________________ _____________________________________ *____________________________________ as surety Address ______________________________ _____________________________________ Person/Attorney Who Prepared Form: Name: ____________________________________________ Address: __________________________________________ Signed and sworn to before me ____________________________, 20______ _____________________________________ City and Zip: ______________________________________ Phone: ___________________________________________ ARDC #: __________________________________________ *First names of each principal and individual surety must be written in full Notary Public ANDREA LYNN CHASTEEN, CLERK OF THE CIRCUIT COURT OF WILL COUNTY American LegalNet, Inc. www.FormsWorkFlow.com 136 (Revised 12/16)