IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS - IN PROBATE Estate of Date Will Filed: , 20 CASE NO: PETITION FOR PROBATE OF WILL AND FOR LETTERS TESTAMENTARY states under penalties of perjury: 1. death was (address) (city) (county) (state) , whose place of residence at the time of , , 20 , at (city) (state) died leaving a will dated and codicil dated , 20 , 20 ) , that Petitioner believes to be the valid last will of the testator. 2. The approximate value of the estate in this state is: Annual Income Personal $ Real $ From Real Estate $ 3. The names and post-office addresses of the testator's heirs and legatees are set forth on Exhibit A made part of this petition. (List heirs first, indicate the relationship of each heir and legatee and, if the heir or legatee is a minor or disabled person, so state.) 4. The testator nominated as executor the following, qualified, and willing to act: Name Post-Office Address *5. The name and post office address of the personal fiduciary designated to act during independent administration for each heir or legatee who is a minor or disabled person are shown on Exhibit A that is made part of this petition. *If supervised administration is requested, so state and strike Paragraph 5. (SEE REVERSE SIDE) Form 37 A (Revised 12-16) American LegalNet, Inc. www.FormsWorkFlow.com Petitioner asks that the will be admitted to probate and that letters testamentary are issued. Petitioner Address: Attorney Certification If a consul or consular agent is to be notified, name country: Attorney Name ARDC# Firm Name Attorney for Address City & Zip Telephone ANDREA LYNN CHASTEEN, CLERK OF THE CIRCUIT COURT OF WILL COUNTY American LegalNet, Inc. www.FormsWorkFlow.com