Petition Form For Probate Of Will And For Letters Of Administration With Will Annexed

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     0009 Supervised      1009 Jury      0010 Independent      1010 Jury
Petition for Probate of Will and for Letters of Administration with Will Annexed
(Rev. 09/06/13) CCP 0316
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
COUNTY DEPARTMENT-PROBATE DIVISION
Estate of
No. _________________________________________
_____________________________________________
Deceased
PETITION FOR PROBATE OF WILL AND FOR LETTERS
OF ADMINISTRATION WITH WILL ANNEXED
_________________________________________________________________________ states under penalties of perjury:
1. __________________________________________________________, whose place of residence at the time of death was
________________________________________________________________________________________________
(Address)
(City)
(County)
(State)
(Zip)
died ___________________________, ________
at ______________________________________________ leaving a will
(date)
(City)
(State)
dated _________________________, ________
_________________________________________________________
(and codicil dated ________________________, __________)
which 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 and made a part of this
petition. (List heirs first, indicate the relationship of each heir and legatee and, if an heir or legatee is a minor or
disabled person, so state.)
4. The testator nominated as executor __________________________________________________________________ who
_______________________________________________________________________________________________________.
(reason for not acting)
5. The names and post office addresses of the persons who are entitled to nominate an administrator in preference to
(P) or equally with (E) petitioner are set forth on Exhibit A made a part of this petition. (If none, so state).
6. Petitioner is a _______________________________________________ of testator, is legally qualified to act or to nominate
a resident of Illinois to act as administrator and nominates __________________________________________________
whose address is _______________________________________________________________________________________
*7 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, made a part of this petition.
Petitioner asks that the will be admitted to probate and that letters of administration with will annexed issue.
_______________
Atty. No.
___________________________________________________
____________________________________________
Name:
Petitioner
________________________________________
Firm Name:
__________________________________________________
_______________________________
Attorney for Petitioner:
Address
__________________________________________
Address:
__________________________________________________
City
State
Zip
______________________________________
City/State/Zip:
_________________________________________
Telephone:
___________________________________________________
___________________
Attorney Certification
If a consul or consular agent is to be notified, name country:
*If supervised administration is requested, so state and strike paragraph 7.
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

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