Form Ccp N334 - Inventory
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12603 Inventory
(06/02/15) CCP N334
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
COUNTY DEPARTMENT, PROBATE DIVISION
Estate of
No. _________________________________________
______________________________________________________
INVENTORY
____________________________________________________, states under the penalties of perjury that the following
(Name and Capacity)
is the q amended q supplemental inventory of the real and personal property of the _______________________________
(decedent) (minor) (disabled person)
and of any cause of action on which there is a right to sue that has come to the knowledge of the representative:
Item No.
Description
(attach additional sheets as necessary)
The approximate value of personal estate on date of issuance of letters is $ _________________________________________________
The approximate annual income from real estate is $ ________________________________________________________
The bond of the individual representative complies with the requirements of 755 ILCS 5/12-5.
Atty. No.: ______________________
Atty. Name: _______________________________________
____________________________________________________
Firm Name: _______________________________________
Representative
Atty. for Representative: _____________________________
____________________________________________________
Address: __________________________________________
Attorney Certification
City/State/Zip Code: ________________________________
Telephone: ________________________________________
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
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