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Declination Of Office 171P-4 - Illinois

Declination Of Office Form. This is a Illinois form and can be used in General Probate Lake Local County .
 Fillable pdf Last Modified 2/20/2012
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IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS ESTATE OF ) ) ) ) ) _____________________________________________ ) ) Case No. ________________________ DECLINATION OF OFFICE The undersigned, not having undertaken any duties of office, declines to act as representative of this estate. Signature: Printed Name: Address: ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ SUBSCRIBED and SWORN to before me this ______ day of ______________________, 20_____. ___________________________________________ Notary Public (Seal) Prepared by: Name: ____________________________________________ Attorney's Name: ____________________________________ Address: __________________________________________ City: ______________________________ State: __________ Phone: ______________________Zip Code: _____________ Fax: ______________________________________________ ARDC #: __________________________________________ 171P-4 (Rev. 12/11) American LegalNet, Inc. www.FormsWorkFlow.com
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