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Receipt On Distribution CCP-0379 - Illinois

Receipt On Distribution Form. This is a Illinois form and can be used in Probate Cook Local County .
 Fillable pdf Last Modified 6/30/2011

2621 Receipt on Distribution IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - PROBATE DIVISION Estate of (Rev. 7/5/00) CCP 0379 _____________________________________________ Deceased } No. _______________________________ Docket _____________________________ Page ______________________________ RECEIPT ON DISTRIBUTION I, _________________________________________________________________________, acknowledge receipt of (name) my share of this estate as follows: I appear, waive notice, and consent to the approval of the __________________________________________ (current) (final) account of ______________________________________________________________________________________ (name and office) ___________________________________________________________________________________________________, and I consent to the fees of the representative in the amount of $ _________________________________ and the fees of the attorney in the amount of $_____________________________ as set forth in the accounting. Atty. No.:__________________ Firm Name: ___________________________________________ Name: ________________________________________________ Atty. for Petitioner: __________________________________ Address: ____________________________________________ City/State/Zip: ________________________________________ Telephone: __________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. _______________________________________________ Distributee Address________________________________________ _______________________________________________ Clear This Form
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