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Claim - Illinois

Claim Form. This is a Illinois form and can be used in Probate Will Local County .
 Fillable pdf Last Modified 3/16/2010
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STATE OF ILLINOIS) )SS COUNTY OF WILL ) IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS - IN PROBATE Estate of CASE NO:______________________ CLAIM 1. Claimant (name) against this estate. 2. The nature of the claim is* has a claim for $ Address City and State Telephone Attorney Name_____________________________________ ARDC#___________________________________________ Firm Name________________________________________ Attorney for Petitioner_______________________________ Address___________________________________________ City & Zip_________________________________________ Telephone_________________________________________ *When the claim is based upon a written instrument, a copy of the instrument must be attached. When the claim is based on tort, so state. (SEE REVERSE SIDE) PAMELA J. MCGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNTY American LegalNet, Inc. www.FormsWorkFlow.com No.___________________________ , 20 IN THE CIRCUIT COURT OF WILL COUNTY _________________, 20___ Mailing and delivery of copy of claim waived _________________________________________ (Representative) (Attorney for Representative) County Department - Probate Division _________________,20 Estate of I (certify) that on a copy of this claim was (mailed) (delivered in person) (mailed by ordinary mail) (state of oath) , 20 to Representative and to CLAIM Attorney for Representative Attorney or Agent for claimant (Agent's statement must be notarized) Claimant Amount of Claim $ Subscribed and sworn to before me this , 20 . Notary Public day of Set for hearing at m. in Room , 20 , 20 I consent to the allowance of this claim for $ as a claim of the class. Representative Attorney for Representative WILL COUNTY COURTHOUSE JOLIET, ILLINOIS 60431 Date of Letters , 20 PAMELA J. McGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNTY Unless the representative or his attorney waives in writing the mailing or delivery of a copy of the claim or consents in writing to the allowance of the claim, the claimant shall cause acopy of the claim to be mailed or delivered to the representative and tohis attorney of record, if any, and shall file proof of such mailing or delivery within 10 days after the filing of the claim. American LegalNet, Inc. www.FormsWorkFlow.com
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