2603 INVENTORY IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Estate of
(Rev. 7/10/01) CCP 0334
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No. ____________________________________ Docket __________________________________ Page ____________________________________
INVENTORY
_________________________________________________, states under the penalties of perjury that the following
(Name and Capacity)
is the ________________________ inventory of the real and personal property of the __________________________
(amended) (supplemental) (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: ___________________________________________ Attorney for Representative Address: ____________________________________________ City/State/Zip: ________________________________________ Telephone: __________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS _________________________________________________ Representative _________________________________________________ Attorney Certification