Free $$WRK1$$ - Illinois

2400 Petition By Representative of Foreign Country to Receive Distribution

(Rev. 7/5/00) CCP 0385

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - PROBATE DIVISION Estate of

_____________________________________________
Deceased

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No. _________________________________ Docket _______________________________ Page ________________________________

PETITION BY REPRESENTATIVE OF FOREIGN COUNTRY TO RECEIVE DISTRIBUTION

_________________________________________________________ states under the penalties of perjury:
I am an official representative of ____________________________________________________________.
(Country)

I ask leave to receive and receipt for the distributive share of ______________________________________________

_________________________________________________________________________________________________________
(Name of Distributee) (Address)

_________________________________________________________________________________________________________
who is a citizen and resident of ____________________________________________________________________.
(Country)

Pursuant to treaty or convention between my country and the United States, I am entitled to receive such share. I will pay and deliver the share to the distributee or, if unable to do so, will deposit the share with the County Treasurer.

________________________________________
Petitioner

Atty. No.:__________________ Name: ____________________________________________ Atty. for Petitioner: ________________________________ Address: __________________________________________ City/State/Zip: ____________________________________ Telephone: ________________________________________

Address ___________________________________

________________________________________
(City) (State) (Zip)

Telephone _________________________________

________________________________________
Attorney Certification

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS