Free $$WRK1$$ - Illinois

4212 Bond-Refunding IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - PROBATE DIVISION

(Rev. 1/14/01) CCP 0389

Estate of

_________________________________________________
Deceased

}

No. ___________________________________ Docket ________________________________ Page __________________________________

BOND - REFUNDING
We, __________________________________________________________________________________ and
(Principal) (Surety) (Surety)

___________________________________________________________________________________________ and ________________________________________________________________________________________________
jointly and severally bind ourselves to the representative, that the principal will refund to the representative the due proportion of any claim entitled to be paid from the estate distributed, together with the expense of recovery, including reasonable attorney's fees and additional expense of administration, whenever the court orders. The obligation of this bond is limited to $ ____________________. APPROVED _______________________________________, _________ ____________________________________________________ Judge Judge's No. *____________________________________________
Principal

Address ________________________________________ _____________________________________________
(City) (State) (Zip)

*____________________________________________
Surety

Address ________________________________________ Atty. No.:__________________ Name: ______________________________________________ Atty. for Petitioner: ___________________________________ Address: ____________________________________________ City/State/Zip: _______________________________________ Telephone: __________________________________________ ________________________________________________
(City) (State) (Zip)

*_______________________________________________
Surety

Address _________________________________________ _______________________________________________
(City) (State) (Zip)

Signed and sworn to before me on this ___________ day of ________________________________________, ________ _______________________________________________ (Clerk of Court) (Notary public)
*First name of each principal and individual surety must be written in full.

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