□ 4261

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT – PROBATE DIVISION

Case No. Calendar

Estate of

OATH AND BOND OF REPRESENTATIVE – NO SURETY

I,  ,
on oath state that I will discharge faithfully the duties of the office of representative, and I acknowledge that I am bound to
the People of the State of Illinois to the faithful discharge of those duties in an amount equal to double the value from time
to time of the personal estate.

/s/
[signature of representative]

[address]

[city/state/zip]
Signed and sworn to before me by the representative
on  .

(Clerk of Circuit Court)         (Notary Public)

APPROVED:

, 20

[Judge] [Judge’s number]

Attorney Number
Name 
Firm Name 
Attorneys for 
Address 
City/State/Zip 
Telephone 
Email 
CCP-0313 (12/01/20) Iris Y. Martinez,, Clerk of the Circuit Court of Cook County Page 1 of 1