FINAL REPORT OF INDEPENDENT REPRESENTATIVE - PROBATE
STATE OF ILLINOIS
3815 (Rev. 4/17)
UNITED STATES OF AMERICA
COUNTY OF DU PAGE
IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT
IN RE THE ESTATE OF
CASE NUMBER
DECEASED
FINAL REPORT
OF
INDEPENDENT REPRESENTATIVE
File Stamp Here
The undersigned, on oath states:
That the administration of the estate has been completed and in accordance with Section. 28-11 of the Probate Act of 1975 (755
ILCS 5/28-11) further states as follows:
Notice of probate has been given in compliance with Section. 6-10 or Subsection 28-(C) of the Probate Act,
The notice to creditors required by Section 18-3 has been published, and the first publication occurred more than six (6) months
before the date of this report.
Each claim filed has been allowed, disallowed, compromised, dismissed or is barred.
All estate and inheritance taxes have been determined and paid. (*strike (a) or (b) if not applicable)
(a) All claims allowed have been paid in full.
(b) The estate was not sufficient to pay all of the claims in full, and all claims allowed have been paid according to their
respective priorities.
All administration expenses and other liabilities of the estate have been paid, the remaining assets of the estates have been
distributed to the persons entitled thereto, copies of the inventory and final account have been mailed to all interested persons and
their receipts therefore have been obtained and are attached, and the independent representative has fully accounted to all
interested persons for all acts of administration and distribution.
The fees paid or payable to the independent representative and the representative's attorney,
have not been
has been
approved by all interested persons.
Approvals of this report, or receipts, have been obtained from all interested persons and are filed with this report except for the
following
Name
Address
City, State, Zip
(additional names, see attached)
Pro Se
Name:
DuPage Attorney Number:
Attorney for:
Address:
City/State/Zip:
Telephone Number:
Email:
Independent Representative
Subscribed and sworn to before me
Date
Circuit Clerk or Notary Public
CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT ©
WHEATON, ILLINOIS 60187-0707