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STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17TH JUDICIAL CIRCUIT COUNTY, ILLINOIS

IN THE MATTER OF THE ESTATE OF ___ NO. ___

) ) ) )

ON

Deceased

ORDER OF DISCHARGE

On presentation of the final account of _____

(Office)

notice having been given or waived, and a Guardian Ad Litem for _____, (Name)

, ,the court finds that: (Minor) (Disabled Person) (appeared) (been waived)

  1. All assets have been collected;
  2. *All claims have been paid or dismissed; *No claims have been presented:
  3. *Strike the inapplicable item.
  4. _____ Illinois estate tax _____ (The) (No) (has been paid) (has been provided for) ___; (is due)
  5. (The) (No) Federal estate tax (has been paid) (has been provided for) _____; (is due)
  6. All court costs have been (paid) (released)

A-13

APPENDIX M

04/95

APPENDIX M - Continued

  1. (Additional findings)___
  2. The remaining estate has been distributed to the person(s) entitled thereto as shown by the final account.

IT IS ORDERED that the final account is approved and ___ (Name)

(Office)

is discharged and his bond cancelled, and the estate is closed.

Dated ___, 20___

ENTER:

(Judge)

04/95