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Notice Of Filing Petition For Name Change (Minor) CC-284 - Illinois
| Notice Of Filing Petition For Name Change (Minor) Form. This is a Illinois form and can be used in General Winnebago Local County . |
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STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17TH JUDICIAL CIRCUIT COUNTY OF WINNEBAGO FILE STAMP CC-287 IN THE MATTER OF THE PETITION OF Case number given Case No. ____________________ at time of filing __________________________________ Minor's Current Name __________________________________ Name of Parent/Guardian filing on behalf of the Minor NOTICE OF FILING PETITION FOR NAME CHANGE Notice is hereby given, that on Hearing date given at the time of filing 20___, at ______ .m., I will present a Petition ________________________________, requesting that the Court change his/her present name of __________________________________, a minor, to the name of _______________________________. The hearing will take place at Winnebago County Courthouse, 400 West State St. in Rockford, Illinois. _____________________________________, a minor, by, _______________________________________ (Minor's Name) (Signature of Parent/Guardian) Date: ______________________________ ILLINOIS LAW REQUIRES THAT NOTICE OF THIS PETITION MUST BE GIVEN TO ANY PARENT WHOSE PARENTAL RIGHTS HAVE NOT BEEN TERMINATED OR TO ANY PERSON WHO HAS PHYSICAL CUSTODY OF THE MINOR NAMED IN THE PETITION. CHOOSE ONE OF THE FOLLOWING: [ ] NOTICE MAILED To: ____________________________________ Address: _________________________________________________________________________ Pursuant to 735 ILCS 5/1-109, I hereby swear or affirm under penalties of perjury that on ________________, 20___, I sent by United States Mail copies of both this Notice and the subject Petition for Name Change of a Minor, in a sealed envelope with postage fully prepaid, to the above named party at the address shown. Signature: _______________________________________________ Name: _____________________________________________________ Address: ___________________________________________________ City: __________________________State: ____ Zip: _______________ Telephone: _________________________________________________ [ ] NOTICE TO BE MADE BY PUBLICATION (Only appropriate where parent/guardian's whereabouts are unknown, and only with court approval.) Rev 11/11 American LegalNet, Inc. www.FormsWorkFlow.com
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