Illinois > Local County > Dupage > Adoption
Request For Notice Of Putative Father 3216 - Illinois
| Request For Notice Of Putative Father Form. This is a Illinois form and can be used in Adoption Dupage Local County . |
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R E QUES T FOR NOTICE TO PUTATIVE FATHER 3216 (Rev. 12/04) UNITED STATES OF AMERICA STATE OF ILLINOIS COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT IN THE MATTER OF NOTICE CASE NUM BER TO PUTATIVE FATHER File Stamp Here R EQUEST FOR NOTICE AFFIDAVIT FOR FATHER IDENTIFICATION AFFIDAVIT OF L AST KNOWN ADDR ESS TO: CHRIS KACHIROUBAS , Clerk of the Eighteenth Judicial Circuit Court, Wheaton, Illinois , on oath states in accordance with Illinois Adoption Act 750 ILCS 50/12 (a) request a notice be sent to: NAME ADDRESS CITY STATE ZIP identified as the father of a child born on the day of , 20 identified as the father of a child expected to be born on or about the day of , 20 The mother of said child is: I further certify that the address shown is the last known address of the putative father. Name: PRO SE DuPage Attorney Number: Attorney for: Signed and Sworn to me this day of , 20 Address: City/State/Zip: Telephone: Notary Public-Circuit Court Clerk CHRIS KACHIROUBAS, CLERK OF THE 18TH JUDICIAL CIRCUIT COURT WHEATON, IL LINOIS 60189-0707
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