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Change Of Address Notification CCG-0017 - Illinois

Change Of Address Notification Form. This is a Illinois form and can be used in General Cook Local County .
 Fillable pdf Last Modified 6/30/2011

Change of Address Notification (4/26/05) CCG 0017 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS  PEOPLE OF THE STATE OF ILLINOIS Case Nos.______________________________ or  ______________________________________________, _______________________________ A Municipal Corporation, _______________________________ v. ______________________________ } _______________________________ ______________________________________________, _______________________________ Defendant/Petitioner. CHANGE OF ADDRESS NOTIFICATION Pursuant to 20 ILCS 2630/5(h), or 705 ILCS 405/5-915, the Petitioner hereby notifies the Clerk of the Circuit Court that his/her address has changed since the time the Petition to Seal Arrest Record, Petition to Seal Conviction Record, or Petition to Expunge (Juvenile Records) was filed with the Clerk of the Circuit Court. Petitioners address has changed as follows: Former Address: Street Address: ___________________________________________ City/State/Zip: _______________________________________ Telephone: __________________________________________ Current Address: Street Address: ___________________________________________ City/State/Zip: _______________________________________ Telephone: __________________________________________ Date: _____________________________________, _________ ______________________________________________ Signature of Petitioner Atty. No.: _________________ Pro Se 99500 Attorney (or Pro Se Petitioner): Name: _____________________________________________ Address: ___________________________________________ City/State/Zip: _______________________________________ Telephone: __________________________________________ American LegalNet, Inc. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 (4/26/05) CCG 0017 BDELIVER COPIES OF THIS FORM WITH ORIGINAL SIGNATURES TO THE COURT HOUSE(S) WHERE YOUR PETITION(S) ARE BEING HEARD: JUVENILE CASES DISTRICT 4 - MAYWOOD Juvenile Justice Division 1500 Maybrook Avenue 1100 South Hamilton, Maywood, Illinois 60153 Room 13 ATTN: Change of Address Chicago, Illinois 60612 ATTN: Change of Address Cities and Villages within District 4: Animal Control, Bellwood, Berkeley, Berwyn, Broadview, DISTRICT 1 -- CRIMINAL DEPAR TMENT - Brookfield, Burlington North/Santa Fe Railroad, Cicero, CHICAGO Cook County Sheriff, Elgin/Joliet, Elmhurst, Elmwood Park, Richard J. Daley Center Forest Park, Forest Preserve, Franklin Park, Hillside, Hines 50 West Washington Street, Hospital, Illinois Commerce Commission, LaGrange Park, Room 1006 Maywood, Maywood Park District, Melrose Park, Memorial Chicago, Illinois 60602 Park, Metra Police Department, Northlake, North Riverside, ATTN: Change of Address Public Safety, Oak Park, River Forest, River Grove, Riverside, Secetary of State Police, Stone Park, Triton DISTRICT 1 -- CRIMINAL DIVISION - College, Union Pacific Railroad, Water Reclamation, CHICAGO Westchester. 2650 South California Avenue, Room 526 DISTRICT 5 - BRIDGEVIEW Chicago, Illinois 60608 10220 South 76th Avenue ATTN: Change of Address Bridgeview, Illinois 60455 ATTN: Change of Address DISTRICT 2 - SKOKIE 5600 Old Orchard Road Cities and Villages within District 5: Skokie, Illinois 60077 Alsip, Bedford Park, Bridgeview, Burbank, Burr Ridge, ATTN: Change of Address Chicago Ridge, Countyside, Crestwood, Evergreen Park, Forest View, Hickory Hills, Hinsdale, Hodgkins, Cities and Villages within District 2: Hometown, Indian Head Park, Justice, LaGrange, Lemont, Deerfield, DesPlaines, Evanston, Glencoe, Glenview, Lyons, Merrionette Park, McCook, Oak Lawn, Orland Hills, Golf, Kenilworth, Lincolnwood, Morton Grove, Niles, Orland Park, Palos Hills, Palos Park, Stickney, Summit, Northbrook, Northfield, Park Ridge, Prospect Heights, Tinley Park, Western Springs, West Haven, Willow Springs, Skokie, Wilmette, Winnetka, Cook County Sheriff, Cook Worth, Cook County Sheriff, Cook County Forest Preserve, County Forest Preserve, Illinois State Police Districts 3 and Illinois State Police District 3 and 15. and 15. DISTRICT 6 - MARKHAM DISTRICT 3 - ROLLING MEADOWS 16501 South Kedzie Parkway 2121 Euclid Avenue Markham, Illinois 60426 Rolling Meadows, Illinois 60008 ATTN: Change of Address ATTN: Change of Address Cities and Villages within District 6: Cities and Villages within District 3: Blue Island, Burnham, Calumet City, Calumet Park, Arlington Heights, Barrington, Barrigton, Hills, Bartlett, Chicago Heights, County Club Hills, Crete, Dixmoor, Dolton, Bensenville, Buffalo Grove, Elgin, East Hazelcrest, Flossmoor, Ford Heights, Glenwood, Elk Grove Village, Hanover Park, Harwood Heights, Harvey, Hazelcrest, Homewood, Lansing, Lynwood, Hoffman Estates, Mount Prospect, Rolling Meadows, Markham, Matteson, Midlothian, Oak Forest, Olympia Roselle, Rosement, Schaumburg, Schiller Park, South Fields, Park Forest, Phoenix, Posen, Richton Park, Barrington, Streamwood, Wheeling, Cook County Riverdale, Robbins, Sauk Village, South Chicago Heights, Sheriff, Cook County Forest Preserve, Illinois State South Holland, Steger, Thornton. Police Districts 2, 3 and 15. American LegalNet, Inc. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS www.USCourtForms.com
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