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WHEREFORE the petitioner prays that the name of the minor child ren be changed from its/their present form to Under penalties as provided by law pursuant to 735 ILCS 5/1-109 the undersigned certifies that the statements set forth in this petition are true and correct except as to matters to be on information and belief and as to such matters the undersigned certifies that he/she believes the same to be true. Attorney/Pro Se Address City State Zip Telephone No. Atty. Registration No. Petitioner s Signature P2-PN-006 09/08 American LegalNet Inc. www. IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY ILLINOIS Case No* IN THE MATTER OF THE PETITION OF Name ON BEHALF OF MINOR S File Stamp PETITION FOR NAME CHANGE OF MINOR S TO THE HONORABLE JUDGE OF THE COURT That Petitioner respectively represents as follows 3. That the minor child ren currently bear s the name of Minor Child D. O. B. 4. That the Petitioner states that the minor child ren has/have been a resident of the State of Illinois County of Kane for more than six months prior to the filing of this Petition*. County State/Country have not been previously terminated and any person who has physical custody of the minor child ren at least 10 days before the court date advising them of the date time and location where this Petition will be presented and further of their right to be present and to object to the name change s requested* If any of these persons are outside of this State notice and opportunity to be heard was given under 735 ILCS 5/21-104. WHEREFORE the petitioner prays that the name of the minor child ren be changed from its/their present form to Under penalties as provided by law pursuant to 735 ILCS 5/1-109 the undersigned certifies that the statements set forth in this petition are true and correct except as to matters to be on information and belief and as to such matters the undersigned certifies that he/she believes the same to be true. Attorney/Pro Se Address City State Zip Telephone No* Atty. Registration No* Petitioner s Signature P2-PN-006 09/08 American LegalNet Inc* www. IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY ILLINOIS Case No* IN THE MATTER OF THE PETITION OF Name ON BEHALF OF MINOR S File Stamp PETITION FOR NAME CHANGE OF MINOR S TO THE HONORABLE JUDGE OF THE COURT That Petitioner respectively represents as follows 3. That the minor child ren currently bear s the name of Minor Child D. O. B. 4. That the Petitioner states that the minor child ren has/have been a resident of the State of Illinois County of Kane for more than six months prior to the filing of this Petition*. That the minor child ren currently bear s the name of Minor Child D. O. B. 4. That the Petitioner states that the minor child ren has/have been a resident of the State of Illinois County of Kane for more than six months prior to the filing of this Petition*. County State/Country have not been previously terminated and any person who has physical custody of the minor child ren at least 10 days before the court date advising them of the date time and location where this Petition will be presented and further of their right to be present and to object to the name change s requested* If any of these persons are outside of this State notice and opportunity to be heard was given under 735 ILCS 5/21-104.

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