Print Form Judgment Order Clear Form (Rev. 7/01/08) CCCO 0038 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS FOR CHANGE OF NAME ___________________________________________________ } No. _____________________________ JUDGMENT ORDER This cause having come to be heard upon the petition filed herein, with the Court being fully advised in the premises of the contents of the petition and attached affidavit. The Court being further advised that proper notice of the petition for a change of name was given in the following manner: (Describe in detail the type of Notice given, i.e. publication, personal service, service by mail.) _____________________________________________ _________________________________________________________________________________________________________________________ which the Court finds sufficient to satisfy the requirements of the statute. That all of the material facts alleged in said petition are true; that the Petitioner(s) is/are a resident(s) of the State of Illinois and has resided therein continuously for a period of at least six months, or residents of the County of Cook at the time this petition was filed, that the conditions required by the Act of the General Assembly of the State of Illinois, entitled “Change of Name Act” have been complied with; that this (check, if applicable) that it is in Court has jurisdiction of the persons and of the subject matter hereof; the best interest of the child(ren) that a change of name be granted. Therefore: IT IS ORDERED; That the Names of the Petitioner(s) are changed as follows: A. Petitioner’s Name from: _____________________________ to _______________________________; B. Spouse’s Name from: _______________________________ to _______________________________; C. Child’s Name from: ________________________________ to _______________________________; D. Child’s Name from: ________________________________ to _______________________________; E. Child’s Name from: ________________________________ to _______________________________; F. Child’s Name from: ________________________________ to ______________________________; ENTERED: Dated: __________________________, ___________ ______________________________________ Judge Judge’s No. ____________________________________________________________________ (If space for additional names is needed, attach another order form and mark this form Page 1 of _______.) DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS