ORDER TO TERMINATE 3450 (Rev. 07/05) STATE OF ILLINOIS UNITED STATES OF AMERICA COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT CASE NUMBER PLAINTIFF VS. ACCOUNT NUMBER DEFENDANT File Stamp Here ORDER TO TERMINATE CHILD SUPPORT/SUGGESTION OF DEATH This cause coming to be heard on the oral motion of the Circuit Court Clerk that the office has received a death certificate from the State of which suggests the death of , the Obligee Obligor in the above captioned matter, IT IS HEREBY ORDERED that effective the underlying Order of Support Notice to Withhold Income is terminated, and all annual fees owed to the Clerk of the Circuit Court are waived. Name: DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone: PRO SE JUDGE Date: CHRIS KACHIROUBAS, CLERK OF THE 18TH JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60189-0707