3252 (Rev. 01/08) JUDGMENT FOR CHANGE OF NAME STATE OF ILLINOIS UNITED STATES OF AMERICA IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT COUNTY OF DU PAGE IN THE MATTER OF THE PETITION OF CASE NUMBER FOR CHANGE OF NAME File Stamp Here JUDGMENT FOR CHANGE OF NAME petitioner attorney and the This cause having come on to be heard upon the petition filed herein and upon motion of Court having read the said petition, together with the affidavit appended thereto, and the certificate of publication filed herein, and it appearing that previous notice of the intended application for a change of name was given by publishing a notice hereof in a newspaper of general circulation published in the County wherein the said petitioner(s) resides. The said publication having been made for three (3) consecutive weeks, the first insertion of which was at least six (6) weeks before the return day upon which the petition was to be filed, said petition being signed by the petitioner(s), and setting forth the return day for court on which the petition was to be filed and the Court having been fully advised. That all the material facts alleged in said petition are true; and the said petitioner(s) are resident(s) of the State of Illinois and have resided therein continuously for a period of at least six (6) months next preceding date that the condition mentioned and specified in an Act of the General Assembly of the General Assembly of the State of Illinois, entitled "An Act to Revise the Law in Relation to Names," approved February 25, 1874, and in force July 1, 1874, as amended, have been compiled with; that this Court has jurisdiction of the persons and of the subject matter hereof; and that no reason appears why the prayer contained in said petition should not be granted. It is hereby ORDERED, ADJUDGED and DECREED that said petitioner(s) name(s) be hereby changed from: to that of : by which said last mentioned name(s) shall be hereafter known and called. Name: PRO SE DuPage Attorney Number: Attorney for: Date Address: City/State/Zip: Telephone Number: Judge CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60189-0707 American LegalNet, Inc. www.FormsWorkflow.com