IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS Case No. IN THE MATTER OF THE PETITION OF: Name: Complete the following, if applicable: ON BEHALF OF: File Stamp SPOUSE, MINOR(S), AND/OR ADULT UNMARRIED CHILD(REN) PETITION FOR NAME CHANGE AFFIDAVIT certifies under penalties of perjury that he/she is acquainted with , the petitioner in the above entitled case, that he/she has read the foregoing petition and knows its contents, and that the matters and things herein stated are true. 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. Affiant's Signature: Address: City, State, Zip: Telephone No.: THIS AFFIDAVIT MUST BE SIGNED AND ATTACHED TO THE PETITION P2-PN-008 (03/08) American LegalNet, Inc. www.FormsWorkflow.com