IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS RE: IN THE MARRIAGE OF _____________________________________________ ) ) vs. ) ) ) _____________________________________________ ) Case No. ________________________ FAMILY CERTIFICATE OF COMPLIANCE PURSUANT TO LOCAL RULE 11.02 TO: The undersigned hereby certifies that the FINANCIAL DISCLOSURE STATEMENT required by Local Court Rule 11.02(A)(3) has been completed, and was served upon the opposing party on the _____ day of _____________, 20 ___ , with all CORROBORATING DOCUMENTS labeled and indexed to correspond to the appropriate paragraphs. PROOF OF SERVICE The undersigned on oath states that on _____________________ , 20 ____ : I served this Family Certificate of Compliance by delivering a copy personally to each person to whom it is directed. I served this Family Certificate of Compliance by mailing a copy to each person to whom it is directed and depositing the same in the U.S. Mail at ___________________, Illinois with the proper postage prepaid. I served this Certificate of Compliance via facsimile. CERTIFICATION Under penalties provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned certifies that the statements set forth in this instrument are true and correct, except as to matter therein stated to be on information and belief and as to such matters the undersigned certifies as aforesaid that s/he verily believes the same to be true. Date: _________________ ________________________________________ Signature Prepared by: Name: ____________________________________________ Address: __________________________________________ City: ______________________________ State: __________ Phone: ______________________Zip Code: _____________ Fax: ______________________________________________ ARDC: ____________________________________________ 171-440 (Rev 02/13) American LegalNet, Inc. www.FormsWorkFlow.com