IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS ATTORNEY DATA FORM (Please select one of the following) □ Registration with Circuit Clerk □ Change of Address □ Change of Firm Attorney Name: First Name _________________________ MI _____ Last Name ______________________________ ARDC No. ______________________________ Present Business Address: Firm Name: ____________________________________ Address: ______________________________________ City, State, Zip _________________________________ Phone Number: ___________________ Fax Number: _________________ New Business Address: Effective ______________________ Firm Name: ____________________________________ Address: ______________________________________ City, State, Zip _________________________________ Phone Number: ___________________ Fax Number: _________________ Date ___________________ ________________________________ Signature American LegalNet, Inc. www.FormsWorkFlow.com