IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT, LAKE COUNTY, ILLINOIS IN THE MATTER OF THE PETITION OF ) ) _________________________________ ) ) _________________________________ ) ) FOR CHANGE OF NAME ) Gen. No. _______________ NOTICE OF PUBLICATION Public notice is hereby given that on _______________________, 20______, at ___________ AM / PM in Courtroom C-306, being one of the return days in the Circuit Court of Lake County, I will present and ask that my Petition in said Court, praying __________________________________ to that of for the change of my name from __________________________________ be approved, pursuant to the Statute in such case made and provided. Dated at _____________________________, Illinois, ____________________ 20________. _________________________________ 171-244 rev 10/05 American LegalNet, Inc. www.USCourtForms.com