IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS ESTATE OF ) ) ) _____________________________________________ ) a minor ) Case No. ________________________ AFFIDAVIT AND ORDER FOR SERVICE BY PUBLICATION Now comes ___________________________________________________, who on oath and under penalties of (Name of Petitioner) perjury as provided and by law states as follows: 1. That leave of court has been granted to petitioner to file a petition for guardian of _____________________________ , (Name of Minor) a minor. 2. That ___________________________________________ is the _________________________________________ (Name of parent or guardian) (Relationship to Minor) of ________________________________________________. (Name of Minor) 3. That ___________________________________________ cannot be found after diligent inquiry (Name of parent or guardian) is concealed within the state therefore process cannot be served. That his or her current address cannot be ascertained after diligent inquiry, but his/her last known place of residence is as follows: ____________________________________________________. 4. That in order to proceed with this action, it is necessary that service be had on ______________________________ (Name of parent or guardian) by publication pursuant to 735 ILCS 5/2-206. CERTIFICATION Under penalties of perjury as 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. Date: _______________________________, 20____ _____________________________________ Signature of Petitioner ORDER FOR SERVICE BY PUBLICATION IT IS HEREBY ORDERED that the Petitioner shall cause publication to be made within the manner provided by law, (and that the Clerk pay the costs of such publication upon entry of an Order of Indigency.) ENTER: _____________________________________________ JUDGE Dated this _______ day of ____________________, 20_____. Prepared by: Name: ____________________________________________ Attorney's Name: ____________________________________ Address: __________________________________________ City: ______________________________ State: __________ Phone: ______________________Zip Code: _____________ Fax: ______________________________________________ ARDC #: __________________________________________ 171P-388 (Rev. 12/11) American LegalNet, Inc. www.FormsWorkFlow.com