Order – Illinois Parentage Act 1984 STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 22nd JUDICIAL CIRCUIT McHENRY COUNTY ________________________________________________ vs. ________________________________________________ Case Number___________________________________ PATERNITY ORDER This matter coming on before the Court on the issue of parentage of __________________________________________, a verified petition having been filed by consent of both parties filed for determination of parent/child relationship and the Court having jurisdiction under the Illinois Parentage Act, 750 ILCS 45/1 et seq., UCCJA, Chapter 40 ¶ 2101 et seq., IMDMA, Chapter 40 ¶101 et seq., and the Court being fully advised in the premises: IT IS HEREBY ORDERED 1. That a Parent/Child relationship is in existence and established between _________________________________, the father, and _________________________________________________________________, the minor child. 2. That permanent care, custody and control of the minor child __________________________________________, will remain with _______________________________________________, the __________________________ subject to reasonable visitation as set forth below: 3. Except as otherwise provided herein, _______________________________________________ shall pay to ________________________________________________, as and for support and maintenance of the child the sum of $_________________ per ______________ commencing on the date of this order. (Note – if payments are to be made through the Clerk of the Circuit Court’s office, special support order must be entered). 4. If the ____________________________________________ should, for any reason fail to comply with the visitation heretofore set forth in this order, the _____________________________________________ shall not be entitled to withhold from the _____________________________________________ any amounts due to her/him hereunder for child support or otherwise. Rights for visitation and rights to allowances shall be treated as independent covenants and enforced separately. CV-ORD17: Revised 12/01/06 Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com 5. That __________________________________________________________ shall post bond or security in the amount of $________________________________ with the Clerk of the Court. That __________________________________________________________ shall pay all costs in 6. connection with the pregnancy and delivery. 7. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Complete this section only if this Order is being entered as the result of a Consent Petition WE HEREBY AGREE AND CONSENT TO THE ENTRY OF THIS ORDER __________________________________________ __________________________________________ FATHER MOTHER __________________________________________ __________________________________________ GUARDIAN OF THE CHILD IF DIFFERENT THAN THE MOTHER PARENT OR GUARDIAN OF THE FATHER OR MOTHER WHO IS NOT OF LEGAL AGE DATE:______________________________ Entered:______________________________________ Judge Name_______________________________________________ Attorney Number _____________________________________ Attorney for__________________________________________ Address______________________________________________ City, State Zip_________________________________________ Phone________________________________________________ CV-ORD17: Revised 12/01/06 Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com