STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 22nd JUDICIAL CIRCUIT McHENRY COUNTY IN THE MATTER OF THE PETITION OF ________________________________________________, a Minor by______________________________________________, Case Number______________________________________ Parent or Guardian FOR CHANGE OF NAME NOTICE OF HEARING (MINOR) To: _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ On _____________________________________, 20_______ at 9:00 a.m., or as soon thereafter as counsel may be heard, I shall appear before the Honorable Judge ____________________________________, or any Judge sitting in his/her stead in courtroom ________________ in the McHenry County Government Center, 2200 N. Seminary Avenue, Woodstock, Illinois for a hearing on the Petition for Name Change (Minor). ____________________________________________________ Petitioner’s Signature PROOF OF SERVICE BY CERTIFIED MAIL I ________________________________________, on oath state I served this Notice of Hearing by mailing via certified mail (Receipt for Certified Mail attached) a copy to the service list on _______________________________, 20_______. ____________________________________________________ Petitioner’s Signature Name_________________________________________ ARDC Number_________________________________ SUBSCRIBED AND SWORN to before me ___________________________________________, 20____ Attorney for____________________________________ __________________________________________________ Notary Public Address_______________________________________ City, State Zip__________________________________ Phone_________________________________________ CV-NOT19: Revised 12/01/06 American LegalNet, Inc. www.FormsWorkflow.com