STATE OF ILLINOIS) )SS COUNTY OF WILL ) IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS IN THE MATTER OF THE PETITION TO CHANGE THE NAME(S) OF________________________________________ ____________________________________________________ TO_________________________________________________ CASE NO:______________________ ____________________________________________________ JUDGMENT Now on this ______ day of _____________________, 20_____, comes ______________________________________, on behalf of (him) (her)self and spouse as (parent)(guardian) of__________________________________________________, ____________________________, ____________________________, and_______________________________________, (minor(s)) (adult) and present(s) (his) (her) (their) Petition to Change the Name(s) of said _____________________________, __________________________________, _______________________________, and______________________________. THE COURT FINDS: 1. That Petitioner(s) and (minor) (adult) children have resided in the State of Illinois for more than six (6) months and presently reside at ____________________________________________________________________________________. (Street) (City) 2. That the name, date and place of birth of Petitioner(s) and said children are as follows: NAME DATE OF BIRTH Page 1 of 2 PLACE OF BIRTH 72 (Revised 1-00) 2 Page Form American LegalNet, Inc. www.USCourtForms.com 3. That Petitioner(s) (has) (have) never been convicted of a felony. 4. That ________________________________________, a minor, has resided in the family of Petitioner(s), and has been recognized and known as an adopted child in the family of Petitioner(s). 5. That the name and address of the natural parents of the minor child(ren) is as follows: (Father) (Address) (Mother) (Address) 6. That due proof of notice of the filing of the petition herein and the hearing thereon has been given. 7. That it is in the best interest of ______________________________, _________________________________, _________________________________________, ____________________________________, minor child(ren) that the change of name requested be granted. WHEREFORE, IT IS HEREBY ORDERED that the names of _______________________________________, ________________________________, ________________________________, ____________________________ be and the same (is) (are) hereby changed to _______________________________, ____________________________, __________________________________________, __________________________________. Dated:_____________________________________ _____________________________________ Judge American LegalNet, Inc. www.USCourtForms.com