CC-286 STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17TH JUDICIAL CIRCUIT WINNEBAGO COUNTY FILE STAMP IN THE MATTER OF THE PETITION OF Case No. ________________ ___________________________ FOR CHANGE OF NAME NOTICE OF MOTION To: _____________________________ Address: ________________________________________________________________________ Street City Zip On ____________________________, at ______________or as soon thereafter as I may be heard, I shall appear before the Honorable _______________________________ or any Judge sitting in their stead, in the courtroom usually occupied by said Judge at the WINNEBAGO COUNTY COURTHOUSE, 400 West State Street, Rockford, Illinois, 61101 Courtroom No. _______. BRIEF STATEMENT OF MOTION I hereby swear or affirm that on the _____ day of ______________, _______ I sent by United States Mail a copy of this Motion, in a sealed envelope with postage fully prepaid, to all parties requiring notice to each party’s respective last known address. _________________________________ Signature Name: ___________________________________________ Address: _________________________________________ City: _________________________ State: ____ Zip______ Telephone: _______________________________________ CF 8/09 American LegalNet, Inc. www.FormsWorkFlow.com