STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17TH JUDICIAL CIRCUIT COUNTY OF WINNEBAGO FILE STAMP CC-285 IN THE MATTER OF ________________________________ Current Minors Name Case No. ___________________ ________________________________________________ Name of Parent/Guardian filing on behalf of the Minor ORDER FOR CHANGE OF NAME OF A MINOR The Court having considered the Petition for Change of Name filed herein, heard the evidence presented, and being otherwise fully advised in the premises, finds that the Petition should be granted. IT IS HEREBY ORDERED that the Plaintiff's name of:_____________________________________, is hereby changed to: _______________________________________________, by which he or she shall be hereafter known and called. DATE: _______________________________ ENTER: __________________________________ Judge Rev 3/11 American LegalNet, Inc. www.FormsWorkFlow.com