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Notice Of Name Change Form. This is a Illinois form and can be use in Administrative Office Of The Courts Statewide.
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Tags: Notice Of Name Change, Illinois Statewide, Administrative Office Of The Courts
NOTICE OF NAME CHANGE To: Administrative Office of the Illinois Courts th 222 North LaSalle Street, 13 Floor Chicago, Illinois 60602 I hereby certify that I am licensed under Supreme Court Rule 711 under License Number_________________. I was originally licensed under the name __________________________, Last______________________, _____________________. My name has changed to First Middle ______________________, _____________________, ______________________, for theLast First Middlefollowing reason: (check one) ? marriage (append copy of marriage license); ? dissolution of marriage (append copy of Judgement for Dissolution of Marriage); or ? other (append copy of court Order). __________________________________________________________ (Specify reason for name change) _________________________________ Dated this ______ day of _______________, 20 _____ Law School Students Signature For office use only: Approved by: _______________ Date: ________