This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts. DV - CA 122.1 Page 1 of 1 ( 04 / 18 ) STATE OF ILLINOIS , Certification Agreement For Court Use Only CIRCUIT COURT COUNTY Instructions Directly above, enter the county where you filed this case. Enter the full name of Petitioner, Respondent, and the case number as listed on the Petition for Dissolution of Marriage/Civil Union (Divorce with Children). P etitioner ( First, middle, last name ) v. Respondent ( First, middle, last name ) Case Number I have read the Check the box next to the court document that both parties agree to. Judgment of Dissolution of Marriage/ Civil Union (Divorce with Children) Parenting Plan that will be presented to the judge. I am in agreement with all of the terms in each of those documents. I have put my initials on each page of each document to show that I have read each page and agree with what is on each page. I am asking that the judge approve the agreements and sign each of the documents. Both parties must sign their names in front of an Illinois notary public. Petitioner Respondent DO NOT complete the notary section. The notary will complete it. Notary Public for Petitioner Notary Public for Respondent State of Illinois State of Illinois County of County of Signed and sworn to before me on Signed and sworn to before me on D ate D ate by by Name Name Seal Signature of Notary Seal Signature of Notary American LegalNet, Inc. www.FormsWorkFlow.com