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This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts. NCM - N 2007.2 Page 1 of 2 (0/18) STATE OF ILLINOIS , NOTICE OF COURT DATE REQUEST FOR NAME CHANGE (MINOR CHILDREN) For Court Use Only CIRCUIT COURT COUNTY Instructions Directly above, enter the county name where you will file this case. REQUEST OF : Enter the name of the person asking the court to change the names of minor children. First, Middle, Last Name Case Number DO NOT enter a Case Number, the Circuit Clerk will add it. TO CHANGE NAMES OF MINOR CHILDREN You can only use this form if you know the location of the person to whom you will be giving notice. YOU HAVE THE RIGHT TO COME TO THE COURT DATE AND OBJECT TO YOUR CHILD222S NAME CHANGE. In 1a, enter the date and time of your court date. The Circuit Clerk will give you the date and time when you file your Request. 1. Court Date Information a. Date: , 20 Time a.m. p.m., b. Address: , Street Address City County In 1b, enter the address of the court and courtroom number. Courtroom : . In 2, enter the date you sent this form to the other parent or legal guardian. It must be at least 10 days before your court date. 2 . I sent this Notice , Request for Name Change (Minor Children) , and Request for Name Change - Child Information on: , 20 Date Enter the full name and address of the person to whom you are sending a copy of this Notice and Request for Name Change (Minor Children) and check if you will send copies of this form by certified mail or by sheriff. To: Name: First Middle Last Address: Street , Apt # City State ZIP By: Certified Mail with return receipt (green card) If the person has a lawyer, you must send a copy to the lawyer. Service of process by sheriff Name: First Middle Last Address: Street , Apt # City State ZIP American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Circuit Clerk: NCM - N 2007.2 Page 2 of 2 (0/18) By: Certified M ail with return receipt (green card) Service of p rocess by s heriff Name: First Middle Last Address: Street , Apt # City State Z ip By: Certified M ail with return receipt (green card) Service of p rocess by s heriff Under the Code of Civil Procedure, 735 ILCS 5/1-109 , making a statement on this form that you know to be false is a Class 3 Felony. I certify that everything in the Notice Of Court Date Request For Name Change (Minor Children) is true and correct. I understand that making a false statement on this form is perjury and has penalties provided by law under 735 ILCS 5/1 - 109 . /s/ Your Signature Street , Apt # If you are completing this form on a computer, sign your name by typing it. If you are completing it by hand, sign and print your name. Print or Type Name City, State, Zip Telephone American LegalNet, Inc. www.FormsWorkFlow.com