Fillable NOTICE OF COURT DATE REQUEST FOR NAME CHANGE (Illinois)

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NOTICE OF COURT DATE REQUEST FOR NAME CHANGE (Illinois)

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This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
STATE OF ILLINOIS,
CIRCUIT COURT
COUNTY
NOTICE OF COURT DATE
REQUEST FOR NAME CHANGE
(MINOR CHILDREN)
For Court Use Only
Instructions
REQUEST OF:
Directly above, enter
the county name
where you will file
this case.
First, Middle, Last Name
TO CHANGE NAMES OF MINOR CHILDREN
Case Number
Enter the name of the
person asking the
court to change the
names of minor
children.
Enter the Case
Number given by the
Circuit Clerk.
You can only use this
form if you know the
location of the person
to whom you will be
giving notice.
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.
In 1b, enter the
address of the court
and courtroom
number.
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.
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.
If the person has a
lawyer, you must send
a copy to the lawyer.
YOU HAVE THE RIGHT TO COME TO THE COURT DATE AND OBJECT TO YOUR
NAME CHANGE.
1.
a.
Date
, 20
Time
a.m. p.m.,
b.
Address:
,
Street Address
City
County
Courtroom :
.
2.
I sent this Notice, Request for Name Change (Minor Children), and Request for Name
Change-Child Information on:
, 20
Date
To:
Name:
First
Middle
Last
Address:
Street, Apt #
City
State
ZIP
By:
Certified Mail with return receipt (green card)
Service of process by sheriff
Name:
First
Middle
Last
Address:
Street, Apt #
City
State
ZIP
NCM-N 2007.4
Page 1 of 2
(09/19)
Enter the Case Number given by the Circuit Clerk:_________________________________
By:
Certified Mail with return receipt (green card)
Service of process by sheriff
Name:
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.
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.
First
Middle
Last
Address:
Street, Apt #
City
State
Zip
By:
Certified Mail with return receipt (green card)
Service of process by sheriff
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 #
Print or Type Name
City, State, Zip
Telephone
NCM-N 2007.4
Page 2 of 2
(09/19)
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NOTICE OF COURT DATE REQUEST FOR NAME CHANGE (Illinois)

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Completed 20 January 2021

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