Fill and Sign the How to E File a Civil Case Cook County 6th Districtillinois Form

NOTIFICATION OF CHANGE OF ADDRESS *File this form for business and/or residence address changes STATE OF ILLINOIS ) For office use only COUNTY OF COOK ) Certificate # ____________ Submit completed form and a check for $1.50 payable to: Cook County Clerk David Orr Bureau of Vital Statistics Attn: Assumed Name Registration Unit P.O. Box 642570 Chicago, IL 60602-2570 Address Change for proprietor(s) Let it be known that the Business __________________________________________________ _______________________________________ (full name of business) has had a partner(s) change his/her/their address as of__________________________________ (enter date of address change) The names of proprietor(s) changing their address PRINT NAME(S) PRINT RESIDENCE ADDRESS ______________________________ Former address:________________________________ ______________________________ ________________________________ ______________________________ Current address:________________________________ ______________________________ ________________________________ Address Change for Business Let it be known that the Business __________________________________________________ _____________________________________________________________________________ has changed its address as of______________________________________________________ (enter date of address change) Previous address filed for the Business: ______________________________________________________________________________ (street address, city, zip) New address for the Business: ______________________________________________________________________________ (street address, city, zip) The name of one or more persons conducting or transacting the business: PRINT NAME SIGNATURE _________________________________ ___________________________________ _________________________________ ___________________________________ Dated this _______________________ day of _______________________________________ -------------------------------------------------------------------------------------------------------------------- I, ________________________________________________________________, a Notary Public in Cook County, IL, do hereby ce rtify that [record owner(s) name(s) below] ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ is/are personally known to me to be the same person(s) whose name(s) subscribed to the foregoing instrument appeared before me this day in person and acknowledged that he/she read and signed the instrument and that the statements therein contained, and each thereof, are true. Notary Public _________________________________________________________________ ( sig natu re ) My commission expires on the _________________ day of _____________________________