Fill and Sign the Illinois Name Change Application Form

IN THE CIRCUIT COURT OF _______________ COUNTY, ILLINOIS IN THE MATTER OF THE PETITION OF             No.                         For Change of Name(s) PETITION TO THE HONORABLE JUDGES OF SAID COURT: Petitioner/Petitioners (Print Current Name(s)):                         respectfully shows that I am/they are residents of the State of Illinois, and have resided in the County of __________ in said State for more than six months prior to the filing of this petition; that I/they desire to change my/their name(s) according to the provisions of the Statute in such case made and provided, and now, in that behalf, respectfully show that I/they bear the name(s) of: (Print Complete Name(s)).                         and am/are known and called by these name(s); that I/they desire to undertake the name(s) of: (Print Complete Name(s) Desired)                   by which I/they may be known and called in the future. That my/their respective places of birth and dates of birth are as follows: Petitioner Place of Birth Date of Birth                                                                                           that I/they have resided in the State of Illinois for the past ________ years; that they have given notice of their intended application by publication in _______________________________________ , a newspaper of general circulation published in ______________ County, for three successive weeks, a copy of which published notice, with the certificate of the publisher, is annexed and made a part of this petition. WHEREFORE, petitioner/petitioners pray, the premises being considered, that my/their name(s) be changed to:                   as provided by Statute, and that I/they be known and called by this/these name(s), and for such other or future relief as this Honorable Court shall order according to law. Atty. No.:       Pro Se Petitioner(s): Name:             Atty. For:             Address:             City/Zip:             Telephone:             AFFIDAVIT State of Illinois Ss: County of ___________       being duly sworn on oath deposes and says that I am acquainted with       who reside at:       (Print Name(s) of Petitioner(s)) who are the petitioners in this cause, and who have signed this petition; that I read this petition and know the contents thereof, and the matters and things stated are true and correct to the best of my knowledge and belief.       Affiant Subscribed and sworn to before my on this ________ day of ________________________ , 20 ______ .       Notary Public (ATTACH PUBLISHED NOTICE AND CERTIFICATE OF PUBLISHER TO THIS PETITION)