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STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE ____________ JUDICIAL CIRCUIT __________________ COUNTY IN THE MATTER OF THE PETITION OF A Minor by Parent or Guardian Case Number: FOR CHANGE OF NAME NOTICE OF HEARING (MINOR) To: O n , 2 0 a t 9 :0 0 a .m ., o r a s s o on t h ere afte r a s c o u nse l m ay b e h eard , I s h all a p pear b efo re t h e H onora b le J u dge , o r a n yJu dge s ittin g i n h is /h er s te ad i n c o urtr o om i n t h e _ ___________ C ounty G overn m en t C en te r, ________________________, __________________, Illinois for a hearing on the Petition for Name Change (Minor). Petitioner’s Signature PROOF OF SERVICE BY CERTIFIED MAIL I , o n o ath s ta te I s e rv ed t h is N otic e o f H earin g b y m ailin g v ia c ertif ie d m ail ( R eceip t f o r C ertif ie d M ail a tta ch ed ) a c o py t o t h e s e rv ic e l is t o n , 2 0 . Petitioner’s Signature SUBSCRIBED AND SWORN to before me , 20 Notary Public

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