Fillable NOTICE OF NAME CHANGE (Administrative Office of the Illinois Courts)

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NOTICE OF NAME CHANGE (Administrative Office of the Illinois Courts)

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BROWSE ADMINISTRATIVE OFFICE OF THE ILLINOIS COURTS (IL) FORMS

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NOTICE OF NAME CHANGE
To: Administrative Office of the Illinois Courts
222 North LaSalle Street, 13
th
Floor
Chicago, Illinois 60602
I hereby certify that I am licensed under Supreme Court Rule 711 under License Number
_________________. I was originally licensed under the name __________________________,
Last
______________________, _____________________. My name has changed to
First Middle
______________________, _____________________, ______________________, for the
Last First Middle
following reason: (check one)
? marriage (append copy of marriage license);
? dissolution of marriage (append copy of Judgement for Dissolution
of Marriage); or
? other (append copy of court Order).
__________________________________________________________
(Specify reason for name change)
_________________________________ Dated this ______ day of _______________, 20 _____
Law School Student’s Signature
For office use only:
Approved by: _______________ Date: ________
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NOTICE OF NAME CHANGE (Administrative Office of the Illinois Courts)

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Completed 13 August 2020

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