Affidavit And Order For Service By Publication Form - Lake County, Illinois
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1IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT
LAKE COUNTY, ILLINOIS
ESTATE OF
)
)
)
Case No. ________________________
_____________________________________________ )
a minor
)
AFFIDAVIT AND ORDER FOR SERVICE BY PUBLICATION
Now comes ___________________________________________________, who on oath and under penalties of
(Name of Petitioner)
perjury as provided and by law states as follows:
1. That leave of court has been granted to petitioner to file a petition for guardian of _____________________________ ,
(Name of Minor)
a minor.
2. That ___________________________________________ is the _________________________________________
(Name of parent or guardian)
(Relationship to Minor)
of ________________________________________________.
(Name of Minor)
3. That ___________________________________________ cannot be found after diligent inquiry
is concealed within the state
(Name of parent or guardian)
therefore process cannot be served. That his or her current address cannot be ascertained after diligent inquiry, but
his/her last known place of residence is as follows: ____________________________________________________.
4. That in order to proceed with this action, it is necessary that service be had on ______________________________
(Name of parent or guardian)
by publication pursuant to 735 ILCS 5/2-206.
CERTIFICATION
Under penalties of perjury as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the
undersigned certifies that the statements set forth in this instrument are true and correct.
Date: _______________________________, 20____
_____________________________________
Signature of Petitioner
ORDER FOR SERVICE BY PUBLICATION
IT IS HEREBY ORDERED that the Petitioner shall cause publication to be made within the manner provided by
law, (and that the Clerk pay the costs of such publication upon entry of an Order of Indigency.)
ENTER:
_____________________________________________
JUDGE
Dated this _______ day of ____________________, 20_____.
Prepared by:
Name: ____________________________________________
Attorney’s Name: ____________________________________
Address: __________________________________________
City: ______________________________ State: __________
Phone: ______________________Zip Code: _____________
Fax: ______________________________________________
ARDC #: __________________________________________
171P-388 (Rev. 12/11)
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