IN THE CIRCUIT COURT FOR THE NINETEENTH JUDICIAL CIRCUIT
LAKE COUNTY, ILLINOIS
IN RE THE PARENTAGE OF
GEN. NO:
A Minor
IV-D NO:
Petitioner
Vs
Respondent
ADMISSION OF PATERNITY
_____________________________, the undersigned, charged by ________________________________
with being the father of _______________________ born to her out of wedlock on __________________,
.
in Lake County Illinois
UNDER OATH ADMITS SAID CHARGE, waives examination of the Complainant, and
acknowledges that he is the father of the above-named child.
I hereby affirm that on ______________________ I appeared in open Court before Honorable
_____________________________ and was advised of the charge, my rights to counsel, my right to a
complete transcript of the proceedings, my right to a genetic test, my right to deny the charge, my right to a
trial on the charge and my right to be discharged if genetic tests indicate that I am not the father of the
child.
I also admit that I was informed that if I am proven or admit to be the father of the aforesaid child,
I may be liable for the support, maintenance, education and welfare of the child until the child reached the
age of 18 years, as well as reasonable expenses of the mother during the period of her pregnancy,
confinement and recovery and for support payments and reasonable health medical expenses of the minor
child.
___________________________________
Respondent
WHEREFORE IT IS HEREBY ORDERED:
1. ________________________ is found to be the father of the child __________________,
date of birth ___________________, born out of wedlock to _________________________, in Lake
County, Illinois.
2. All the rights and obligations inherent in the father-child relationship are declar ed to exist herein,
unless otherwise found by Court Order.
Dated at Waukegan, Illinois
this _____day of _______________, 20____.
_________________________________
Judge
171-353 Rev 6/05