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Certificate of Mailing of Judgment Of Legal Separation (Illinois)

This form is a certificate of mailing of a judgment of legal separation (Illinois). The form provided here is simply a sample of what the actual form looks like.

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE ___________ JUDICIAL CIRCUIT
__________________ COUNTY

IN RE THE MARRIAGE OF: )

) No. _______-____-_______

______________________)
Plaintiff, )

and )

______________________)
Defendant. )

CERTIFICATE OF MAILING OF JUDGMENT OF LEGAL SEPARATION

I, _______________________, hereby certify that I mailed a copy of the Judgment of Legal Separation to the Defendant at his/her last known address by depositing the same in the United States mail

at _______________________, Illinois,

postage fully prepaid on ________________, 20____.

______________________, Plaintiff

Under penalties as provided by law pursuant to Section 5/1-109 of the Code of Civil Procedure, the undersigned certifies that the statements set forth in this instrument are true and correct, except as to matters therein stated to be on information and belief and as to such matters the undersigned certifies as aforesaid that she/he verily believes the same to be true.

______________________, Plaintiff


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INSTRUCTIONS FOR FILLING OUT THIS FORM
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First blank: Your name.

Second blank: Name of city in which you mailed a copy of the Judgment to your spouse.

Third blank: Date you mailed a copy of the Judgment to your spouse.

Sign your name on both blank lines above or next to where it says "Plaintiff" and print your name below each signature.

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