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Child Support Information (Illinois)

This form is a supplement to the Divorce with Minor Children packet in 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


) No. ______________

______________________, Plaintiff, )

v. )

______________________, Defendant. )


CHILD SUPPORT INFORMATION

Plaintiff Information

Last Name _____________________________

First _____________________________

MI _____________________________

Residential Address: ________________________________

City: __________________________________

State: ________________

Zip: ______________

Date of Birth: ___________________________

Soc. Sec. No.: ______________________________

Driver's License No.: _____________________

Home Phone ( ) _____________________

Employer Name and Address:

_______________________________________

_______________________________________

_______________________________________

Employer(s) ID Number: _______________________

Work Phone (_____) _______________________


Defendant Information

Last Name _____________________________

First _____________________________

MI _____________________________

Residential Address: ________________________________

City: __________________________________

State: ________________

Zip: ______________

Date of Birth: ___________________________

Soc. Sec. No.: ______________________________

Driver's License No.: _____________________

Home Phone (____) _____________________

Employer Name and Address:
_______________________________________

_______________________________________

_______________________________________

Employer(s) ID Number: _______________________

Work Phone (_____) _______________________


Child/Children Information:

Last Name _______________________

First Name _______________________

MI _______________________

Date of Birth _______________________

Social Security Number _______________________

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