This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
STATE OF ILLINOIS,
CIRCUIT COURT
COUNTY
CERTIFICATION AGREEMENT
(DIVORCE NO CHILDREN)
For Court Use Only
Instructions
Petitioner (First, middle, last name)
v.
Respondent (First, middle, last name)
Directly above, enter
the county where you
filed this case.
Enter the full name of
Petitioner,
Respondent, and the
case number as listed
on the Petition for
Dissolution of
Marriage/Civil Union
(Divorce No
Children).
Case Number
I read the Judgment of Dissolution of Marriage/ Civil Union (Divorce without Children) that
will be presented to the judge. I agree with all of the terms in the Judgment. I put my initials
on each page of the Judgment to show that I read each page and agree with what is on each page.
I ask the judge to approve and sign the Judgment.
Both parties must
sign their names in
front of a notary
public.
Petitioner
Respondent
DO NOT complete
the notary section.
The notary will
complete it.
Notary Public for Petitioner
Notary Public for Respondent
State of
State of
County of
County of
Signed and sworn to before me on
Signed and sworn to before me on
Date
Date
by
by
Name of Petitioner
Name of Respondent
Seal
Signature of Notary
Seal
Signature of Notary
DV-CAN 150.1
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