Form DV-CA 122.1 Certification Agreement - Illinois

Form DV-CA122.1 or the "Certification Agreement" is a form issued by the Illinois Circuit Court.

The form was last revised in April 1, 2018 and is available for digital filing. Download an up-to-date Form DV-CA122.1 in PDF-format down below or look it up on the Illinois Circuit Court Forms website.

ADVERTISEMENT
This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
For Court Use Only
STATE OF ILLINOIS,
CIRCUIT COURT
Certification Agreement
COUNTY
Instructions
Directly above, enter
the county where you
filed this case.
Petitioner (First, middle, last name)
Enter the full name of
Petitioner,
Respondent, and the
v.
case number as listed
on the Petition for
Dissolution of
Respondent (First, middle, last name)
Case Number
Marriage/Civil Union
(Divorce with
Children).
I have read the
 Judgment of Dissolution of Marriage/ Civil Union (Divorce with Children)
Check the box next to
the court document that
 Parenting Plan
both parties agree to.
that will be presented to the judge. I am in agreement with all of the terms in each of those
documents. I have put my initials on each page of each document to show that I have read each
page and agree with what is on each page.
I am asking that the judge approve the agreements and sign each of the documents.
Both parties must sign
their names in front of
an Illinois notary
Petitioner
Respondent
public.
DO NOT complete
the notary section. The
notary will complete
it.
Notary Public for Petitioner
Notary Public for Respondent
State of Illinois
State of Illinois
County of
County of
Signed and sworn to before me on
Signed and sworn to before me on
Date
Date
by
by
Name
Name
Seal
Signature of Notary
Seal
Signature of Notary
DV-CA 122.1
Page 1 of 1
(04/18)
Print Form
Save Form
Reset Form
This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
For Court Use Only
STATE OF ILLINOIS,
CIRCUIT COURT
Certification Agreement
COUNTY
Instructions
Directly above, enter
the county where you
filed this case.
Petitioner (First, middle, last name)
Enter the full name of
Petitioner,
Respondent, and the
v.
case number as listed
on the Petition for
Dissolution of
Respondent (First, middle, last name)
Case Number
Marriage/Civil Union
(Divorce with
Children).
I have read the
 Judgment of Dissolution of Marriage/ Civil Union (Divorce with Children)
Check the box next to
the court document that
 Parenting Plan
both parties agree to.
that will be presented to the judge. I am in agreement with all of the terms in each of those
documents. I have put my initials on each page of each document to show that I have read each
page and agree with what is on each page.
I am asking that the judge approve the agreements and sign each of the documents.
Both parties must sign
their names in front of
an Illinois notary
Petitioner
Respondent
public.
DO NOT complete
the notary section. The
notary will complete
it.
Notary Public for Petitioner
Notary Public for Respondent
State of Illinois
State of Illinois
County of
County of
Signed and sworn to before me on
Signed and sworn to before me on
Date
Date
by
by
Name
Name
Seal
Signature of Notary
Seal
Signature of Notary
DV-CA 122.1
Page 1 of 1
(04/18)
Print Form
Save Form
Reset Form

Download Form DV-CA 122.1 Certification Agreement - Illinois

571 times
Rate
4.7(4.7 / 5) 40 votes
ADVERTISEMENT