(Law) Firm Registration Form

IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS FIRM REGISTRATION FORM (Please select one of the following) Registration with Circuit Clerk Change of Address Firm Name Change Inactivation of Firm Please provide an updated list of all attorneys associated with your firm on Page 2 each time you provide our office with an update to Firm Information. Previous Firm Name: _____________________________________________ Current Firm Name: _____________________________________________ Previous Business Address: Address: ______________________________________ City, State, Zip _________________________________ Phone Number: ___________________ Fax Number: _________________ New Business Address: Effective ______________________ Address: ______________________________________ City, State, Zip _________________________________ Phone Number: ___________________ Fax Number: _________________ Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS (Please select one of the following) Add Attorney Remove Attorney Firm Name: ___________________________________________________________ The following attorney(s) are are no longer associated with my/our firm. Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Attorney Name: ______________________ ARDC No. _______________ Email ___________________________ Date __________________________ ________________________________ Signature (Must be one of the Named Partners) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com