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 ENTRY OF APPEARANCE
WARREN COUNTY (PETITION FOR DISSOLUTION OF
MARRIAGE/CIVIL UNION)
Instructions
Directly above, enter
the county where this
case was filed. Owen Eugene Hollis
Enter the name of the Petitioner (First, middle, last name)
person who filed this
case as Petitioner. v.
Enter the name of the
Respondent.
Enter the Case Tiffany Joy Hollis
Number given by the Respondent (First, middle, last name) Case Number
Circuit Clerk.

In 1, enter your full 1. I, Tiffany Joy Hollis , am the Respondent and enter my
name. First Middle Last
appearance in this case.

2. I want notice of any court dates in this case to be sent to me at the address below.

In 3, check “Yes” if 3. I am currently on active duty in the U.S. military or I was released or terminated from active
you are currently on duty within the last 90 days:
active duty in the
military or were  Yes* X No
released or terminated
from active duty in the
last 90 days or “No” if
you are not.

If you are currently on active duty with the U.S. Military you have important rights that you may be giving up by signing
IMPORTANT: this document. See 50 USC §§ 3931 to 3938a for more information or contact the Illinois Armed Forces Legal Aid
Network at 855-452-3526 to speak to an attorney.
Under the Code of I certify that everything in the Entry Of Appearance is true and correct. I understand that
Civil Procedure, 735
making a false statement on this form is perjury and has penalties provided by law under
ILCS 5/1-109, making
a statement on this 735 ILCS 5/1-109.
form that you know to
be false is perjury, a
Class 3 Felony. /s/ 925 S B St
If you are completing Your Signature Street Address
this form on a
computer, sign your
name by typing it. If Tiffany Hollis Monmouth , IL 61462
you are completing it Print Your Name City, State, ZIP
by hand, sign and
print your name.
tiffy.joy4@gmail.com (309) 806-3211
Enter your complete Email Address Telephone
address, telephone
number, and email
address if you have
one. Attorney # (if any)

GETTING COURT DOCUMENTS BY EMAIL: You should use an email account that you do not share with anyone else and that you check
every day. If you do not check your email every day, you may miss important information, notice of court dates, or documents from other parties.

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