JUVENILE COURT BLANK, No.
P. F.Pettibone & Co., Law and Publle Omce Stationers, 43-50 Jackson St., Chieago.
PETITION DEPENDENT CHILD.
STATE OF ILLINOIS,
SS.
County,
County,
1n
Court of
Term, 190.
To the Honorable.
Judge of the.
Court of
County:
Your petitioner,
reputable person and resident of said County, respectfully represents unto your Honor that
a b
, born on or about
, now being within said County, is a
Dependent
Child, in this that d
the said a
and that f
Therefore, your petitioner humbly prays this Honorable Court to inquire into the alleged
dependency of said child and into the truth of the matters herein contained, in pursuance of
the Statute in such cases made and provided; and to make such orders in the premises as to
this Honorable Court may seem meet and proper; and as in duty bound your petitioner will
ever pray, etc.
РETITIONER
АТТОRХEY Fов РЕTITIONEи.
STATE OF ILLINOIS,
SS.
County.
being duly sworn, says that
signed, and knows the contents
has read the above petition, by g
d
thereof, and that the same is true, according to the best ofh
knowledge and belief.
РETITIONER
Subscribed and sworn to before me this
day of
190
CLERK.
Insert the name of the child. Spell accurately if possible.
Insert "he or "she."e Insert one or more facts constituting dependency
Insert "boy " or "girl."c Insert data ft 1l
exact words of Section 1 of the
disreputable per-
s known.
parental care or guardianship;" or "habitually begs or receives alms;" or "was found living with a vicious-
age or guardianship, accounting fully for each of the parents of said child; giving address, if living, or if dead, stating that fact;
or "her."
unable or unfit to care for the child.
Insert
ons as to each of the parents, why he or she
Insert
