Illinois > Local County > Cook > Criminal
Supplement To Identify Theft Petition CCCR0018 - Illinois
| Supplement To Identify Theft Petition Form. This is a Illinois form and can be used in Criminal Cook Local County . |
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Supplement to Identity Theft Petition (3/28/05) CCCR 0018 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS PEOPLE OF THE STATE OF ILLINOIS or ________________________________________________________, A Municipal Corporation, Case No. ____________________________________ v. _______________________________________________, Defendant, } ________________________________________________________, Petitioner. SUPPLEMENT TO IDENTITY THEFT PETITION Case Number Falsely Containing Petitioners Identity: _______________________________________________________ Charge(s) Against Defendant in Above Case: ________________________________________________________________ Date of Arrest: ________ /________ /________ Arresting Agency/Agencies: ______________________________________________ Defendants IR/SID #, if any: ___________________________ Petitioners IR/SID #, if any: __________________________ Petitioners Date of Birth: ________ /________ /________ Sex: ________ Race: ____________________________ Case Number Falsely Containing Petitioners Identity: _______________________________________________________ Charge(s) Against Defendant in Above Case: ________________________________________________________________ Date of Arrest: ________ /________ /________ Arresting Agency/Agencies: ______________________________________________ Defendants IR/SID #, if any: ___________________________ Petitioners IR/SID #, if any: __________________________ Petitioners Date of Birth: ________ /________ /________ Sex: ________ Race: ____________________________ Case Number Falsely Containing Petitioners Identity: _______________________________________________________ Charge(s) Against Defendant in Above Case: ________________________________________________________________ Date of Arrest: ________ /________ /________ Arresting Agency/Agencies: ______________________________________________ Defendants IR/SID #, if any: ___________________________ Petitioners IR/SID #, if any: __________________________ Petitioners Date of Birth: ________ /________ /________ Sex: ________ Race: ____________________________ Case Number Falsely Containing Petitioners Identity: _______________________________________________________ Charge(s) Against Defendant in Above Case: ________________________________________________________________ Date of Arrest: ________ /________ /________ Arresting Agency/Agencies: ______________________________________________ Defendants IR/SID #, if any: ___________________________ Petitioners IR/SID #, if any: __________________________ Petitioners Date of Birth: ________ /________ /________ Sex: ________ Race: ____________________________ (Attach additional sheets if necessary.) VERIFICA TION BY CERTIFICA TION Date: _________________________________, _________ Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned certifies that theAtty. No.: _________________ Pro Se 99500 statements set forth in this instrument are true and correct, except as to matters therein stated to be on information andAttorney (or Pro Se Petitioner): Name: ____________________________________________ belief, and as to such matters the undersigned certifies as aforesaid that s/he verily believes the same to be true.Address: ___________________________________________ City/State/Zip: _____________________________________________________________________________________ Telephone: ________________________________________ Signature of Petitioner American LegalNet, Inc. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS www.USCourtForms.com
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