Illinois > Local County > Will > Arbitration
Affidavit Of Damages AR-12 - Illinois
| Affidavit Of Damages Form. This is a Illinois form and can be used in Arbitration Will Local County . |
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STATE OF ILLINOIS) )SS THIS IS AN ARBITRATION CASE COUNTY OF WILL ) IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS _______________________________________ Plaintiff vs CASE NO: ______________________________ _______________________________________ Defendant AFFIDAVIT OF DAMAGES The undersigned being first duly sworn upon o ath, desposes and states that (he) (she) is a party to the above entitled cause of action seeking money damages or collection of taxes and states that this cause of action does not exceed $50,000.00. does exceed $50,000.00. __________ ________________________________ (Signature) Signed and sworn before me _____________________, 20 ______ _______________________________ (Notary Public) Attorney Name __________________________________ ARDC # _______________________________________ Firm Name _____________________________________ Attorney for ____________________________________ Address _______________________________________ City and Zip ____________________________________ Telephone ______________________________________ PAMELA J. MCGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNTY AR 12 (Revised 06/05) American LegalNet, Inc. www.USCourtForms.com
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