Last updated: 10/27/2014
Small Claims Complaint
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Description
STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE __________ JUDICIAL CIRCUIT _____________ COUNTY _________________________, _________________________, Plaintiff Defendant ) ) ) ) Case No. _____________ SMALL CLAIMS COMPLAINT Plaintiff's name: ________________________________________________________________ Plaintiff's address: ______________________________________________________________ Plaintiff's phone number: ______________________________ Defendant's name:______________________________________________________________ Defendant's address: ____________________________________________________________ Defendant's phone number: ____________________________ I, the undersigned, claim that the Defendant owes me the sum of $___________ for the following reason(s): _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _______________________________ Plaintiff AFFIDAVIT The undersigned states under oath that the allegations in this Complaint are true. ________________________________ Plaintiff Signed and Sworn to before me this ____________ day of ______________________, 20 ___. ________________________________ Notary Public Docket Information: Complaint filed on ___________________, 20 ____. Hearing date: _______________, 20 ____. Date reset (if applicable) _____________________________, 20 ____. Fees Information: American LegalNet, Inc. www.FormsWorkFlow.com Filing fee $ _________ Certified Mail $ _________ Sheriff $ __________ Other $ __________ Hearing Information: Plaintiff appearing in Court: _________________________ Defendant appearing in court ______________________ Judgment for __________________ in the amount of $ __________________ against ____________________________. Complaint dismissed as to: ____________________________________________________________________________ Date: ____________________________ Judge:_____________________________________ American LegalNet, Inc. www.FormsWorkFlow.com
