Free CCG-0004 - Illinois

ORDER

(Rev. 6/11/02) CCG 0004 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

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Plaintiff

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Defendant

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No. __________________________

AFFIDAVIT AS TO MILITARY SERVICE

__________________________________________________________________________ on oath states:
With respect to defendant _____________________________________________________________________,

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(the defendant is) (the defendant is not) (I am unable to determine whether the defendant is)

in the military service of the United States. This affidavit is based on these facts:

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[ ] Under penalties as provided by law pursuant to 735 ILCS 5/1-109 the above signed certifies that the statement set forth herein are true and correct.

Atty. No.: _______________ Name: _________________________________________ Atty. for: ______________________________________ Address: ________________________________________ City/State/Zip: _________________________________ Telephone: _____________________________________

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS