Free CCG 0074 3-15-07.pmd - Illinois

Affidavit of Service of Summons IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

(Rev. 3/15/07) CCG 0074

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v.

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No.

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AFFIDAVIT OF SERVICE OF SUMMONS OUTSIDE COOK COUNTY State of _____________________________________ County of ___________________________________

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ss:

_____________________________________________________ on oath states:
I am over 21 years of age and not a party to this case. I served the summons and a copy of the complaint upon defendant as follows: (a) on defendant ___________________________________________________________________, by leaving a copy of the summons and of the complaint with the defendant personally on __________________________________, _________, at the hour of _________________ m. at __________________________________________________________________________, _____________________________________________________________________, County of ________________________. (b) on defendant _______________________________________ on (date) ___________________________, ________, at the hour of ____________ m., by leaving a copy of the summons and of the complaint at ____________________________ ________________________________________, County of ____________________, the defendant's usual place of abode with ____________________________________, a person of the defendant's family or a person residing there, of the age of 13 years or upwards, who, to the best of my knowledge is _________ years of age, Male Female and described by me as follows:

__________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________
and informing that person of the content of the summons, and also by sending on (date)_________________________, _________, a copy of the summons and of the complaint in a sealed envelope with postage fully prepaid, addressed to the defendant at his or her usual place of abode. (c) on defendant corporation ______________________________________________________, by leaving a copy of the summons and of the complaint with _________________________________________________________________________,
(name)

________________________________________________________________________________________, of the corporation
(registered agent) (officer) (agent)

on _________________________________, __________, at the hour of ________________ m. at _________________________

_____________________________________________________________, County of _________________________. _________________________________________________
Signature of Affiant Atty. No.: ____________________ Signed and sworn to before me ___________________________________, __________ Name: _________________________________________________ Atty. for: ______________________________________________ Address: _____________________________________________ City/State/Zip: ________________________________________ Telephone: ___________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

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Notary Public