Free CCG N003 2-27-04 - Illinois

Small Claims Motion Form (Claims under $10,000)
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS MUNICIPAL DEPARTMENT, __________ DISTRICT

(1/03/06) CCM 0755

____________________________________________________
v.

____________________________________________________

}

No.

______________________________________ ______________________________ ______________

Amount Claimed: $ ____________________________ Return Date: Trial Date:

________________________________

Time:_________________ Room:

SMALL CLAIMS MOTION*
(IL Sup Ct. Rules 281-288)

MOTION BY ______________________________________________ FOR _________________________
(Name)

Plaintiff

Defendant (Check one.), _______________________________________________, moves this
(Name)

Court to grant the following relief. (Describe what you want court to do.):

I (We) do hereby certify that a copy of this instrument was served upon all parties who have appeared and have not previously been found by the Court to be in default for failure to plead. (5/1-109 Cert.)

Dated: ________________________________, _________

_______________________________________
Signature

Atty. No.: __________________

Pro Se 99500

Name: __________________________________________ Atty. for: ________________________________________ Address: ________________________________________ City/State/Zip: ____________________________________ Telephone: _______________________________________

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