Free CCM N008 1-28-04 - Illinois

Complaint-Verified

(This form replaces CCMD-8A)

CCM N008-50M-2/25/05(

)

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

_______________________________________________
Plaintiff(s)

v.

_______________________________________________
Defendant(s)

}

No. _____________________________________

Contract _________________________________ Amount Claimed $ _________________________
Return Date ______________________________

COMPLAINT
The Plaintiff(s) claim(s) as follows:

I, _______________________________________, certify that I am the ________________________________________
(Name) (Name of Attorney if applicable)

plaintiff in the above entitled action. The allegations in this complaint are true. Dated:____________________________, ________

Atty. No.: ______________ Atty. (or Pro Se Plaintiff):

Pro Se 99500

Name: __________________________________________ Address: ________________________________________ City/State/Zip: ___________________________________ Telephone: ______________________________________

_______________________________________
Signature
Under penalties as provided by law pursuant to 735 ILCS 5/1-109 the abovesigned certifies that the statements set forth herein are true and correct.

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