Free CCM N021 6-10-04 - Illinois


File Size: 428.4 kB
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Date: August 18, 2005
File Format: PDF
State: Illinois
Category: Court Forms - Local
Author: carmen
Word Count: 303 Words, 2,734 Characters
Page Size: Letter (8 1/2" x 11")
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http://198.173.15.31/Forms/pdf_files/CCMN021_SAMPLE.pdf

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Complaint For Possession Only - Forcible Detainer

CCM N021-15M-3/02/05 (

)

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS MUNICIPAL DEPARTMENT/DISTRICT __________ FIRST

PRINT NAME OF PERSON OR PARTY SUING ___________________________________________
v. Plaintiff(s)

PRINT NAME OF PERSON OR PARTY BEING SUED ___________________________________________
Defendant(s)

}

No. CLERK WILL ASSIGN YOUR CASE NUMBER ____________________________

PRINT RETURN DATE Return Date _______________________

CHECK BLACKBOARD FOR RETURN DATE

COMPLAINT
The Plaintiff(s) claim(s) as follows. 1.

The Plaintiff(s) is/are entitled to possession of the following described premises:

_______________________________________________________________________________ PRINT THE COMPLETE ADDRESS OF THE PERSON OR PARTY BEING SUED _______________________________________________________________________________ ________________________________________________________________________________
2. Defendant(s) unlawfully withhold possession of the premises from the Plaintiff(s) for the following reason: a. The Defendant(s) failed to pay rent. b. The Defendant(s) held over after the tenancy ended.

c. The Defendant(s) breached the terms of the lease by ____________________________________________

______________________________________________________________________________. d. ______________________________________________________________________________.
(Insert specific facts showing how Defendant is unlawfully withholding possession.) (Strike "2a", "2b", "2c" or "2d" , as appropriate.) 3. The Plaintiff(s) claim(s) possession of the property.

A S

INCLUDING CITY AND ZIP CODE

P M

E L

PLEASE SIGN YOUR NAME ___________________________________________
Attorney for Plaintiff(s) / Plaintiff Pro-Se

PRINT NAME OF PERSON OR PARTY SUING I/We _______________________________________________________________, on oath state that I/we am/are the Plaintiff(s) in the above entitled action. The allegations in this Complaint are true. PRINT "PRO SE-99500" IF NO ATTORNEY Atty No.: ______________
Name:

PLEASE SIGN YOUR NAME PRINT YOUR NAME ______________________________________ __________________________________________ [x] Under penalties as provided by law pursuant to 735 ILCS IF NO ATTORNEY, LEAVE BLANK Attorney for: ________________________________ 5/1-109 the abovesigned certifies that the statements set forth herein are true and correct. PRINT YOUR ADDRESS Address: ___________________________________ PRINT YOUR CITY, STATE AND ZIP CODE City/State/Zip: ________________________________ PRINT YOUR COMPLETE TELEPHONE NUMBER Telephone: ___________________________________
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS