Free IN THE CIRCUIT COURT OF THE TENTH JUDICIAL CIRCUIT OF ILLINOIS - Illinois

IN THE CIRCUIT COURT OF THE TENTH JUDICIAL CIRCUIT OF ILLINOIS PEORIA COUNTY DIVISION , Plaintiff } } } (Residence Address)
(Phone Number) Vs. (City) (Zip Code) } } } }

Case No.

Defendant} } } (Place of res,business or reg. employment)
(City) (Zip Code) (Phone) } } }

COMPLAINT ON NOTE, CONTRACT OR ACCOUNT

Plaintiff says on oath:
(1)

on information and belief:

That the transaction herein complained of occurs and/or the Defendant resides or is County, Illinois. doing business in

(2) That Defendant is indebted to the Plaintiff as a result of the following transaction or occurrence, to wit: , at (a) On (date) (place) Defendant did cause loss to the Plaintiff in the amount of for $ (b) That a copy of the written instrument, if any, on which the claim herein is based is: attached hereto, identified as indicated below: Exhibit No. Description unavailable to Plaintiff for the reasons stated in the attached affidavit, identified as Exhibit
(3) That Defendant is not entitled to credits or set-offs except (4) That demand has been made upon the Defendant and he has failed and refused to pay any part part thereof. WHEREFORE, Plaintiff prays for judgment in the amount stated, and costs. Plaintiff Address of Plaintiff's Attorney SWORN TO BEFORE ME ON (Street Address or Box No.) (Notary Public) (City) (Phone) Form # 337 ,20 or Attorney