CERTIFICATE OF DEFAULT IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
(Rev. 1/18/01) CCCH 0056
__________________________________________________
vs. Petitioner No.
______________________
__________________________________________________
Respondent
CERTIFICATE OF DEFAULT
I, ____________________________________________, Attorney for _____________________________________, file for this case, and on _______________________________________, ________, I checked the registrar for this case. I further certify the proof of service of summons shows that the following parties have been served on the dates indicated as follows: PARTY - Type of Service (Personal, Member of household, Publication, or other) Describe.* DATE OF SERVICE
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PARTY*
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DATE OF APPEARANCE
I further certify that the only appearances filed of record, were for the following persons and on the dates shown herein:
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and that all other parties to this cause have failed to file their appearance.
Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned certifies that the statements set forth in this instrument are true and correct, except as to matters therein stated to be on information and belief and as to such matters the undersigned certifies as aforesaid that he/she verily believes the same to be true.
______________________________ ______________________________ ______________________________
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Name
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Address
Phone
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*Use additional sheets if necessary.
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS