Free CCCH 0061 8-19-08.pmd - Illinois


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Date: August 21, 2008
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State: Illinois
Category: Court Forms - Local
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2118 2119

Summons Served by Special Process Server Summons Not Served by Special Process Server (8/19/08) CCCH 0061

Affidavit of Special Process Server IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

____________________________________________ DEPARTMENT, ______________________________________ (County) (Municipal) (Division) (District)

CASE NO. ________________________________

AFFIDAVIT OF SPECIAL PROCESS SERVER __________________________________________________________ being first duly sworn on oath deposes and states that s/he was appointed by the Court on ___________________________, __________ to serve process in the above mentioned cause. The following individuals were SERVED / NOT SERVED with summons and a copy of the complaint: Named Defendant (S) Served / (N) Not Served (S) ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ 2118 2118 2118 2118 2118 2118 2118 2118 2118 (N) 2119 2119 2119 2119 2119 2119 2119 2119 2119 Substitute Service Date of Service

(of the age of 13 or upwards) ________________________________________________________________________________________

_____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________

_____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________

Date: ________________________________, __________

________________________________________________ Special Process Server Signature

Signed and sworn before me on this __________________ day of _____________________________________, __________ __________________________________ Notary public
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS