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Affidavit
This supplement includes a forms guide as well as forms. The forms guide is for use only in filling out the forms. For more information about what these forms mean or are used for, consult the appropriate Self Help packet. ©Board of Trustees, Southern Illinois University

FORMS GUIDE

ALL FORMS: At the top of each form is the "caption". It is completed as follows:

STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE (number of circuit) JUDICIAL CIRCUIT (name of county) COUNTY

(your name) Plaintiff, and (your spouse's name) Defendant.

) ) ) ) ) ) ) ) ) ) )

No. (get from Clerk at the time you file)

Determine the number of the "Circuit" according to the chart on the next page. If your county does not appear in the chart, call the Circuit Clerk in the county in which you will be filing your case and ask for the number of the Circuit.

Circuit Courts in Illinois
Cook County is its own judicial circuit. The rest of the counties in Illinois fall into one of 21 circuits. First Circuit The counties of Alexander, Pulaski, Massac, Pope, Johnson, Union, Jackson, Williamson and Saline. The counties of Hardin, Gallatin, White, Hamilton, Franklin, Wabash, Edwards, Wayne, Jefferson, Richland, Lawrence and Crawford. The counties of Madison and Bond. The counties of Clinton, Marion, Clay, Fayette, Effingham, Jasper, Montgomery, Shelby and Christian. The counties of Vermilion, Edgar, Clark, Cumberland and Coles. The counties of Champaign, Douglas, Moultrie, Macon, DeWitt and Piatt. The counties of Sangamon, Macoupin, Morgan, Scott, Greene and Jersey. The counties of Adams, Schuyler, Mason, Cass, Brown, Pike, Calhoun and Menard. The counties of Knox, Warren, Henderson, Hancock, McDonough and Fulton. The counties of Peoria, Marshall, Putnam, Stark and Tazewell. The counties of McLean, Livingston, Logan, Ford and Woodford. The county of Will. The counties of Bureau, LaSalle and Grundy. The counties of Rock Island, Mercer, Whiteside and Henry. The counties of JoDaviess, Stephenson, Carroll, Ogle and Lee. The counties of Kane, DeKalb and Kendall. The counties of Winnebago and Boone. The county of DuPage. The county of Lake The counties of Randolph, Monroe, St. Clair, Washington and Perry. The counties of Iroquois and Kankakee. The County of McHenry

Second Circuit -

Third Circuit Fourth Circuit -

Fifth Circuit Sixth Circuit Seventh Circuit Eighth Circuit Ninth Circuit Tenth Circuit Eleventh Circuit Twelfth Circuit Thirteenth Circuit Fourteenth Circuit Fifteenth Circuit Sixteenth Circuit Seventeenth Circuit Eighteenth Circuit Nineteenth Circuit Twentieth Circuit Twenty-first Circuit Twenty-second Circuit-

Instructions for Individual Forms FORM: Affidavit An affidavit is a sworn statement by a person. Lying in an affidavit can result in a charge of perjury, which can mean a fine, imprisonment, or both. Introduction: Your name. Paragraph 1: Enter whether you are the Plaintiff or the Defendant. Paragraph 2 A-D: Set forth your sworn statements. Remember you are swearing under oath the information is true. When writing your sworn statements, use simple words and sentences. Also, it is important to organize your statements in the order they happened, giving specific dates if possible, so it will be easier for the judge to understand. Avoid referring to people as "him" or "her." When you refer to people, use their first and last names instead. Here is an example: I went to the appeal hearing with Jane Smith on July 17, 2007. It is also important to avoid making vague statements, proofread your writing for errors, and make sure all of the statements you make are consistent with one another.

*Before you sign your name on the blank line where it says "Signature," you will need to locate a notary public to watch you sign the form. Notary publics can probably be found at the Circuit Clerk's Office or at your local bank. Make sure you bring identification with you so that the notary can verify that you are the person you claim to be in the document.

STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE COUNTY JUDICIAL CIRCUIT

Plaintiff, vs.

Defendant.

) ) ) ) ) ) )

No.

AFFIDAVIT [name], on oath states that: 1. I am the [Plaintiff or Defendant] in the action.

2. That the following facts are true to the best of my belief or knowledge. A.

B.

C.

D.

Signature

Subscribed and sworn to before me, this _________________ day of _________________, 20____.

___________________________________________ NOTARY PUBLIC My commission expires: ________________, 20____.