STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE FOURTEENTH JUCICIAL CIRCUIT ROCK ISLAND COUNTY
VS.
NO.______________
APPEARANCE AND CONSENT
I appear in this case as defendant and consent to the entry of an immediate default and to a hearing without further notice.
________________________
Name______________________________ Address____________________________ City________________________________ Telephone___________________________
Subscribed and sworn to before me, a Notary Public, this ____day of ____________,20____.
________________________________ Notary Public
8/07