Affidavit of Service of Summons (02/05/16) CCG N074 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Case No. v. AFFIDAVIT OF SERVICE OF SUMMONS OUTSIDE COOK COUNTY State of County of ss: _____________________________________________________ on oath states: I am over 21 years of age and not a party to this case. I served the summons and a copy of the complaint upon defendant as follows: a. on defendant ________________________________, by leaving a copy of the summons and of the complaint with the defendant personally on ___________, at _______ County of ________________________. b. on defendant ________________________________ on (date) ___________, at _______ AM PM, by leaving a copy of the summons and of the complaint at ________________________________________________________, County of ____________________, the defendant's usual place of abode with ___________________________, a person of the defendant's family or a person residing there, of the age of 13 years or upwards, who, to the best of my knowledge is ______ years of age, Male Female and described by me as follows: AM PM at __________________________________________, and informing that person of the content of the summons, and also by sending on (date) ___________, a copy of the summons and of the complaint in a sealed envelope with postage fully prepaid, addressed to the defendant at his or her usual place of abode. c. on defendant corporation ______________________________________________________, by leaving a copy of the summons and of the complaint with (name) , agent of the corporation on ___________, at the hour of _______ AM PM at registered agent officer _________________________________________, County of ____________________. Atty. No.: ________________ Name: Atty for: Address: City: ______________________ Primary Email: Secondary Email: Tertiary Email: DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com Signatureof Affiant Signed and sworn to before me dated: ___________ State: ____ Zip: ________ Notary Public Telephone: ________________________