0007 Complaint and Confession of Judgment - Other than Lease IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 4/3/03) CCG N010 A __________________________________________________________ Plaintiff v. __________________________________________________________ Defendant } No. ____________________________________ Amount claimed $ ______________________ COMPLAINT 1. Plaintiff, ___________________________________________________________, owns each of the following instruments, executed and delivered, for value received, by defendant, __________________________________________________________ ________________________________________________________________________________________________________________ Date Amount Each instrument is attached as an exhibit. *2 (a) Each instrument was executed in this county. (b) One or more of the defendants reside in this county. (c) One or more of the defendants own property, real or personal, located in this county. **3. Plaintiff is the actual bona fide owner of the attached instrument by assignment from _____________________________ ______________________________________________ 4. There is due from defendant: Dated ___________________________, ________ Principal $ ____________________________ Less rebate ____________________________ Balance $ __________________ Interest $ __________________ Attorney's fee $ __________________ Total Plaintiff asks judgment against defendant for the amount due. __________________________________________ Attorney for plaintiff ________________________________________________________ on oath states that the allegation in this complaint are true. $ __________________ Signed and sworn to before me __________________________, _________ ______________________________ Notary public *Strike (a) (b) or (c) not applicable. At least one of said subdivisions must remain. **Strike if not applicable. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (OVER) (Rev. 4/3/03) CCG N010 B CONFESSION Defendant, ________________________________________________, by _________________________________ his/her attorney, waives service of process and confesses that there is due from defendant to plaintiff: Principal $ ____________________________ Less rebate ____________________________ Balance $ __________________ Interest $ __________________ Attorney's fee $ __________________ Total $ __________________ Defendant agrees that judgment may be entered against him/her for the total above and for costs, releases and waives all rights as authorized in the warrant of attorney. _________________________________________________ Attorney for defendant JUDGMENT ORDER It is ordered that plaintiff _______________________________________________________________________________ recover from defendant ______________________________________________________________________________________ $ ________________________________________ and costs of suit. Execution may issue. Plaintiff may withdraw the original documents upon filing certified copies with the clerk. __________________________________________, ________ ENTER: _________________________________________________ Judge Judge's No. Atty. No.:___________________ Name: __________________________________________________ Atty. for: __________________________________________________ Address: __________________________________________________ City/State/Zip: ______________________________________________ Telephone: ________________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS