FORM 4 STATE OF ILLINOIS IN THE CIRCUIT COURT FOR THE TWENTY-THIRD JUDICIAL CIRCUIT ____________________________ V. ____________________________ ) ) ) ) ) Case No.__________________ OBJECTION OF WITNESS TO EXTENDED MEDIA COVERAGE OF TESTIMONY NOW COMES ___________________________________, who states as follows: (Name of objecting witness) 1. 2. 3. Extended media coverage has been requested for the above matter. I expect to be called as a witness in this case. I object to extended media coverage of my testimony for the following reasons: (please be specific):_____________________________________________________________________________ _____ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _______________ 4. This objection is filed with the Clerk of the Court prior to the commencement of the trial or proceeding for which extended media coverage has been requested. WHEREFORE, I object to extended media coverage of my testimony. Respectfully submitted, DRAFT 12/13 /16 ____________________________ Signature __________________________________________ Name (please print) American LegalNet, Inc. www.FormsWorkFlow.com