STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17TH JUDICIAL CIRCUIT COUNTY, ILLINOIS ) ) ) Plaintiff ) ) NO. Vs. ) ) ) ) Defendant ) ORDER/JUDGMENT Read by Undersigned: Atty for Signature Party Atty for Signature Party Prepared by: Attorney: Representing: Preparer's) Address ) Street City/State ZIP Area Code Telephone Dated , 20 ENTER: (Judge) For Judge: A-4 APPENDIX D 04/95 American LegalNet, Inc. www.FormsWorkFlow.com