Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinoiscookcountyclerkofcourt.orgPage 1 of 2 Request for Preparation of Record on Appeal þ (02/19/19) CCA 0025 A en-USAPPEAL TO THE APPELLATE COURT OF ILLINOISen-USFROM THE CIRCUIT COURT OF COOK COUNTY, ILLINOISen-US DEPARTMENT, en-US DIVISION/DISTRICTen-USREQUEST FOR PREPARATION OF RECORD ON APPEAL Plaintiff/ þ þ Appellant þ þ Appellee en-USv. Defendant/ þ þ Appellant þ þ Appellee Reviewing Court No.: þ Circuit Court No.: þ þ Honorable þ þ Trial Judge Date Notice of Appeal Filed: þ en-USen-USNOTICE IS HEREBY GIVEN to the Clerk of the Circuit Court of Cook County thaten-US requests the preparation en-USof the Record on Appeal in the above case.en-USFiling Fee $110 Atty. No.: þ en-US Pro Se 99500 Name: þ þ en-USAtty. for (if applicable): Address: þ þ City: þ þ State: þ þ Zip: þ en-US Telephone: þ en-US Primary Email: þ þ Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinoiscookcountyclerkofcourt.orgPage 2 of 2 en-USDESIGNATION OF RECORDen-USThe Clerk of the Circuit Court of Cook County shall prepare the Record on Appeal in accordance with Illinois en-USSupreme Court Rule 321. The record on Appeal shall include the common law record, which consists of en-US All documentary exhibits entered at trial, except for those other exhibits that cannot ordinarily be included en-US Reports of Proceedings prepared in accordance with Illinois Supreme Court Rule 323. en-USA copy of the trial court Order authorizing these documents to be unsealed for the purpose of inclusionen-USin the Record on Appeal is attached hereto or will be provided by the Appellant to the Civil Appeals en-USDivision at least 30 days in advance of the date on which the Record on Appeal is scheduled to be en-UStransmitted to the Appellate Court. Upon return of the Record on Appeal to the Circuit Court, it is the en-USresponsibility of the parties to obtain an Order resealing these records, if the records are to be resealed. en-USPlease note that, pursuant to Rule 17 of Appellate Court of Illinois, 223No record, exhibit, or brief may be en-USen-US-en-USen-USFEESen-USPayment may be made by Cash, Check or Money Order. Cash payments accepted for in-person payments only.en-USChecks or money order should be made to Clerk of the Circuit Court of Cook County. Pursuant to 705 ILCS en-US105/27.2a(k) and 27.2(k), the Clerk of the Circuit Court of Cook County must charge fees for Records on Appeal en-USin advance as follows:en-US100 pages or less, $110en-US100 - 200 pages, $185en-USEach page in excess of 200, $.30/pageen-USReduced fee for Local Governments and School Districts, $50en-USAll prescribed fees are due in advance of transmission of the Record on Appeal. It is understood and agreed en-USthat once a request for preparation of a Record on Appeal is made by submission of this form, the Appellant en-USis responsible for the costs of preparing the Record on Appeal, regardless of whether the Appeal is successful, en-USdismissed, the time is extended, or a party elects to not transmit the Record on Appeal to the Appellate Court. The en-USClerk of the Circuit Court of Cook County reserves the right to pursue a claim to recover the costs and expenses, en-USincluding reasonable attorneys222 fees, related to preparation of the Record on Appeal. en-USName en-USSignature of Appellant or Appellant222s Attorney Request for Preparation of Record on Appeal þ (02/19/19) CCA 0025 B