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Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinoiscookcountyclerkofcourt.orgPage 1 of 2 þ en-USIN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS þ en-USen-US þ en-USPlaintiff(s)en-USv. þ en-USDefendant(s) Case No. þ en-US Contract: þ þ Amount Claimed: þ þ Return Date: þ en-USen-USThe Plaintiff(s) claim(s) as follows (use last page if more space is required.): I, þ en-US , certify that I am þ (Name) the þ en-US plaintiff in the above entitled action. þ (Name of Attorney if applicable) American LegalNet, Inc. www.FormsWorkFlow.com Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinoiscookcountyclerkofcourt.orgPage 2 of 2en-USThe allegations in this complaint are true. þ þ Atty. No.: þ en-US þ Pro Se 99500 Name: þ þ en-USAtty. for (if applicable): þ Address: þ þ City: þ þ State: þ þ Zip: þ en-US Telephone: þ en-US Primary Email: þ þ Dated: þ en-US þ en-USSignature þ en-USUnder penalties as provided by law pursuant en-USto 735 ILCS 5/1-109 the above signed en-USen-USare true and correct.en-USClaims - continued American LegalNet, Inc. www.FormsWorkFlow.com