(Rev. 3/6/01 CCM N120 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS MUNICIPAL DEPARTMENT/ _________ DISTRICT ________________________________________ Plaintiff vs. No. ____________________________ ________________________________________ Defendant EX-PARTE MOTION FOR APPOINTMENT OF SPECIAL PROCESS SERVER Now comes your movant as herein set forth and moves this court for entry of an order appointing ____________________________________ Name Place of Employment _______________________________ Occupation Street/Address of Employment ____________________________________ ____ _______________________________ to make service of process in this cause. In support of this Motion, movant states as follows: 1. The person named above is age 18 or older and is not a party to the action. * 2. The Sheriff of _____________________ County has, on _______________________________, attempted but not made service of process upon the defendant.* OR * 3. The Sheriff of _________________________ County has not attempted service of process upon the defendant; however, the following facts as set forth more specifically in the attached affidavit provide a sufficient basis for the appointment of a special process server. * Under penalties as provided by law pursuant to 735 ILCS 5/1-109, the undersigned certifies that the statements set forth herein are true and correct, or, on information and belief, certifies that he/she believes them to be true. __________________________, _______ Date Atty. No.: ______________ _________________________________________ Movant or Attorney for Movant Name: ________________________________________ Attorney for: __________________________________ Address: ______________________________________ City/Zip: ______________________________________ *Strike inapplicable paragraph Telephone: _____________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS