Small Claims Motion Form (Claims under $10,000) IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS MUNICIPAL DEPARTMENT, __________ DISTRICT Print Form Clear Form (1/03/06) CCM 0755 ____________________________________________________ v. ____________________________________________________ } No. ______________________________________ ______________________________ ______________ Amount Claimed: $ ____________________________ Return Date: Trial Date: ________________________________ Time:_________________ Room: SMALL CLAIMS MOTION* (IL Sup Ct. Rules 281-288) MOTION BY ______________________________________________ FOR _________________________ (Name) Plaintiff Defendant (Check one.), _______________________________________________, moves this (Name) Court to grant the following relief. (Describe what you want court to do.): I (We) do hereby certify that a copy of this instrument was served upon all parties who have appeared and have not previously been found by the Court to be in default for failure to plead. (5/1-109 Cert.) Dated: ________________________________, _________ _______________________________________ Signature Atty. No.: __________________ Pro Se 99500 Name: __________________________________________ Atty. for: ________________________________________ Address: ________________________________________ City/State/Zip: ____________________________________ Telephone: _______________________________________