Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinois þ cookcountyclerkofcourt.orgPage 1 of 32122 - Served2222 - Not Served2322 - Served By Mail þ IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS þ Plaintiff(s)v. þ Defendant(s) Case No. þ Amount of Judgment $ þ Balance Due $ þ Return Date: þ To each Defendant: and required either:1. þ þ þ þ þ AM þ þ PM þ Address þ City or TownOn þ 2. þ $ þ þ returned so endorsed. þ þ þ þ Atty. No.: þ þ þ Atty Name: þ þ Atty. for: þ þ Address: þ þ City: þ þ þ Zip: þ Telephone: þ þ þ American LegalNet, Inc. www.FormsWorkFlow.com Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinois þ cookcountyclerkofcourt.orgPage 2 of 3 þ SHERIFF222S FEES þ þ Miles þ þ $ þ þ Total þ $ þ þ Name of defendant þ Date of service þ þ þ þ follows: þ Date of þ Date of þ þ þ þ þ þ þ þ þ þ þ þ þ þ true and correct on oath states; þ þ Registered þ þ þ þ Address in notice þ Date of þ þ þ þ þ þ þ þ þ þ þ þ þ American LegalNet, Inc. www.FormsWorkFlow.com Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinois þ cookcountyclerkofcourt.orgPage 3 of 3 þ Richard J Daley Center þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ Domestic Violence Court þ þ þ Juvenile Center Building þ þ þ Criminal Court Building þ þ þ Civil Division þ Richard J Daley Center þ þ þ þ Chancery Division þ Richard J Daley Center þ þ þ þ Domestic Relations Division þ Richard J Daley Center þ þ þ þ Civil Appeals þ Richard J Daley Center þ þ þ þ Criminal Department þ Richard J Daley Center þ þ þ þ County Division þ Richard J Daley Center þ þ þ þ Probate Division þ Richard J Daley Center þ þ þ þ þ Richard J Daley Center þ þ þ þ þ Richard J Daley Center þ þ þ American LegalNet, Inc. www.FormsWorkFlow.com