Affidavit in Support of Petition to Expunge or Seal (7/30/04) CCCR 0328 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS STATE OF ILLINOIS COUNTY OF COOK } ss: AFFIDAVIT IN SUPPORT OF PETITION TO EXPUNGE OR SEAL I, _______________________________________________, if sworn to as a witness, can testify competently. I was arrested on or about ___________________________________ by the ______________________________ Police Department on the charge(s) of ________________________________________________________________. I appeared in court on this cause and the disposition was _________________________________________________. My Date of Birth: _________/_________/_________, Sex: _________, Race: _______________________________. I have been informed by the Office of the Clerk of the Circuit Court of Cook County that the court half sheet and case file are unavailable. ____________________________________________ (Signature of Petitioner) VERIFICATION Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned certifies that the statements set forth in this instrument are true and correct, except as to matters therein stated to be on information and belief and as to such matters the undersigned certifies as aforesaid that s/he verily believes the same to be true. ____________________________________________ (Signature of Petitioner) Atty. No.: _________________ Pro Se 99500 Name: ___________________________________________ Address: _________________________________________ City/State/Zip: ____________________________________ Telephone: ________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form