Affidavit in Support of Petition to Expunge or Seal (2/01/16) 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 Atty. Name: __________________________________________ Address: _____________________________________________ City/State/Zip: ________________________________________ Telephone : __________________________________________ Primary Email: _______________________________________ Secondary Email: ______________________________________ Tertiary Email: ________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com