Identity Theft Order (2/17/05) CCCR 0021 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS PEOPLE OF THE STATE OF ILLINOIS or __________________________________________________, A Municipal Corporation, v. __________________________________________________, Defendant, __________________________________________________, Petitioner. } Case Nos. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ IDENTITY THEFT ORDER This matter coming before the Court pursuant to 20 ILCS 2630/5(b) for hearing on Petitioner’s Petition for Correction and Sealing of an Arrest and Conviction Record Due to Identity Theft, the Court being fully advised finds as follows: 1. Petitioner ________________________________________ is an aggrieved person whose identity was stolen or otherwise obtained without authorization by another who was convicted of the following crime(s) or violation(s) of municipal ordinance(s) under the Petitioner’s identity: Case #: ________________________________ Charge: ___________________________________________________________ Case #: ________________________________ Charge: ___________________________________________________________ Case #: ________________________________ Charge: ___________________________________________________________ Case #: ________________________________ Charge: ___________________________________________________________ Case #: ________________________________ Charge: ___________________________________________________________ 2. The Petitioner has presented sufficient evidence that the true offender, if known, _____________________________________________, IR/SID # _______________________, Date of Birth _______ /_______ /______, used the Petitioner’s identity in the above incident(s). IT IS HEREBY ORDERED: A. The Petition for Correction and Sealing of an Arrest and Conviction Record Due to Identity Theft is granted. B. The arresting authority, the Department of State Police, other criminal justice agencies, the prosecutor and the Clerk of the Circuit Court shall remove the name of the Petitioner from all official records in connection with the above-listed arrest(s) and conviction(s), and obliterate the name of the Petitioner in the official index. C. The arresting authority, the Department of State Police, other criminal justice agencies, the prosecutor and the Clerk of the Circuit Court shall insert the name of the true offender, if known, _______________________________, IR/SID # ___________________________, in the place of the Petitioner’s name in all official records of the above-listed case(s). D. The Clerk of the Circuit Court shall insert the name of the true offender, if known,__________________________________________, IR/SID # _________________________, in the place of the Petitioner’s name in the official index in connection with the above-listed case(s). E. The Clerk of the Circuit Court shall place the above-listed case(s) under seal. F. Nothing in this Order shall limit the Department of State Police, the prosecutor(s), and the arresting agency/agencies from listing under an offender’s name the false names s/he has used. G. This Order shall not affect any official index issued by the Clerk of the Circuit Court before the entry of this Order. Prepared by: Atty. No.: _________________ Pro Se 99500 Name: ________________________________________________ ______________________________________________ City/State/Zip: __________________________________________ Telephone: _____________________________________________ Address: ENTERED: Dated: ________________________________________________ ___________________________________________________________ Presiding Judge Judge’s No. 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