Print Form 3100 - Answer/Reply Filed 3400 - Pretrial Memorandum (This form replaces CCDR 10 A/B) Clear Form (Rev. 5/14/07) CCDR 1000 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, DOMESTIC RELATIONS DIVISION IN RE THE MARRIAGE SUPPORT OF: CUSTODY _____________________________________________________ PETITIONER AND _____________________________________________________ RESPONDENT } NO. _________________________________ CALENDAR: __________________________ PRETRIAL MEMORANDUM A pretrial memorandum is to be prepared by each attorney of record. Failure to prepare a pretrial memorandum shall be considered a violation of rules and result in appropriate sanctions. Schedules A and C shall be filed with the pretrial judge seven (7) days prior to the initial pretrial conference. Schedule B shall be filed with the judge to whom the case is assigned before the date set for the mediation intake session. The Petitioner Respondent Attorney for Child Other presents the following information. All items are to be filled in. NAME: _________________________________________________________________________________________ ADDRESS: _____________________________________________________________________________________ DATE OF BIRTH: __________________________________________________________________________________ CONDITION OF HEALTH (SPECIFY CONDITIONS): ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ EDUCATIONAL BACKGROUND: ________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ DATE OF MARRIAGE: ______________________________________________________________________________ DATE OF SEPARATION: ____________________________________________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 5/14/07) CCDR 1000 B CHILDREN: NAME AGE DATE OF BIRTH ________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ GROUNDS: (Specify party alleging grounds:) ____________________________________________________________________________________________________________________________ SUMMARY OF DISPUTED ISSUES: (CHECK DISPUTED ISSUES. ISSUES NOT CHECKED WILL BE DEEMED UNDISPUTED.) Dissolution Legal Separation Declaration of Invalidity Custody/Custody Modification Visitation Removal Child Support/Support Modification Maintenance Education Expenses Dissipation Value of Property W Amount of Income H Whether property is marital or non-marital Division of marital property Reimbursement Disposition of debts Attorney's Fees Division of personal property Briefly describe other issues to be resolved: ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ (PLEASE PRINT) Preparing Atty's No.: __________________ Preparing Atty's Name: __________________________________ Atty. for: ______________________________________________ Address: _______________________________________________ City/State/Zip: _________________________________________ Telephone: _____________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 5/14/07) CCDR 1000 C (This forms replaces CCDR 10 A-1) IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, DOMESTIC RELATIONS DIVISION SCHEDULE A - ASSETS The date of valuation(s) is _______________________________ unless otherwise specified. Please designate value and whether the property is marital (M) non-marital husband (NMH) or non-marital wife (NMW). VALUE Title in Name of 1. Cash, Bank Accounts and Equivalents, i.e., Checking, Savings, IRA, CD, etc.; Location: Account Number. H 2. Stocks, Bonds and other Securities. 3. Real Property; Address; Physical Description; How Title is held; Amounts of any Mortgages or Liens. 4. Motor Vehicle(s): Model/Year; Lien; Debtor; Amount; How Title is held. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS W (This form replaces CCDR 10 A-2) (Rev. 5/14/07) CCDR 1000 D Present Value & Whether the Property is Marital (M) Non-Marital Husband (NMH) or Non-Marital Wife (NMW) VALUE Title in Name of 5. Business Interests; Name of Business, Type of Business (e.g., corporation, partnership, sole proprietorship): Percentage Interest. H 6. Insurance Policies: Type of Insurance (life, medical, etc.); Policy Number; Face Amount; Beneficiary. Show surrender value and loans on policies. 7. Retirement Plans: Name and Type of Plan; Trustee of Plan; Nature of Interest; Beneficiary; Vested or Non-vested. 8. Income Tax Refunds: Amount Federal; Amount State. 9. Choses in Action: Date of Occurrence; Nature and Amount of Claim; Date Lawsuit Filed; Case Number. 10. All other property not previously listed (except for tangible personal property): DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS W (Rev. 5/14/07) CCDR 1000 E (This form replaces CCDR 10 A-3) TANGIBLE PERSONAL PROPERTY Set forth any disputed items of tangible personal property (including household goods and personal effects) on a separate inventory attached to Schedule A. Provide the following information: description and location of the goods; category claimed (M, NMW, or NMH); Value; and recommendation as to award. DEBTS Debtor (H, W, JT) Nature/ Purpose Date Incurred Original Amount Current Balance Who Incurred (H, W, JT) Amount Claimed Who Incurred (H, W, JT) CONTINGENT LIABILITIES Potential Obligor(s) (H, W, JT) Claimant Basis of Claim Date Incurred DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (This form replaces CCDR 10 A-4) (Rev. 5/14/07) CCDR 1000 F SETTLEMENT POSITION WITH REFERENCE TO SPECIFIC ASSETS IN THE EVENT SETTLEMENT DOES NOT OCCUR, THIS PAGE SHALL BE DELETED FROM THE PRETRIAL MEMORANDUM AND RETURNED TO THE RESPECTIVE PARTIES' ATTORNEYS. (State items to be received by each party; whether any items are to be liquidated and if so, the division of proceeds from said liquidation; the tax consequences of said division; and the percentage of the estate each receives, together with the reasons for said division.) DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 5/14/07) CCDR 1000 G (This form replaces CCDR 10 A5 J) IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, DOMESTIC RELATIONS DIVISION IN RE THE MARRIAGE OF: ___________________________________________________ PETITIONER AND ___________________________________________________ RESPONDENT } NO: _________________________________ CALENDAR: __________________________ INCOME AND EXPENSE AFFIDAVIT: OF: ______________________________________ (NAME) Actual Monthly as of __________________________ A. 1. $ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ TOTAL GROSS MONTHLY INCOME 2. STATEMENT OF INCOME AND DEDUCTIONS Gross Income Per Month a. Salary/wages b. Draw c. Bonus d. Pension e. Annuity f. Social Security g. Dividends h. Interest i. Trusts j. Public Aid k. Workmen's Compensation l. Unemployment Compensation m. Rents n. Disability Payments o. Stocks p. Bonds q. Other (specify) _______________________________________________ 0.00 $ __________________________ Required Deductions a. Taxes: Federal (based on________exemptions) b. Taxes: State (based on_________exemptions) c. Social Security (or pension equivalent) d. Mandatory retirement contributions required by law or as a condition of employment e. Union Dues f. Health/Hospitalization Insurance g. Prior obligation of support actually paid pursuant to Court order h. Expenditure for repayment of debts that represent reasonable and necessary expenses for the production of income i. Medical expenditures necessary to preserve life or health $ __________________________ __________________________ __________________________ __________________________ __________________________ ________________________ __________________________ __________________________ __________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 5/14/07) CCDR 1000 H (This form replaces CCDR 10 A6 J) j. Reasonable expenditures for the benefit of the child and the other parent exclusive of gifts (for non-custodial parent only) ______________________ TOTAL REQUIRED DEDUCTIONS FROM INCOME 0.00 ______________________ NET MONTHLY INCOME B. $ $ 0.00 ______________________ CASH OR CASH EQUIVALENTS ON HAND 1. Savings and interest bearing accounts 2. Checking 3. Stocks and bonds 4. $ Other (specify) ___________________________________ TOTAL CASH OR CASH EQUIVALENT ON HAND $ ______________________ ______________________ ______________________ ______________________ 0.00 ______________________ Actual Monthly as of: ____________________________ C. 1. STATEMENT OF MONTHLY LIVING EXPENSES Household a. Mortgage or rent (specify) $ ____________________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ b. Taxes: assessments and insurance c. Maintenance and repairs d. Heat/fuel e. Electricity f. Telephone g. Water and Sewer h. Refuse removal i. Laundry/dry cleaning j. Maid/cleaning service k. Furniture and appliance replacement l. Food (groceries/milk, etc.) m. Tobacco products n. Liquor, beer, wine, etc. o. Other (specify) __________________________________________ SUBTOTAL HOUSEHOLD EXPENSES 2. Transportation a. Gasoline b. Repairs c. $ $ Insurance/license d. Payments/replacement e. Alternative/replacement f. Other (specify) __________________________________________ SUBTOTAL TRANSPORTATION EXPENSES: $ 0.00 ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ 0.00 ______________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (This form replaces 3. Personal: a. Clothing b. Grooming c. Medical: (1) Doctor (2) Dentist (3) Medication d. Insurance: (1) Life (2) Hospitalization e. Other (specify) _____________________________________________ SUBTOTAL PERSONAL EXPENSES: 4. Miscellaneous a. Clubs/social obligations/entertainment b. Newspaper, magazines and books c. Gifts/donations d. Vacations e. Other (specify) _____________________________________________ SUBTOTAL MISCELLANEOUS EXPENSES: 5. (Rev. 5/14/07) CCDR 1000 I CCDR 10 A7 J) $ _____________________ _____________________ _____________________ _____________________ _____________________ $ $ $ $ _____________________ _____________________ _____________________ 0.00 _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ 0.00 _____________________ Dependent children: Names and date of birth: _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ a. Clothing b. Grooming c. Education: (1) Tuition (2) Books/fees (3) Lunches (4) Transportation (5) Activities d. Medical: (1) Doctor (2) Dentist (3) Medication e. Allowance f. Child care g. Sitters h. Lessons i. Clubs/summer camps j. Entertainment k. Other (specify) _____________________________________ $ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ SUBTOTAL CHILDREN'S EXPENSES: $ 0.00 ___________________ TOTAL LIVING EXPENSES: $ 0.00 _____________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 5/14/07) CCDR 1000 J (This form replaces CCDR 10 A8 J) D. Debts requiring regular payments: CREDITOR BALANCE _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ SUB TOTAL MONTHLY DEBT SERVICE: MINIMUM MONTHLY PAYMENT ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ 0.00 $ ________________ Actual Monthly as of _________________ NET MONTHLY INCOME 0.00 $ ________________ TOTAL MONTHLY LIVING EXPENSES 0.00 $ ________________ DIFFERENCE BETWEEN NET INCOME AND EXPENSES 0.00 $ ________________ LESS MONTHLY DEBT SERVICE 0.00 $ ________________ INCOME AVAILABLE PER MONTH 0.00 $ ________________ STATE OF ILLINOIS COUNTY OF COOK } ss: VERIFICATION BY CERTIFICATION Under penalties of perjury as provided by law pursuant to Section 1-109 of the Code of Civil Procedure (735 ILCS 5/1-109), 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 I verily believe the same to be true. DATE: ________________________________, __________ ______________________________________ Schedule A prepared by: _________________________________ Atty. No.: __________________ Name: ______________________________________________ Atty. for: ___________________________________________ Address: ____________________________________________ City/State/Zip: _______________________________________ Telephone: __________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (This form replaces CCDR 11 (Rev. 5/14/07) CCDR 1000 K B-1) SCHEDULE B: CUSTODY, VISITATION & CHILD SUPPORT This Schedule was prepared by 1. Name of Child Petitioner Sex Respondent Date of Birth Attorney for Child School and Grade Other Special Problems 2. Current order in effect relating to custody, visitation and child support. 3. Present medical policies covering children. (Specify company and how obtained.) DOROTHY BROWN, CLERK O F THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (This form replaces CCDR 11 B- 2) (Rev. 5/14/07) CCDR 1000 L 4. Professional Examinations and Reports: Unless objected to by specific motion, include the following information: name and type of profession or agency, date, purpose of examination and findings. Reports, if not protected by confidentiality shall be presented to the pre-trial judge for pre-trial purposes only and shall not be a part of the court file unless otherwise ordered. 5. Other court proceedings having a bearing on custody, visitation and support. (Name of case, type of action and last order) DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 5/14/07) CCDR 1000 M (This form replaces CCDR 10-B-3) 6. Recommendations of Petitioner Respondent Indicate: (A) type of custody; (B) location and time spent at child(ren)'s residence; (C) visitation schedule, including, holidays and vacation time. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (This form replaces CDR 10-B-4) (Rev. 5/14/07) CCDR 1000 N 7. Recommendations continued: Indicate (D) child support, specifying to whom support will be paid and the reasons supporting the amount recommended; (E) medical, dental and hospital expenses, specifying type of treatment, provider, and method of payment (including insurance); (F) each child's school expenses, specifying the name and type of school, (e.g., preschool, religious school, elementary/high school, college, public/private, etc.) and amount of expense; and (G) any special problems of each child. (PLEASE PRINT) Preparing Atty's No.: __________________ Preparing Atty's Name: __________________________________ Atty. for ______________________________________________ Address: ______________________________________________ City/State/Zip: _________________________________________ Telephone: ____________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 5/14/07) CCDR 1000 O (This form replaces CCDR 11. 2 C-1) SCHEDULE C: EXPERTS This schedule is prepared by the attorney for Other Petitioner Respondent Attorney for the Child(ren) Name experts of whom you are aware who will testify at trial, and indicate the date of disclosure. Submitted By: Atty. No.: __________________ Name: _____________________________________________ Address: ___________________________________________ City/State/Zip: ______________________________________ Telephone: _________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Scheduled - Trial Information (Rev. 5/14/07) CCDR 1000 P (This form replaces CCDR-12-D-1) IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, DOMESTIC RELATIONS DIVISION IN RE THE MARRIAGE SUPPORT OF: CUSTODY _____________________________________________________ PETITIONER AND _____________________________________________________ RESPONDENT } NO. _________________________________ CALENDAR: __________________________ SCHEDULE D - TRIAL INFORMATION This Schedule need not be completed before the pretrial conference. If the matter is not settled at the pretrial conference, the Court will enter an order designating the date by which Schedule D must be filed. Any stipulations entered into by the parties including exhibits, are attached hereto. If none, so indicate. All discovery is completed. 1. The parties' stipulations are attached hereto. There are no stipulations. 2. The expected length of the trial is _____________ full days. Petitioner represents that Petitioner's case in chief will take _______________________; Respondent represents that Respondent's case in chief will take _______________________; Attorney for the Child(ren) represents that their case in chief will take ___________________________________________. 3. Describe all issues still in dispute, on following page (D-2). 4. The parties reaffirm the items contained in Schedules A, B, and C, except for the following: ______________________________________________________________________________________________ _____________________________________________________________________________________________ ______________________________________________________________________________________________ _____________________________________________________________________________________________ ______________________________________________________________________________________________ _____________________________________________________________________________________________ ______________________________________________________________________________________________ _____________________________________________________________________________________________ ______________________________________________________________________________________________ _____________________________________________________________________________________________ ______________________________________________________________________________________________ _____________________________________________________________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 5/14/07) CCDR 1000 Q (This form replaces CCDR-12.1-D-2) DESCRIPTION OF DISPUTED ISSUES The following issues are in dispute Issue Petitioner's Position Respondent's Position Any other party shall submit their position separately. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 5/14/07) CCDR 1000 R (This form replaces CCDR-12.2-D-3) Submitted By: PARTY Petitioner Respondent Other Name: _______________________________________________________________________________________________ Address: _____________________________________________________________________________________________ Telephone: ________________________________________________________________________________________ Signature: ____________________________________________________________________________________________ ATTORNEY FOR Petitioner Respondent Children Other Client Name(s): _______________________________________________________________________________________ Attorney Name: ________________________________________________________________________________________ Address: _____________________________________________________________________________________________ Telephone: ___________________________________________________________________________________________ Signature: ____________________________________________________________________________________________ Attorney No: _________________________________________________________________________________________ THE COURT, having received the pretrial memoranda presented by counsel, CERTIFIES this case ready for trial. ENTERED: Dated: __________________________, __________ __________________________________________ Judge DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Judge’s No.