Print Form Affidavit in Support of Warrant and Order Clear Form (3/12/10) CCG 0061 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS ________________________________________________ Petitioner v. ________________________________________________ Respondent } No. _______________________________ AFFIDAVIT IN SUPPORT OF WARRANT AND ORDER ______________________________________ appearing before me this day in open court seeking a warrant for petitioner the seizure of firearms, firearm ammunition and Firearms Owner’s Identification Card (FOID) pursuant to 750 ILCS 60/214-14.5(a), and testifying under oath, to the following facts: _______________________ ____ ____________ __________ _______ _______ _________ _________ Respondent Sex Race Date of Birth Height Weight Hair Color Eye Color resides at: _______________________________________ ___________ ___________________, Cook County, Illinois Address Apartments/Unit City/Township ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ I have read and understand the above and under penalty of perjury state that the same is true and correct _____________________________________ Petitioner Signed and Sworn on this _____________________, ________ date ____________ before me time ______________________________________ Judge Judge’s No. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS