Print Form Clear Form (Rev. 3/15/07) CCG 0074 Affidavit of Service of Summons IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS ______________________________________________________ v. ______________________________________________________ } No. ______________________________ AFFIDAVIT OF SERVICE OF SUMMONS OUTSIDE COOK COUNTY State of _____________________________________ County of ___________________________________ } ss: _____________________________________________________ on oath states: I am over 21 years of age and not a party to this case. I served the summons and a copy of the complaint upon defendant as follows: (a) on defendant ___________________________________________________________________, by leaving a copy of the summons and of the complaint with the defendant personally on __________________________________, _________, at the hour of _________________ m. at __________________________________________________________________________, _____________________________________________________________________, County of ________________________. (b) on defendant _______________________________________ on (date) ___________________________, ________, at the hour of ____________ m., by leaving a copy of the summons and of the complaint at ____________________________ ________________________________________, County of ____________________, the defendant’s usual place of abode with ____________________________________, a person of the defendant’s family or a person residing there, of the age of 13 years or upwards, who, to the best of my knowledge is _________ years of age, Male Female and described by me as follows: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ and informing that person of the content of the summons, and also by sending on (date)_________________________, _________, a copy of the summons and of the complaint in a sealed envelope with postage fully prepaid, addressed to the defendant at his or her usual place of abode. (c) on defendant corporation ______________________________________________________, by leaving a copy of the summons and of the complaint with _________________________________________________________________________, (name) ________________________________________________________________________________________, of the corporation (registered agent) (officer) (agent) on _________________________________, __________, at the hour of ________________ m. at _________________________ _____________________________________________________________, County of _________________________. _________________________________________________ Signature of Affiant Atty. No.: ____________________ Signed and sworn to before me ___________________________________, __________ Name: _________________________________________________ Atty. for: ______________________________________________ _______________________________________________ Address: _____________________________________________ Notary Public City/State/Zip: ________________________________________ Telephone: ___________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS