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Complaint Form. This is a Illinois form and can be use in Cook Local County.
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Tags: Complaint, CCG-0075A, Illinois Local County, Cook
0080
Attachment - Complaint
(Rev. 2/27/01) CCG 0075 A
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
_____________________________________________________
Plaintiff(s)
v.
__________________________________________________________
Defendant(s)
No. ___________________________________
Amount Claimed $ _______________________
Return Date ___________________, ________
_____________________________________________________
Garnishee(s)
COMPLAINT
The plaintiff(s) state(s) as follows:
1.
_____________________________________________
Attorney(s) for plaintiff(s)
Address for service and telephone ___________________________________________________________________
I, _______________________________________________________________________, make oath and say that
___________________________________________________________________, the plaintiff(s) in the above entitled
action, have full knowledge of the facts relating to the above complaint and the facts therein alleged are true.
_______________________________________________
Signed and sworn to before me, _____________________________________________________________, _________
735 ILCS 5/4-101 et. seq.
_______________________________________________
Notary public
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
(Rev. 2/27/01) CCG 0075 B
Affidavit for Attachment
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
______________________________________________________________________________________________________________,
being duly sworn upon his/her personal knowledge says: That there is due the plaintiff ________________________________
from the defendant __________________________________________________________________________________________
upon the claim set forth in the complaint hereto attached, after allowing the defendant(s) all just credits, deductions and set
offs, the sum of $ _____________________________________________________________.
And affiant further says:
1.
That the defendant __________________________________________________________________________
______________________________________________________________________________________________________________
resident_____ of this State and___________ place_______ of residence________ as follows:___________________________
1. (a)
The defendant ________________________________________________________________________________
_________ not resident ______ of this State and upon diligent inquiry affiant has not been able to ascertain ____________
____________________________________________ place ________________________________________________ of residence.
1. (b)
The defendant _______________________________________________________________________________
conceal _____________ or stand __________ in the defiance of ____________________________________________________
officer________ so that process cannot be served upon ____________________________________________________________
1. (c)
The defendant _______________________________________________________________________________
______________________________________________________________ departed from this State with the intention of having
________________________________________________________________________________ effects removed from this State.
1. (d)
The defendant ________________________________________________________________________________
_______________________________________________________________ about to depart from this State with the intention of
having ____________________________________ effects removed from this State.
1. (e)
The defendant ________________________________________________________________________________
______________ about to remove ____________________ property from this State with the intention of injuring the plaintiff(s)
1. (f)
The defendant ________________________________________________________________________________
_______________________________ within two years preceding the filing of this affidavit fraudulently conveyed or assigned
___________________________ effects, or a part thereof, so as to delay or hinder _______________________________ creditors.
1. (g)
The defendant ________________________________________________________________________________
_______________________________________ within two years preceding the filing of this affidavit fraudulently concealed or
disposed of property so as to hinder or delay ______________________________________________________________ creditors.
(Rev. 2/27/01) CCG 0075 C
Affidavit for Attachment
1. (h)
The defendant ________________________________________________________________________________
__________________________________ about fraudulently to conceal, assign or otherwise dispose of ___________________
property or effects so as to hinder or delay_____________________________________________________________ creditors.
1. (i)
The debt sued for was fraudulently contracted on the part of the defendant(s) and statements of ___________
_______________ or attorney(s), which constitute the fraud, have been reduced to writing and_________ signature(s) attached
thereto, by______ sel ______ agent(s) or attorney(s).
2. The action herein does______ sound in Tort.
3. The plaintiff(s) claim(s) $ ___________________________ and seeks the entry of an order for attachment against
the property of the defendant __________________________________________________________________________________
which property is of the value of $ _____________________________ and no more, and is described as follows:
4. Affiant further says that I have just reason to believe that ______________________________________________
_____________________________________________________________________________________________________________
indebted to the defendant(s) herein or has/have property, effects, choses in action or credits in ___________________________
possession or power, belonging to the defendant(s).
5. Affiant has personal knowledge that the foregoing statements are true.
WHEREFORE, this affiant pray that said ____________________________________________________________________
_____________________________________________________________________________________________________________
may be summoned as garnishee agreeably to law and may be required to file with the clerk of the court answers under oath to
the interrogatories hereto attached.*
The court is hereby requested to direct that the Sheriff summon the defendant(s) and garnishee to appear at or
before 9:30 A.M., on _______________________________________________________________________________, _________
(Not less than 10 days of more than 60 days)
___________________________________________________
Affiant
Signed and sworn to before me, ___________________________________________________________________________, _________
___________________________________________________
Notary public
The Order for Attachment shall fix the bond of the Plaintiff for damages in the **amount of ___________________________
Dated _____________________________________, _________
___________________________________________________
Judge
Judge's No.
Strike out portions not applicable.
*FOR USE IN TORT ACTION, GARNISHMENT AND CASES WHERE SPECIFIC PROPERTY TO BE ATTACHED IS
DESCRIBED, WHICH WOULD WARRANT A BOND IN AN AMOUNT OTHER THAN DOUBLE THE SUM SWORN
TO BE DUE, STRIKE IF NOT APPLICABLE.
IMPORTANT
THE BLANKS OF THE GROUNDS OF ATTACHMENT RELIED UPON MUST BE FILLED IN AND LINES DRAWN
THROUGH THOSE NOT APPLICABLE.
(Rev. 2/27/01) CCG 0075 D
Affidavit for Attachment
NOTICE TO GARNISHEE
Answers to the following interrogatories must be delivered to the Clerk of the Court at or before the date and time
fixed in the Order for Attachment. They may be sent by registered mail directed to Room 602, Richard J. Daley Center, Chicago,
Illinois 60602, provided delivery is made in due time. Failure to answer may result in entry of a conditional judgment
against the garnishee defendant for the amount claimed by the plaintiff.
INTERROGATORIES TO GARNISHEE
1. When you were served with an Order for Attachment, was there any indebtedness due or to become due from you to
the defendant, except for wages? If your answer is yes, state fully the nature, amount and due date of such indebtedness.
2. When you were served with an Order for attachment, was there any other property in your possession, custody or
control (a) belonging to the defendant or (b) in which the defendant has an interest? If your answer is yes, describe the
property.
STATE OF ILLINOIS
COUNTY OF COOK
}
ss:
____________________________________________________________ having been duly sworn deposes and says that he/she is
the _________________________________________________________________________ Garnishee, that he/she has knowledge
of the facts pertaining to the answers to the foregoing interrogatories and that the same are true.
___________________________________________________
Signed and sworn to before me, ________________________________________________________________________, _________
___________________________________________________
Notary public
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
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