Print Form Clear Form (Rev. 9/15/04) CCG N022 Petition/CBR to Attorney (This form replaces CCG-22) IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS People of the State of Illinois (or) County of Cook, Village, City Town of _______________________________ Case No. _________________________________ Bond No. _______________________________ v. Amount of Bond __________________________ Amount of Deposit ________________________ ________________________________________________ Branch /Room _____________________________ Defendant/Petitioner DEFENDANT'S PETITION, UNDER 725 ILCS 5/110-7 REQUESTING REFUND OF BAIL TO ATTORNEY OF RECORD Petitioner, ______________________________________________, the Defendant in the above-captioned case respectfully says: 1. That s/he has performed all the conditions of his/her bond. 2. That s/he has agreed that the Clerk of the Court pay the refund due to his/her attorney of record in payment for legal services rendered. 3. That s/he waives all claims, title and interest in the said bail deposit. 4. That if the bond was posted by a provider other than the Defendant, the provider has signed the bond slip acknowledging that any refund due can be used to pay for Defendant’s attorney’s fees, and all other fees and costs as ordered by Court. Wherefore Petitioner requests that any refund be paid to ____________________________________________ _______________________________________________, the attorney of record. Verification by Certification Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, 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 the s/he verily believes the same to be true. Dated:____________________________, __________ Signed: _______________________________________ Defendant ORDER This cause coming on to be heard on the petition of the Defendant, the Defendant being present in open court, and the Court after considering the petition, interest of any parties in said bail deposit, and being fully advised in the premises; IT IS ORDERED not withstanding any assignment of bail bond money, that Dorothy Brown, Clerk of the Circuit Court of Cook County, pay to attorney of record _____________________________________________, any refund Print Atty. Name Atty. No. due the Defendant on the above bail bond, pursuant to 725 ILCS 5/110-7. Prepared By: ENTERED: Atty. No. _______________ Dated: ___________________________________ _____________________________________________ (Last) (First) _________________________________________ Judge (Middle) Judge's No. INSTRUCTIONS Address: _____________________________________ City/State/Zip: ________________________________ Telephone: ___________________________________ ATTORNEY is requested: (1) prepare petition for Defendant’s signature and certification; (2) attach a copy of bond signed by the Defendant and provider (if different from Defendant) to the petition. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COURT FILE American LegalNet, Inc. www.USCourtForms.com Petition/CBR to Attorney (This form replaces CCG-22) (Rev. 9/15/04) CCG N022 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS People of the State of Illinois (or) County of Cook, Village, City Town of _______________________________ Case No. _________________________________ Bond No. _______________________________ v. Amount of Bond __________________________ Amount of Deposit ________________________ ________________________________________________ Branch /Room _____________________________ Defendant/Petitioner DEFENDANT'S PETITION, UNDER 725 ILCS 5/110-7 REQUESTING REFUND OF BAIL TO ATTORNEY OF RECORD Petitioner, ______________________________________________, the Defendant in the above-captioned case respectfully says: 1. That s/he has performed all the conditions of his/her bond. 2. That s/he has agreed that the Clerk of the Court pay the refund due to his/her attorney of record in payment for legal services rendered. 3. That s/he waives all claims, title and interest in the said bail deposit. 4. That if the bond was posted by a provider other than the Defendant, the provider has signed the bond slip acknowledging that any refund due can be used to pay for Defendant’s attorney’s fees, and all other fees and costs as ordered by Court. Wherefore Petitioner requests that any refund be paid to ____________________________________________ _______________________________________________, the attorney of record. Verification by Certification Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, 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 the s/he verily believes the same to be true. Dated:____________________________, __________ Signed: _______________________________________ Defendant ORDER This cause coming on to be heard on the petition of the Defendant, the Defendant being present in open court, and the Court after considering the petition, interest of any parties in said bail deposit, and being fully advised in the premises; IT IS ORDERED not withstanding any assignment of bail bond money, that Dorothy Brown, Clerk of the Circuit Court of Cook County, pay to attorney of record _____________________________________________, any refund Print Atty. Name Atty. No. due the Defendant on the above bail bond, pursuant to 725 ILCS 5/110-7. Prepared By: ENTERED: Atty. No. _______________ Dated: ___________________________________ _____________________________________________ (Last) (First) (Middle) _________________________________________ Judge Judge's No. INSTRUCTIONS Address: ______________________________________ City/State/Zip: _________________________________ Telephone: ____________________________________ ATTORNEY is requested: (1) prepare petition for Defendant’s signature and certification; (2) attach a copy of bond signed by the Defendant and provider (if different from Defendant) to the petition. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS ATTORNEY OF RECORD American LegalNet, Inc. www.USCourtForms.com Petition/CBR to Attorney (This form replaces CCG-22) (Rev. 9/15/04) CCG N022 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS People of the State of Illinois (or) County of Cook, Village, City Town of _______________________________ Case No. _________________________________ Bond No. _______________________________ v. Amount of Bond __________________________ Amount of Deposit ________________________ ________________________________________________ Branch /Room _____________________________ Defendant/Petitioner DEFENDANT'S PETITION, UNDER 725 ILCS 5/110-7 REQUESTING REFUND OF BAIL TO ATTORNEY OF RECORD Petitioner, ______________________________________________, the Defendant in the above-captioned case respectfully says: 1. That s/he has performed all the conditions of his/her bond. 2. That s/he has agreed that the Clerk of the Court pay the refund due to his/her attorney of record in payment for legal services rendered. 3. That s/he waives all claims, title and interest in the said bail deposit. 4. That if the bond was posted by a provider other than the Defendant, the provider has signed the bond slip acknowledging that any refund due can be used to pay for Defendant’s attorney’s fees, and all other fees and costs as ordered by Court. Wherefore Petitioner requests that any refund be paid to ____________________________________________ _______________________________________________, the attorney of record. Verification by Certification Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, 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 the s/he verily believes the same to be true. Dated:____________________________, __________ Signed: _______________________________________ Defendant ORDER This cause coming on to be heard on the petition of the Defendant, the Defendant being present in open court, and the Court after considering the petition, interest of any parties in said bail deposit, and being fully advised in the premises; IT IS ORDERED not withstanding any assignment of bail bond money, that Dorothy Brown, Clerk of the Circuit Court of Cook County, pay to attorney of record _____________________________________________, any refund Print Atty. Name Atty. No. due the Defendant on the above bail bond, pursuant to 725 ILCS 5/110-7. Prepared By: ENTERED: Atty. No. _______________ Dated: ___________________________________ _____________________________________________ (Last) (First) (Middle) _________________________________________ Judge Judge's No. INSTRUCTIONS Address: ______________________________________ City/State/Zip: _________________________________ Telephone: ____________________________________ ATTORNEY is requested: (1) prepare petition for Defendant’s signature and certification; (2) attach a copy of bond signed by the Defendant and provider (if different from Defendant) to the petition. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COMPTROLLER’S OFFICE American LegalNet, Inc. www.USCourtForms.com Petition/CBR to Attorney (This form replaces CCG-22) (Rev. 9/15/04) CCG N022 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS People of the State of Illinois (or) County of Cook, Village, City Town of _______________________________ Case No. _________________________________ Bond No. _______________________________ v. Amount of Bond __________________________ Amount of Deposit ________________________ ________________________________________________ Branch /Room _____________________________ Defendant/Petitioner DEFENDANT'S PETITION, UNDER 725 ILCS 5/110-7 REQUESTING REFUND OF BAIL TO ATTORNEY OF RECORD Petitioner, ______________________________________________, the Defendant in the above-captioned case respectfully says: 1. That s/he has performed all the conditions of his/her bond. 2. That s/he has agreed that the Clerk of the Court pay the refund due to his/her attorney of record in payment for legal services rendered. 3. That s/he waives all claims, title and interest in the said bail deposit. 4. That if the bond was posted by a provider other than the Defendant, the provider has signed the bond slip acknowledging that any refund due can be used to pay for Defendant’s attorney’s fees, and all other fees and costs as ordered by Court. Wherefore Petitioner requests that any refund be paid to ____________________________________________ _______________________________________________, the attorney of record. Verification by Certification Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, 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 the s/he verily believes the same to be true. Dated:____________________________, __________ Signed: _______________________________________ Defendant ORDER This cause coming on to be heard on the petition of the Defendant, the Defendant being present in open court, and the Court after considering the petition, interest of any parties in said bail deposit, and being fully advised in the premises; IT IS ORDERED not withstanding any assignment of bail bond money, that Dorothy Brown, Clerk of the Circuit Court of Cook County, pay to attorney of record _____________________________________________, any refund Print Atty. Name Atty. No. due the Defendant on the above bail bond, pursuant to 725 ILCS 5/110-7. Prepared By: ENTERED: Atty. No. _______________ Dated: ___________________________________ _____________________________________________ (Last) (First) _________________________________________ Judge (Middle) Judge's No. INSTRUCTIONS Address: ______________________________________ City/State/Zip: _________________________________ Telephone: ____________________________________ ATTORNEY is requested: (1) prepare petition for Defendant’s signature and certification; (2) attach a copy of bond signed by the Defendant and provider (if different from Defendant) to the petition. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COPY American LegalNet, Inc. www.USCourtForms.com