Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinoiscookcountyclerkofcourt.orgPage 1 of 2 Notice and Acknowledgment of þ Receipt of Summons and Complaint þ (10/12/18) CCG 0063 A en-USIN THE CIRCUIT COURT OF COOK COUNTY, ILLINOISen-USNOTICE AND ACKNOWLEDGMENT OF RECEIPT OF SUMMONS AND en-USCOMPLAINT en-USPlaintiff(s)en-USvs. en-US Defendant(s) Case No. þ en-USen-USDefendant(s) Amount Claimed: þ $ þ en-US en-USTo: en-US Address: en-US (Name) City: þ State: þ þ Zip: þ en-USen-USThe enclosed summons and complaint are served pursuant to section 2--213 of the Code of Civil en-USProcedure.en-USYou must complete the acknowledgment part of this form and return one copy of the completeden-USform to the sender within en-US en-US*en-US days.en-USYou must sign and date the acknowledgment. If you are served on behalf of a corporation, en-USunincorporated association (including a partnership), or other entity, you must indicate under your en-USsignature your relationship to that entity. If you are served on behalf of another person and you are en-USauthorized to receive process, you must indicate under your signature your authority.en-USIf you do not complete and return the form to the sender within en-US en-US*en-US days, you (or the en-USparty on whose behalf you are being served) may be served a summons and complaint in any other en-USmanner permitted by law.en-USIf you do comen-USplete and return this form, you (or the party on whose behalf you are being served)en-USmust answer the complaint within en-US en-US**en-US days. If you fail to do so, judgment by default en-USwill be taken against you for the relief en-USdemanded in the complaint.en-USI declare, under penalty of perjury, that this notice and acknowledgment of receipt of summons and en-UScomplaint will have been mailed on en-US .Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinoiscookcountyclerkofcourt.orgPage 2 of 2 Notice and Acknowledgment of þ Receipt of Summons and Complaint þ (10/12/18) CCG 0063 B en-USACKNOWLEDGMENT OF RECEIPT OF SUMMONS AND COMPLAINT en-USI declare, under penalty of perjury, that I received a copy of the summons and of the complaint in en-USthe above captioned matter at:en-US(Please print or type)en-USName: Address: þ City: þ þ State: þ þ Zip: þ Email: þ Relationship to Entity/Authority to Receive Service of Process: þ þ en-US(Not applicable if your are the named Defendant or Respondent.) Dated: þ en-USSignatureen-US* (To be completed by the person sending the notice.) Date for return of waiver must be at least 30 days from the date en-USon which the request is sent, or 60 days if the defendant is addressed outside the United States.en-US** þ (To be completed by the person sending the notice.) Date for answering complaint must be at least 60 days from the en-USdate on which the request is sent, or 90 days if the defendant is addressed outside the United States.en-USen-USen-USen-USen-USgethelp.asp.