2123 (Rev. 04/06) DEMAND FOR A JURY TRIAL UNITED STATES OF AMERICA STATE OF ILLINOIS COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT CASE NUMBER PLAINTIFF / PETITIONER VS. DEFENDANT / RESPONDENT File Stamp Here JURY DEMAND TO: CHRIS KACHIROUBAS, Clerk of the Eighteenth Judicial Circuit Court Plaintiff The Defendant in the above entitled cause demands a jury for the trial of said cause. I / We further state that the claim for damages does not exceed $50,000 and this matter should be tried by a jury of six jury of twelve Plaintiff / Defendant Their Attorney PRO SE Name: DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone Number: CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT WHEATON, ILLINOIS 60189-0707 American LegalNet, Inc. www.USCourtForms.com