WAIVER OF TRIAL BY JURY STATE OF ILLINOIS UNITED STATES OF AMERICA IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT 1032 (Rev. 11/06) COUNTY OF DU PAGE PLAINTIFF CASE NUMBER vs DEFENDANT File Stamp Here WAIVER OF TRIAL LBY JURY Now comes the above defendant in his/her own proper person, and here states that he/she has been fully advised of his/her has been fully advised of his/her right to Trial by Jury; that he/she waives same and elects to be tried by the Court. Defendant Signature Signed in the presence of Date Name: DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone Number: PRO SE CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60189-0707 American LegalNet, Inc. www.FormsWorkflow.com