2273 (Rev. 12/06) MOTION - CIVIL STATE OF ILLINOIS UNITED STATES OF AMERICA IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT COUNTY OF DU PAGE CASE NUMBER PLAINTIFF PAGE vs OF MOTION DEFENDANT File Stamp Here I hereby state, under penalties provided by the Code of Civil Procedure (735 ILCS 5/1-109), the foregoing to be true and correct. Name: PRO SE DuPage Attorney Number: Date Attorney for: Address: City/State/Zip: Signature of Petitioner Telephone Number: CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60189-0707 American LegalNet, Inc. www.FormsWorkflow.com