COURT WAIVER OF TRIAL BYOF COUNTY JURY ...................................................... UNITED STATES OF AMERICA : STATE OF ILLINOIS 827 (Rev. 12/04) Index No. COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT : IN RE THE ESTATE OF Plaintiff(s) -against- Case Number Calendar No. : JUDICIAL SUBPOENA : : Alleged disabled person : Defendant(s) : ...................................................... File Stamp Here WAIVER OF TRIAL BY JURY NOWTHE PEOPLE OF THE STATE OF NEW YORK COMES , duly appointed Guardian Ad Litem for the Respondent in the above entitled cause of action, and on TO behalf of said Respondent, the right to trial by Jury is hereby acknowledged and is hereby waived. WAIVER OF RESPONDENT'S PRESENCE GREETINGS: NOW COMES , duly appointed Guardian Ad Litem for WE COMMAND YOU, that all business and excuses the above entitledyou and each of you attend before being laid aside, cause of action, and on the Respondent in , the Honorable at the Court behalfCountyRespondent, the right to be located in open Court is hereby acknowledged and is waived. of the of present at in room , on the day of , 20 , at o'clock in the noon, and at any recessed WAIVER OF DOCTOR'S PRESENCE or adjourned date, to testify and give evidence as a witness in this action on the part of the NOW COMES , duly appointed Guardian Ad Litem for the Respondent in the above entitled cause of action, and on Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to behalfthe the Respondent, the rightthisthe Doctor to be present foropen Court is hereby acknowledgedall damages sustained as a of party on whose behalf of subpoena was issued in a maximum penalty of $50 and and is waived. result of your failure to comply. WAIVER OF RIGHT TO COUNSEL NOW COMES Court in Witness, Honorable County, day of , one of the Justices of the , duly appointed Guardian Ad Litem for , 20 the Respondent in the above entitled cause of action, and on behalf of the Respondent in the above entitled cause of action, and on behalf of the Respondent, the right to counsel is hereby acknowledged and is hereby waived. (Attorney must sign above and type name below) Name Attorney(s) for (Guardian Ad Litem for Respondent) DuPage Attorney No. (Guardian Ad Litem) Attorney For: Address Office and P.O. Address City Phone Telephone No.: Facsimile No.: CHRIS KACHIROUBAS, CLERK OF THE 18TH E-Mail Address: JUDICIAL CIRCUIT COURT WHEATON, ILLINOIS 60189-0707 Mobile Tel. No.: © American LegalNet, Inc. www.USCourtForms.com