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Small Claims Complaint Form. This is a Illinois form and can be use in Dupage Local County.
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Tags: Small Claims Complaint, 3310, Illinois Local County, Dupage
3310 (Rev. 11/06)
COMPLAINT - SMALL CLAIMS
UNITED STATES OF AMERICA
STATE OF ILLINOIS
IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT
PLAINTIFF (S)
COUNTY OF DU PAGE
CASE NUMBER
vs
DEFENDANT (S)
File Stamp Here
COMPLAINT
SMALL CLAIMS
I / We, the undersigned, claim the defendant(s) is/are indebted to the plaintiff(s) in the sum of $
for
and that the plaintiff(s) has/have demanded payment of said sum; that the defendant(s) refused to pay the same and that no
part thereof has been paid;
that the defendant(s) reside at
Telephone No.
that the plaintiff(s) reside at
in the State of Illinois.
Telephone No.
VERIFICATION
I/We, the undersigned, certify under penalties as provided by law pursuant to 735 ILCS 5/1-109 and Supreme Court Rule137
that the statements set forth in this instrument are true and correct.
Plaintiff or Attorney for Plaintiff
DuPage Attorney Number:
PRO SE
Signature(s) of Plaintiff or Attorney for Plaintiff
Address:
City/State/Zip:
Telephone Number:
Signature(s) of Plaintiff
CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT ©
WHEATON, ILLINOIS 60189-0707
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