LaSalle County Circuit Clerk 119 West Madison Street Ottawa, IL 61350 815-434-8671 New Case Information Sheet 1. Case No: (AD) 2. Claim Amount: $___________ 3. Jury:___________ 6 person ________ yes/no 12 person ________ (D) (F) (LM) (MR) (SC) (CH) (ED) Case No: ______________ Sub-Case Type: (L) (MC) (P) (TX) Event Date/Time/Summons Issued:________________________________________ 4. First Named PLAINTIFF:_________________________________ Address:_______________________________________ Address # 2 : _______________________________ City: ______________________________ State/Zip Code: ______________ Phone #: ____________________ 5. Plaintiff Attorney: ________________________________________ ARDC # : ________________________ Attorney Address : __________________________________________________________________________ 6. Second named PLAINTIFF:_________________________________________ Address: _______________________________________ Address # 2: _______________________________________ City: ____________________________ State/Zip Code: _________________ Phone #: ____________________ 7. First Named DEFENDANT: ___________________________ Address: _______________________________________ Address # 2: _______________________________________ City: ______________________________ State/Zip Code: ____________________ Phone # __________________________ 8. Defendant Attorney: ______________________________________________ ARDC #: ______________________ Attorney Address : ____________________________________________________________________ ______ 9. Second Named DEFENDANT: __________________________ Address: _______________________________________ Address # 2: _______________________________________ City: ______________________________ State/Zip Code: ____________________ Phone # __________________________ American LegalNet, Inc. www.FormsWorkflow.com