IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS ) ) ) ) ) ) ) ) Plaintiff/Petitioner vs. Case No. ________________________ Defendant/Respondent AFFIDAVIT AS TO MILITARY SERVICE on oath states: The defendant is in the military service of the United States. The defendant is not the military service of the United States. I am unable to determine whether the defendant is in the military service of the United States. This affidavit is based on these facts: ___________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Under penalties as provided by law pursuant to 735 ILCS 5/1­109 the undersigned certifies that the statements set forth herein are true and correct. _____________________________________________ Signature Prepared by: Name: _____________________________________________ Attorney's Name: _____________________________________ Address: ___________________________________________ City: ______________________________ State: ___________ Phone: ______________________ Zip Code: ______________ Fax: _______________________________________________ ARDC #: ____________________________________________ 171 ­ 342 (Rev 06/13) American LegalNet, Inc. www.FormsWorkFlow.com