IN THE CIRCUIT COURT OF TWENTY-SECOND JUDICIAL CIRCUIT McHENRY COUNTY, ILLINOIS ________________________________________________ Plaintiff vs. _____________________________________________________ Case Number ______________________________________ Defendant COMPLAINT AND CONFESSION ON JUDGMENT NOTE 1. Plaintiff, __________________________________________________________, owns each of the following promissory notes, executed and delivered, for value received, by Defendant, ____________________ _______________________________________________________: Date Amount ________________________________ $___________________________________ ________________________________ $___________________________________ ________________________________ $___________________________________ ________________________________ $___________________________________ ________________________________ $___________________________________ Each note is attached as an exhibit. 2. Each note was executed in the county, or a defendant resides in this county, or real or personal property owned by a defendant is located in this county. 3. There is due from Defendant: $_______________________________________ Principal $_______________________________________ Interest $_______________________________________ Attorney’s fee $_______________________________________ TOTAL Plaintiff asks for judgment against Defendant for the amount due. _________________________________________ Attorney for Plaintiff Name________________________________________ Attorney for___________________________________ Address_______________________________________ City, State Zip__________________________________ Phone_________________________________________ CV-CMP3 (Revised 12/01/06) Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com AFFIDAVIT _____________________________________________________________ on oath states that the allegations in this Complaint are true. Signed and sworn to before me ___________________________________, 20____ __________________________________________ Notary Public CONFESSION Defendant, ________________________________________________________, by _____________________ _________________________________, his attorney, waives service of process and confesses that there is due from Defendant to Plaintiff: Principal $_____________________________ Interest $_____________________________ Attorney’s fee $_____________________________ TOTAL $_____________________________ Defendant agrees that judgment may be entered against him for the total above and for costs, and releases and waives all rights as authorized in the warrant of attorney. Name___________________________________________ ____________________________________ Attorney for Defendant_____________________________ Address_________________________________________ City, State Zip____________________________________ Phone___________________________________________ JUDGMENT ORDER It is ordered that Plaintiff __________________________________________________________ recover from Defendant ________________________________________________________________________________: Principal $_____________________________ Interest $_____________________________ Attorney’s fee $_____________________________ TOTAL JUDGMENT$_____________________________ and costs of suit. Execution may issue. Plaintiff may withdraw the original note upon filing a copy. ENTER: Dated_______________________________, 20_____ CV-CMP3 (Revised 12/01/06) __________________________________________ Judge Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com