IN THE CIRCUIT COURT TWENTIETH JUDCIIAL CIRCUIT ST. CLAIR COUNY, ILLINOIS CASE NUMBER: ____________________ Plaintiff(s): Defendant(s): Address and Phone: Address and Phone: SMALL CLAIMS COMPLAINT I, the undersigned, claim under oath that the Defendant(s) owe(s) me the sum of $_______________ plus court costs for the following reason(s): ____________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ____________________________________ Plaintiff VERIFICATION Under penalties as provided by law, (735 ILCS 5/1-109), I hereby certify that the statements set forth in this instrument are true and correct. ________________________________ Date ______________________________ Signature American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT TWENTIETH JUDCIIAL CIRCUIT ST. CLAIR COUNY, ILLINOIS CASE NUMBER: ____________________ Plaintiff(s): Defendant(s): Address and Phone: Address and Phone: SMALL CLAIMS JURY DEMAND I, _____________________________, demand a _____ Jury of 6 _____ Jury of 12. (check one that applies) The jury fee has been _____ paid _____ waived. (check one that applies) ____________________________________ Plaintiff VERIFICATION Under penalties as provided by law, (735 ILCS 5/1-109), I hereby certify that the statements set forth in this instrument are true and correct. ________________________________ Date ______________________________ Signature American LegalNet, Inc. www.FormsWorkFlow.com