Application To Sue Or Defend As A Poor Person
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Application To Sue Or Defend As A Poor Person Form. This is a Illinois form and can be use in Stephenson Local County.
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Tags: Application To Sue Or Defend As A Poor Person, Illinois Local County, Stephenson
IN THE CIRCUIT COURT OF THE 15TH JUDICIAL CIRCUIT
STEPHENSON COUNTY, FREEPORT, ILLINOIS
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PLAINTIFF(S),
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DEFENDANT(S).
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CASE NO.__________________________
This application to (sue)(defend) as a poor person is
APPROVED
DENIED
DENIED, however payment of
the costs are deferred until
DATE ENTERED:
ENTER:
JUDGE
APPLICATION TO SUE OR DEFEND AS A POOR PERSON
1.
(NAME)
on my own behalf
as
Parent
Guardian
(name)
2.
other
(minor)(incompetent)
Applicant’s occupation or means of subsistence:
A.
Applicant is employed as
(Job)
by
(Employer)
B.
Applicant’s other sources of income or support are:
3.
Applicant’s income for the preceding years was $
4.
The sources and amount of income expected by the applicant hereafter are:
The person(s) dependant on applicant for support are:
5.
Applicant owns:
A.
No real estate except:
(Location and Value)
B.
Personal Property which in the aggregate does not exceed $
and consists of
Including a
motor vehicle, valued at $
6.
No applications were filed by or on behalf of applicant for leave to sue or defend as a poor person
during the preceding year except:
7.
Applicant is unable to pay the costs of this case.
8.
Applicant has meritorious
Claim
Defense
Name
City
Address
Phone
Date
Signature of Applicant
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