Small Claim Complaint
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Small Claim Complaint Form. This is a Illinois form and can be use in Stephenson Local County.
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Tags: Small Claim Complaint, Illinois Local County, Stephenson
IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT,
STEPHENSON COUNTY, ILLINOIS
Case Number
Plaintiff (s)
VS
File Stamp
Defendant(s).
SMALL CLAIM COMPLAINT
I, the undersigned, claim that the defendant(s) is indebted to the plaintiff(s) in the sum of $
for
and that the plaintiff(s) has(have) demanded payment of said sum; that the defendant(s) refused to pay the same and
no part thereof has been paid; that the defendant(s) reside(s) at
Phone No.
that the plaintiff resides at
Phone No.
: in the State of Illinois.
Date
(Month Day Year)
(Signature of Plaintiff(s)
AFFIDAVIT
on oath states that the allegations in
this complaint are true.
(NOTARY SEAL)
Signed and sworn to before me
(Notary Public)
,
Original filed with Circuit Clerk Office (Need to provide copy for Defendant and Plaintiff)
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