Print CC-200 V6 COUNTY OF WINNEBAGO NEW CASE INFORMATION SHEET CASE NO.________________________________ Sub-Case Type: (L) (F) (AR) (D) (LM) With Children (SC) (TX) (ED) (P) (MR) (CH) (MC) (AD) W/O Children Guardianship Decedents Estate Case Type: ________________________ Total Maximum Claim Amount $____________________ Jury Demand: Summons Issued: Yes SH-W No PPS None Other Type or Print the following information. Please list ALL parties using an additional sheet if necessary. 1st Plaintiff: ________________________ Address: ______________________________ City: _______________________ State: _____ Zip _________ Tele.# ___________________ Date of Birth ____________________________ 1st Defendant: ________________________ Address: ________________________________ City: _______________________ State: _______ Zip __________ Tele.# ____________________ Date of Birth _____________________________ 2nd Plaintiff: ________________________ Address: ______________________________ City: _______________________ State: _____ Zip _________ Tele.# ___________________ Date of Birth ____________________________ 2nd Defendant: ________________________ Address: ________________________________ City: _______________________ State: _______ Zip __________ Tele.# ____________________ Date of Birth _____________________________ -------------------------------------------------------------------------------------------------------------------------------------Attorney(s) for the Plaintiff(s) or Pro Se: ___________________________________________ Address ___________________________________________________________________________________ City _________________________ State______ Zip ______________ Phone No. ________________________ Attorney ARDC No. ________________________ Email Address ______________________________________ Frim Name__________________________________________________________________________________ CC-200.1 V6 COUNTY OF WINNEBAGO NEW CASE INFORMATION SHEET Continued CASE NO.________________________________ Case Type: ________________________ Total Maximum Claim Amount $____________________ 3rd Plaintiff: ________________________ Address: ______________________________ City: _______________________ State: _____ Zip _________ Tele.# ___________________ Date of Birth ____________________________ 3rd Defendant: ________________________ Address: ________________________________ City: _______________________ State: _______ Zip __________ Tele.# ____________________ Date of Birth _____________________________ 4th Plaintiff: ________________________ Address: ______________________________ City: _______________________ State: _____ Zip _________ Tele.# ___________________ Date of Birth ____________________________ 4th Defendant: ________________________ Address: ________________________________ City: _______________________ State: _______ Zip __________ Tele.# ____________________ Date of Birth _____________________________ 5th Plaintiff: ________________________ Address: ______________________________ City: _______________________ State: _____ Zip _________ Tele.# ___________________ Date of Birth ____________________________ 5th Defendant: ________________________ Address: ________________________________ City: _______________________ State: _______ Zip __________ Tele.# ____________________ Date of Birth _____________________________ 6th Plaintiff: ________________________ Address: ______________________________ City: _______________________ State: _____ Zip _________ Tele.# ___________________ Date of Birth ____________________________ 6th Defendant: ________________________ Address: ________________________________ City: _______________________ State: _______ Zip __________ Tele.# ____________________ Date of Birth _____________________________ American LegalNet, Inc. www.FormsWorkFlow.com