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This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts. AR - AP 1404.2 Page 1 of 1 ( 0 1 /1 8 ) STATE OF ILLINOIS , For Court Use Only CIRCUIT COURT COUNTY Plaintiff / Petitioner ( First, middle, last name or Company ) v. 000(000Q000W000H000U000003 000\000R000X000U000003 000W000K000H000003000Q000D000P000H000003 000D000V000003000W000K000H000003000'000H000I000H000Q000G000D000Q000W000022000003 0005000H000V000S000R000Q000G000H000Q000W 000021 000003 000(000Q000W000H000U000003000W000K000H000003000&000D000V000H0000030001000X000P000E000H000U000003000J000L000Y000H000Q000003000E000\000003000W000K000H000003000&000L000U000F000X000L000W000003000&000O000H000U000N000021000003 Defendant / Respondent ( First, middle, last name ) Case Number 000(000Q000W000H000U000003000W000K000H000003000Q000X000P000E000H000U000003000D000Q000G000003000O000H000W000W000H000U000003000R000I000003000H000D000F000K000003000D000G000G000L000W000L000R000Q000D000O000003000S000D000U000D000J000U000D000S000K000003000D000Q000G000003000V000X000E000S000D000U000D000J000U000D000S000K000003000L000Q000003000W000K000H000003000&000R000P000S000O000D000L000Q000W0000220003000H000W000L000W000L000R000Q000021000003000003 My A nswer / R esponse to the Complaint/Petition is: Paragraph Number Subparagraph Letter (if applicable) Answer/Response to Complaint/Petition Admit Deny Do Not Know Admit Deny Do Not Know
