This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois courts. STATE OF ILLINOIS, CIRCUIT COURT COUNTY Instructions Enter above the county name where this case was filed. Enter the name of the person or company that filed this case as Plaintiff/Petitioner. Enter the name of the Defendant/Respondent. Enter the Case Number given by the Circuit Clerk. For Court Use Only APPEARANCE Pro Se Plaintiff / Petitioner (First, middle, last name or Company) v. Defendant / Respondent (First, middle, last name) Case Number In 1, enter your full name. In 2, check only one box to ask for a trial with only a judge or a trial with a judge and jury. You do not have a right to a jury trial in every case. In 3a, enter the date you send this Appearance form to the other parties. You should send this form by 5:00 p m. on the same day you file it with the Circuit Clerk. In 3b, enter the full name and address of the parties or lawyers you are sending a copy of this Appearance. If a party has a lawyer, you must send a copy of this Appearance to the lawyer. 1. I, First Middle Last enter my appearance in this case. 2. I would like a trial with: a judge a judge and jury 3. Delivery of Appearance By signing below, I swear that: a. At or before 5:00 P.M. on: Date , 20 b. I am sending this Appearance to: Name: First Middle City Last State ZIP Address: Street, Apt # Email: Name: First Middle City Last State ZIP Address: Street, Apt # Email: Name: First Middle Last Address: Street, Apt # City State ZIP Email: AP-P 503.1 This form shall not be modified. It may be supplemented with additional materials. Page 1 of 2 (08/14) American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Circuit Clerk: _________________________________ In 3c, check if you will send copies of this Appearance by hand, by mail, or by email. CAUTION: You may only send documents by email if the other party has agreed. c. By: Hand Delivery Regular, First-Class Mail, deposited into the U.S. Mail with postage paid Email Check the box if you need language help and enter the language you speak. Under the Code of Civil Procedure, 735 ILCS 5/1-109, making a statement on this form that you know to be false is perjury, a Class 3 Felony. After you finish this form, sign and print your name. Enter your complete current address and telephone number. OPTIONAL: you may enter an email address. By entering an email address, you agree to accept court documents by email. DO NOT enter an email address unless you have your own email account and check it daily. If you do not check it, you may miss important information or notice of court dates. Language Access If language help is available in court, I would like help. I speak: Language I certify that everything above is true and correct to the best of my knowledge. I understand that making a false statement in this form could be perjury. Your Signature Street Address Your Name City, State, ZIP Telephone Email Address (optional) AP-P 503.1 This form shall not be modified. It may be supplemented with additional materials. Page 2 of 2 (08/14) American LegalNet, Inc. www.FormsWorkFlow.com