Affidavit

STATE OF ILLINOIS COUNTY OF _____________ IN THE CIRCUIT COURT OF THE JUDICIAL DISTRICT ____________________________ ) ) Plaintiff, ) and ) Case Number: _____________ ____________________________ ) ) Defendant. ) AFFIDAVIT ______________________, on oath states: 1. I am the G plaintiff  G defendant in this cause of action. 2. ______________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ________________________________________________________________. __________________________ Signed and sworn to before me on ____________________. __________________________ Circuit Clerk Affidavit 1 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 Under the penalties as provided by law pursuant to Section 5/1-109 of th e Code of Civil Procedure, the undersigned certifies that the statements set fo rth in this instrument are true and correct, except as to matters therein stated to be on information and belief and as to such matters the undersigned certifies as aforesaid that she/he verily believes the same to be true.true __________________________ Affidavit 2 American LegalNet, Inc. www.USCourtForms.com