New Case Information Sheet

IN THE CIRCUIT COURT OF THE TWENTY-THIRD JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS NEW CASE INFORMATION SHEET County of Kendall ) County of DeKalb ) SS. Case No.:_______________________ 1. Case Type:____________ 2. Sub Case Type:________ 3. Claim Amount: $___________4. Jury: _________ (see reverse for codes) (see reverse for codes) (yes/no) 5. Domestic Relations cases only contested: _____________________ Date of Birth:______________________ (yes or no - if applicable) (juvenile case) 6. Event Date/Time:________________________________________7. Is real estate involved?_______________ (month) (date) (year) (yes/no) 8. First named plaintiff:_________________________________________________________________________ Address:__________________________________________ Address #2:______________________________ City:__________________________ State/Zip Code:__________________ Phone #:___________________ 9. Plaintiff Attorney:____________________________________________________________________________ (State of Illinois Registration Number) Name:_____________________________________________________________________________________ (Last) (First) (MI) 10. First named defendant:______________________________________________________________________ Address:________________________________________ City:________________________ Address #2:______________________________ Phone #:___________________ State/Zip Code:__________________ 11. Second named plaintiff:______________________________________________________________________ Address:________________________________________ City:_______________________ Address #2:______________________________ Phone #:___________________ State/Zip Code:__________________ 12. Second named defendant:____________________________________________________________________ Address:________________________________________ City:_______________________ Address #2:______________________________ State/Zip Code:__________________ Phone #:___________________ 13. List additional Plaintiffs by name, address, city, zip code & 14. List additional Defendants by name, address, city, zip phone # below (including A.K.A's & D.B.A's). (Domestic Relations): List children under 18 by name and DOB. Attach additional sheet if needed. code & phone # below (including A.K.A.'s & D.B.A's). Attach additional sheet if needed. New Case Information Sheet REV: 01-01-2016 American LegalNet, Inc. www.FormsWorkFlow.com CIVIL CASE & SUB-CASE TYPE CODES Law (L) ($50,001 and over) 0101 TORT $ DAMG AUTO - PROP 0102 TORT $ DAMG AUTO - PROP/PER INJ 0103 TORT $ DAMG AUTO - PER INJ 0104 TORT $ DAMG AUTO - PER INJ/DEATH 0105 TORT $ DAMG AUTO - DEATH 0106 TORT $ DAMG - OTHER 0107 CONTRACT - MONEY DAMAGES 0108 CONFESSION OF JUDGMENT 0109 FORCE ENTRY/DETAINER - POSS/$ 0110 FORCE ENTRY/DETAINER - POSS ONLY 0111 DISTRESS FOR RENT 0112 STAT ACT / STATE / RECR SUPPT 0113 ARBITRATION & AWARD 0114 DETINUE 0115 EJECTMENT 0116 REPLEVIN 0117 TROVER 0118 MALPRACTICE - MEDICAL 0119 MALPRACTICE - LEGAL 0120 MALPRACTICE - OTHER 0121 ALIENATION OF AFFECTION 0122 CLASS ACTION SUIT 0123 REGISTRATION OF FOREIGN JUDG 0130 OTHER (SPECIFY) Miscellaneous Remedies (MR) 0601 JUDICIAL REVIEW / ADMIN 0602 JUDICIAL REVIEW / WORKERS COMP 0603 JUDICIAL REVIEW / UNEMPLOYMENT 0604 DECLARATORY JUDGMENT 0605 CORPORATION DISSOLUTION 0606 CHANGE OF NAME 0607 HABEAS CORPUS 0608 MANDAMUS 0609 PROHIBITION 0610 QUO WARRANTO 0611 ATTACH/ORIGINAL ACTION 0612 NE EXEAT / ORIGINAL ACTION 0613 ESCHEAT 0614 LOST GOODS OR MONEY 0615 BURNT RECORDS 0616 ELECTION CONTEST 0617 DISCOVERY 0618 SEARCH WARRANT 0619 FORFEITURE OF SEIZED PROPERTY 0620 CONTEMPT OF COURT 0621 REG OF FICTITIOUS RECORD 0622 SEX TRANSMISS DISEASE CONTROL 0623 CONTAGIOUS/ INFECTIOUS DISEASE 0624 REGISTRATION OF FOREIGN JUDG 0625 PETN ISSUE FOREIGN SUBPOENA 0626 EASVESDROPPING/CRIMINAL SURVEY 0627 DEMOLITION 0628 EXTRADITION 0630 OTHER (SPECIFY) 0631 SEXUALLY VIOLENT PERSONS ACT 0635 ANNEXATION 0413 0414 0415 0416 0417 0430 SUIT / RESTRAIN COLL / SPEC ASSMT TAX DEED PETITION FOR RECOVERY REGISTRATION OF FOREIGN JUDG SALE IN ERROR OTHER (SPECIFY) Municipal Corporation (MC) 1301 PETN /ORGANIZE MUN CORP 1302 PETN /DISSOLVE MUN CORP 1303 PETN /CREATION OF DRAINAGE 1304 PETN /CHANGE OF GOVERNMENT 1330 OTHER (SPECIFY) Adoption (AD) 0801 ADOPTION 0817 ADOPTION UNBORN CHILD Law Medium (LM) ($10,001 to $50,000) 0201 TORT - $ DAMG - AUTO - PROP 0202 TORT - $ DAMG - AUTO - PROP/PER INJ 0203 TORT - $ DAMG - AUTO - PER INJ 0204 TORT - $ DAMG - AUTO - PER INJ/DEATH 0205 TORT - $ DAMG - AUTO - DEATH 0206 TORT - $ DAMG - OTHER 0207 CONTRACT MONEY DAMAGES 0208 CONFESSION OF JUDGMENT 0210 FORCIBLE ENTRY / DETAINER POSS/$ 0211 DISTRESS FOR RENT 0212 STAT ACT / STATE / RECR SUPPT 0213 ARBITRATION & AWARD 0214 DETINUE 0215 EJECTMENT 0216 REPLEVIN 0217 TROVER 0218 MALPRACTICE - MEDICAL 0219 MALPRACTICE - LEGAL 0220 MALPRACTICE - OTHER 0221 ALIENATION OF AFFECTION 0222 CLASS ACTION SUIT 0223 REGISTRATION OF FOREIGN JUDG 0230 OTHER (SPECIFY) Divorce (D) 0901 DISSOLUTION 0902 INVALIDITY 0903 LEGAL SEPARATION 0906 SIMPLIFIED DISSOLUTION 0907 REGISTRATION OF FOREIGN JUDG 0908 DISSOLUTION ­ CIVIL UNION 0930 OTHER (SPECIFY) Small Claims (SC) (up to $10,000) 0301 CONTRACT - MONEY - DAMAGES 0302 TORT - $ DAMG - AUTO 0303 TORT - $ DAMG - OTHER 0304 TAX COLLECTION 0305 REGISTRATION OF FOREIGN JUDG 0330 OTHER (SPECIFY) Eminent Domain (ED) 0501 CONDEMNATION 0530 OTHER (SPECIFY) Chancery (CH) 0701 INJUNCTION (EXCEPT TX OR D CASES) 0702 RESIDENTIAL REAL ESTATE MORTG FORECLOSURE 0703 MECHANIC LIEN FORECLOSE 0704 FORECLOSURE SEC / INTEREST / PERS-PROP 0705 PARTNERSHIP DISSOLUTION 0706 SPECIFIC PERFORMANCE 0707 PARTITION 0710 CONST / INTER VIVOS TRUST 0711 CONST / TESTAMENTARY TRUST 0712 TRUST ADMINISTRATION 0713 QUIET TITLE 0714 COMPLAINT IN EQUITY 0715 ACCOUNTING 0716 RECEIVERSHIP 0717 RECESSION OF CONTRACT 0718 CREDITOR'S COMPLAINT 0719 UNIFORM GIFT TO MINOR ACT 0720 SETTING ASIDE A DEED 0721 FORECLOSURE ON CONDO ASSMT 0722 INTERPLEADER 0723 REGISTRATION OF FOREIGN JUDG 0724 STRUCTURED SETLMNT (ORIG ACT TO ASSIGN) 0730 OTHER (SPECIFY) 0731 BUSINESS REAL ESTATE MORTG FORECLOSURE Tax (TX) 0401 REC OF DELIN PERS PROP TAXES 0402 RETAILERS OCCUPATION TAX 0403 PETITION FOR TAX REFUND 0404 TAX FORECLOSURE 0405 TAX INJUNCTION 0406 ANNUAL TAX SALE 0407 SCAVENGER TAX SALE 0408 TAX OBJECTION 0409 TAX COMMISSION (REV DEC) 0410 DRAINAGE ASSESSMENT 0411 SPECIAL ASSESSMENT 0412 FORECLOSE LIEN/ SPEC ASSMT Family (F) 0802 PUTATIVE FATHER 0803