Form 171-140 - Summons Form - Lake County, Illinois Page 2
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2AFFIDAVIT FOR SERVICE BY CERTIFIED MAIL
___________________________________________________________________________________, being first duly sworn on
oath says that the last known mailing address of _________________________________________________ defendant above is
________________________________________________________________________________________________________
and the last known mailing address of __________________________________________________________ defendant above is
________________________________________________________________________________________________________
________________________________________________
Subscribed and sworn before me this _________day of ____________________, AD. 20___________
________________________________________________
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