Form 171-140 - Sample Summons Form - Lake County, Illinois Page 2
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2Complete this section only if you want to do service by certified mail. The clerk must send this and there is an additional charge.
AFFIDAVIT FOR SERVICE BY CERTIFIED MAIL
Put your name on this line
Put your name on this line
___________________________________________________________________________________, being first duly sworn on
Name of person you are suing
Name of person you are suing
oath says that the last known mailing address of _________________________________________________ defendant above is
Address of person you are suing
Address of person you are suing
________________________________________________________________________________________________________
Complete this line and the next line if
Complete this line and the next line if
and the last known mailing address of __________________________________________________________ defendant above is
you have additional defendants to be served by certified mail
________________________________________________________________________________________________________
sign here in front of clerk
________________________________________________
Subscribed and sworn before me this _________day of ____________________, AD. 20___________
Clerk will date and sign
________________________________________________
Things to consider:
Defendant is under no obligation to accept certified mail
Defendant is under no obligation to accept certified mail
Defendant must live in state of Illinois
Defendant must live in state of Illinois
Certified mail is sent restricted (only the person being sued can sign)
Certified mail is sent restricted (only the person being sued can sign)
If someone else signs the service is not valid
If someone else signs the service is not valid
No personal checks accepted. No business checks accepted.
You may pay by cash, cashiers check, money order or discover card (with an additional fee)
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