Form Ar-A 1403.2 - Answer / Response To Complaint / Petition Page 6
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6Enter the Case Number given by the Circuit Clerk: _________________________________
Name:
First
Middle
Last
Address:
Street, Apt #
City
State
ZIP
Email:
By:
Hand Delivery
Regular, First-Class Mail, deposited into the U.S. Mail with postage paid
Email
Name:
First
Middle
Last
Address:
Street, Apt #
City
State
ZIP
Email:
By:
Hand Delivery
Regular, First-Class Mail, deposited into the U.S. Mail with postage paid
Email
Under the Code of
I certify that everything in the Proof of Delivery is true and correct. I understand that
Civil Procedure,
735
ILCS
5/1-109, making
making a false statement on this form is perjury and has penalties provided by law under
a statement on this
form that you know to
735 ILCS
5/1-109.
be false is perjury, a
Class 3 Felony.
After you finish this
form, sign and print
your name.
Your Signature
Your Name
AR-A 1403.2
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Parent category: Legal