A davit in Support of Petition to Expunge or Seal
(12/01/20
) CCCR 0328
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
IRIS Y. MARTINEZ, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
Page 1 of 1
Atty. No.: ___________________ Pro Se 99500
Atty. Name: __________________________________________
Address: _____________________________________________
City/State/Zip: ________________________________________
Telephone : __________________________________________
Primary Email: _______________________________________
Secondary Email: ______________________________________
Tertiary Email: ________________________________________
STATE OF ILLINOIS
COUNTY OF COOK
ss:
AFFIDAVIT IN SUPPORT OF PETITION TO EXPUNGE OR SEAL
I, _______________________________________________, if sworn to as a witness, can testify competently.
I was arrested on or about _______________________________ by the ________________________________
Police Department on the charge(s) of ____________________________________________________________
I appeared in court on this cause and the disposition was ______________________________________________
My Date of Birth: ________________________, Sex: ________ , Race: ______________________________ .
I have been informed by the O ce of the Clerk of the Circuit Court of Cook County that the court half sheet
and case le are unavailable.
___________________________________
(Signature of Petitioner)
VERIFICATION
Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned
certi es that the statements set forth 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 certi es as aforesaid that s/he verily believes
the same to be true.
___________________________________
(Signature of Petitioner)
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