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Rev: 10/07/13 IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT McLEAN COUNTY, ILLINOIS CIVIL STATISTICAL COVER SHEET CASE NUMBER: PLAINTIFF’S ATTORNEY: Plaintiff (and address) vs. DEFENDANT’S ATTORNEY: AMOUNT OF CLAIM: Defendant (and address) ARBITRATION (AR) ($5,001 – 50,000) (money damages ONLY) 1. ( ) Collections 2. ( ) Contracts 3. ( ) Personal Injury 4. ( ) Property Damage 5. ( ) Subrogation 6. ( ) Tort - Liability 7. ( ) Other (Specify): CHANCERY (CH) 1. ( ) Construction of Inter Vivos Trust 2. ( ) Construction of Testamentary Trust 3. ( ) Construction of Will 4. ( ) Foreclosure of Security Interest in Personal Property 5. ( ) Injunction (except in Tax or Divorce cases) 6. ( ) Interpleader 7. ( ) Mechanic’s Lien Foreclosure 8. ( ) Partition 9. ( ) Partnership Dissolution 10. ( ) Quiet Title 11. ( ) Real Estate Mortgage Foreclosure 12. ( ) Specific Performance 13. ( ) Trust Administration 14. ( ) Will Contest 15. ( ) Other (Specify): LAW over $50,000) (LM: $5,001 – 50,000) L LM 1. ( ) ( ) Confession of Judgment 2. ( ) ( ) Contract – Money Damages 3. ( ) ( ) Detinue 4. ( ) ( ) Distress for Rent 5. ( ) ( ) Ejectment 6. ( ) ( ) Forcible Entry and Detainer 7. ( ) ( ) Replevin 8. ( ) ( ) Statutory action by a state or political subdivision to recover support or contribution 9. ( ) ( ) Tort – Money Damages 10. ( ) ( ) Trover 11. ( ) ( ) Other (Specify): MENTAL HEALTH (MH) ) Petition for Discharge ) Petition for Hospitalization ) Petition for Restoration ) Other (Specify): MISCELLANEOUS REMEDY (MR) ) Attachment, Original action for ) Burnt Records ) Certiorari ) Change of Name ) Corporation Dissolution 6. ( ) Declaratory Judgment 7. ( ) Demolition (65 ILCS 5/11-31-1) 8. ( ) Eavesdropping Device Petition 9. ( ) Election Contest 10. ( ) Escheat 11. ( ) Extradition (725 ILCS 225-1) 12. ( ) Habeas Corpus (Civil or Criminal) 13. ( ) Mandamus 14. ( ) Ne Exeat, Original action for 15. ( ) Prohibition 16. ( ) Quo Warranto 17. ( ) Rendition (725 ILCS 235/1) 18. ( ) Review of Administrative Proceedings (Other than Tax Commissions) 19. ( ) Revival of Judgment 20. ( ) Search Warrant (Complaint not related to pending case) 21.( ) Other (Specify): MUNICIPAL CORPORATION (MC) ) Petition to Dissolve Municipal Corp ) Petition to Organize Municipal Corp ) Other routine matters relating to Municipal Corporations not reported in another category ) Other (Specify): PROBATE 1. ( ) Conservatorship of Person and/or Estate 2. ( ) Estates 3. ( ) Guardianship of Person and/or Estate 4. ( ) Inheritance Tax only – w/o Administration 5. ( ) Other (Specify): SMALL CLAIMS (SC) (not to exceed $5000) 1. ( ) Contract – Money Damages 2. ( ) Tort – Money Damages 3. ( ) Other (Specify): TAX (TX) 1. ( ) Annual Tax Sale 2. ( ) Drainage Assessment 3. ( ) Foreclosure of Lien for Special Assessment 4. ( ) Retailer’s Occupation Tax 5. ( ) Scavenger Tax Sale 6. ( ) Special Assessment ) Suit to restrain collection of Special Assessment or to change Special Assessment 8. ( ) Tax Commission, Review of Decision 9. ( ) Tax Foreclosure 10. ( ) Tax Injunction 11. ( ) Tax Refund, Petition for 12. ( ) Other (Specify): EMINENT DOMAIN (ED) 1. ( ) Specify: JURY DEMAND: SIX TWELVE NO JURY DEMAND