This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
STATE OF ILLINOIS,
CIRCUIT COURT
COUNTY
ANSWER
TO COMPLAINT FOR
FORFEITURE
(NOT INVOLVING DRUGS OR MONEY
LAUNDERING)
For Court Use Only
Instructions
State of Illinois
Enter above, the
county name where
the case was filed.
Describe the property
taken.
v.
Description of property taken
Claimant (First, middle, last name)
Case Number
Enter your name as
Claimant.
Enter the Case
Number given by the
Circuit Clerk.
In 1, enter your full
name.
In 2, enter the number
and letter of each
paragraph and
subparagraph in the
Complaint.
•
Check “Admit” if you
agree all of the
statements in the
paragraph are true; or
•
Check “Deny” if you
disagree with any of
the statements in the
paragraph; or
•
Check “Do Not
Know” if you do not
know if all of the
statements in the
paragraph are true or
false. This means you
do not have enough
information to
truthfully admit or
deny the statements.
1.
I am the claimant. My name is:
2.
My Answer to Complaint for Forfeiture is:
Paragraph Subparagraph
Number Letter
(if applicable)
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
Admit
Deny
Do Not Know
AFA-A 4102.1
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I
Enter the Case Number given by the Circuit Clerk: _________________________________
735 ILCS 5/2-605(a)
requires that if the
Complaint is verified
by oath that the
Answer to
Complaint/Petition
must also be verified.
If the Complaint is verified by oath, then I certify that my answers above are true and
correct. I understand that making a false statement on this form is perjury and has
penalties provided by law under 735 ILCS 5/1-109.
Where I answer “Do Not Know” to paragraphs in section 2, above, I certify that I do not
735 ILCS 5/2-610(b)
requires that you
swear to a lack of
have enough information to admit or deny the statements in these paragraphs. I
knowledge if you
understand that making a false statement on this form is perjury and has penalties
cannot admit or deny
provided by law under 735 ILCS 5/1-109.
any of the statements
in the Complaint.
/s/
If you are completing
this form on a
Your Signature
Street Address
computer, sign your
name by typing it. If
you are completing it
by hand, sign and
Print Your Name
City, State, ZIP
print your name.
Telephone
Email
Enter your complete
address, telephone
number, and email
address, if you have
one.
GETTING COURT DOCUMENTS BY EMAIL: You should use an email account that you do not share with anyone else and that you check
every day. If you do not check your email every day, you may miss important information, notice of court dates, or documents from other parties.
Proof of Delivery
1.
I am sending the Answer to Complaint for Forfeiture (Not Involving Drugs or Money
Laundering)
2.
At or before 5:00 P.M. on:
Date
3.
To:
County State's Attorney:
County Name
Address:
Street Address
City
State
ZIP
Email:
By:
The court's electronic filing manager (EFM) or an approved electronic filing
service provider (EFSP)
Email (not through an EFM or EFSP)
Only use one of the methods below if you do not have an email address, or the
person you are sending the document to does not have an email address.
Personal hand delivery to:
The party
The party’s family member who is 13 or older, at the party’s residence
The party’s lawyer
The party’s lawyer’s office
Mail or third-party carrier
In 2, enter the date you
send this form to the
other parties. You must
send this form by 5:00
p.m. on the same day it
was filed with the
Circuit Clerk.
In 3, enter the State's
Attorney Office where
you are sending a copy
of this form.
Check the box to show
how you are sending
the document.
CAUTION: If you and
the person you are
sending the document
to have an email
address, you must use
one of the first two
options. Otherwise,
you may use one of the
other options.
AFA-A 4102.1
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Enter the Case Number given by the Circuit Clerk: _________________________________
4.
To the lien holder of the vehicle:
Name:
First
Middle
Last
Address:
In 4, enter the lien
holder’s information
where you are sending
a copy of this form. A
lien holder is the
person/company to
whom you are making
your car loan
payments. If there is
none, leave blank.
Check the box to show
how you are sending
the document.
CAUTION: If you and
the person you are
sending the document
to have an email
address, you must use
one of the first two
options. Otherwise,
you may use one of the
other options.
In 5, send copies of the
document to anyone
else with an interest in
any of the property
taken. For example, a
co-owner. If there is
none, leave blank.
Check the box to show
how you are sending
the document.
CAUTION: If you and
the person you are
sending the document
to have an email
address, you must use
one of the first two
options. Otherwise,
you may use one of the
other options.
If you are sending your
document to more than
3 parties or lawyers,
check the box and file
the Additional Proof of
Delivery with this
form.
Under the Code of
Civil Procedure, 735
ILCS 5/1-109, making
a statement on this
form that you know to
be false is perjury, a
Class 3 Felony.
If you are completing
this form on a
computer, sign your
name by typing it. If
you are completing it
by hand, sign and print
your name.
Street Address
City
State
ZIP
Email:
By:
The court's electronic filing manager (EFM) or an approved electronic filing
service provider (EFSP)
Email (not through an EFM or EFSP)
Only use one of the methods below if you do not have an email address, or the
person you are sending the document to does not have an email address.
Personal hand delivery to:
The party
The party’s family member who is 13 or older, at the party’s residence
The party’s lawyer
The party’s lawyer’s office
Mail or third-party carrier
5.
To other people with an interest in the property:
Name:
First
Middle
Last
Address:
Street Address
City
State
ZIP
Email:
By:
The court's electronic filing manager (EFM) or an approved electronic filing
service provider (EFSP)
Email (not through an EFM or EFSP)
Only use one of the methods below if you do not have an email address, or the
person you are sending the document to does not have an email address.
Personal hand delivery to:
The party
The party’s family member who is 13 or older, at the party’s residence
The party’s lawyer
The party’s lawyer’s office
Mail or third-party commercial carrier
I have attached 1 or more Additional Proof of Delivery (Civil Asset Forfeiture) forms
I certify that everything in the Proof of Delivery is true and correct. I understand that making
a false statement on this form is perjury and has penalties provided by law under
735 ILCS 5/1-109.
/s/
Your Signature
Street Address
Print Your Name
City, State, ZIP
Telephone
Email
AFA-A 4102.1
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