Form EX-3 "Affidavit of Compliance for Service of Process on Non-resident" - Illinois

What Is Form EX-3?

This is a legal form that was released by the Illinois Secretary of State - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

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Download a printable version of Form EX-3 by clicking the link below or browse more documents and templates provided by the Illinois Secretary of State.

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Download Form EX-3 "Affidavit of Compliance for Service of Process on Non-resident" - Illinois

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Affidavit of Compliance for Service of Process on Non-resident
To effect service: please serve the Office of the Secretary of State with 2 copies of the summons, 1 copy of
the complaint, and a fully executed Affidavit of Compliance. Fee: $5.
Pursuant to Section 10-301 of the Illinois Vehicle Code (Chapter 625, Section 5/10-301, Illinois Compiled Statutes,
Service of Process on Non-resident), the undersigned states that:
1. I am (plaintiff/attorney for plaintiff) in the following named case:
_______________________________ vs. _____________________________ No. ____________________
First Named Plaintiff
Defendant to be Served
2. This cause of action arises from the use and operation, by the defendant to be served or his duly authorized
agent or employee, of a vehicle over or upon the highways of the State of Illinois, which resulted in damage
or loss to the person or property of (the undersigned/client of the undersigned). (Strike inapplicable term.)
3. The defendant to be served through the Secretary of State falls under one of the following: (check appropri-
ate box)
a) [
] At the time of the accident the defendant was and remains a non-resident of this state, or
b) [
] Was a resident of this state at the time the cause of action arose but has subsequently become a
non-resident of this state, or
c) [
] At the time the cause of action arose, the vehicle was owned by a non-resident and was being oper-
ated over and upon the highways of this state with the owner’s express or implied permission.
4. The undersigned makes this affidavit for the purpose of inducing the Secretary of State to accept service of
process on behalf of the named defendant herein according to the provisions of Section 10-301 of the Illinois
Vehicle Code. These provisions are applicable to the instant proceeding. The undersigned has complied with
and will continue to comply with all of the requirements of said Section. Further, these provisions require notice
of such service and a copy of the process to be sent by registered mail within 10 days by the plaintiff to the
defendant at his/her last known address, with the plaintiff’s Affidavit of Compliance appended to the summons.
5. The undersigned is aware that any person instituting any action, suit or proceeding who uses Section 10-
301 of the Illinois Vehicle Code to effect service of process, shall be liable for attorney’s fees and costs of
the defendant if the court finds that the person instituting the action knew or should have known that
this section is not applicable for effecting service in such action.
The undersigned affirms, under penalties of perjury, that the facts stated herein are true.
________________________________________________ ____________________
Signature of Affiant
Date
Subscribed before me this _____ day of _____________, 200___.
_____________________________________________________
Notary Public
Printed by authority of the State of Illinois. December 2004 – 1 – EX-3
Affidavit of Compliance for Service of Process on Non-resident
To effect service: please serve the Office of the Secretary of State with 2 copies of the summons, 1 copy of
the complaint, and a fully executed Affidavit of Compliance. Fee: $5.
Pursuant to Section 10-301 of the Illinois Vehicle Code (Chapter 625, Section 5/10-301, Illinois Compiled Statutes,
Service of Process on Non-resident), the undersigned states that:
1. I am (plaintiff/attorney for plaintiff) in the following named case:
_______________________________ vs. _____________________________ No. ____________________
First Named Plaintiff
Defendant to be Served
2. This cause of action arises from the use and operation, by the defendant to be served or his duly authorized
agent or employee, of a vehicle over or upon the highways of the State of Illinois, which resulted in damage
or loss to the person or property of (the undersigned/client of the undersigned). (Strike inapplicable term.)
3. The defendant to be served through the Secretary of State falls under one of the following: (check appropri-
ate box)
a) [
] At the time of the accident the defendant was and remains a non-resident of this state, or
b) [
] Was a resident of this state at the time the cause of action arose but has subsequently become a
non-resident of this state, or
c) [
] At the time the cause of action arose, the vehicle was owned by a non-resident and was being oper-
ated over and upon the highways of this state with the owner’s express or implied permission.
4. The undersigned makes this affidavit for the purpose of inducing the Secretary of State to accept service of
process on behalf of the named defendant herein according to the provisions of Section 10-301 of the Illinois
Vehicle Code. These provisions are applicable to the instant proceeding. The undersigned has complied with
and will continue to comply with all of the requirements of said Section. Further, these provisions require notice
of such service and a copy of the process to be sent by registered mail within 10 days by the plaintiff to the
defendant at his/her last known address, with the plaintiff’s Affidavit of Compliance appended to the summons.
5. The undersigned is aware that any person instituting any action, suit or proceeding who uses Section 10-
301 of the Illinois Vehicle Code to effect service of process, shall be liable for attorney’s fees and costs of
the defendant if the court finds that the person instituting the action knew or should have known that
this section is not applicable for effecting service in such action.
The undersigned affirms, under penalties of perjury, that the facts stated herein are true.
________________________________________________ ____________________
Signature of Affiant
Date
Subscribed before me this _____ day of _____________, 200___.
_____________________________________________________
Notary Public
Printed by authority of the State of Illinois. December 2004 – 1 – EX-3