Ill. Pattern Jury Instr. (Civil) 150.19

Intoxicated Person Under 21--Person P aying f or Hotel or Motel or Facility

[In this lawsuit] [In Count ,] plaintiff [(name)] claims [(name)] is entitled to recover

damages from the defendant. The plaintiff must prove:

First, [(name of intoxicated person under 21 years of age)] was intoxicated at the time of

the [(e.g., collision)].

Second, the defendant, [(person allegedly paying for room or facility)], paid for a hotel or

motel room or facility.

Third, the defendant [(person all egedly paying for room or facility)], was at least 21

years of age when he paid for the hotel or motel room or facility.

Fourth, the defendant [(person allegedly paying for room or facility)], knew that the hotel

or motel room or facility was to be used by a person under 21 yea rs of age for the unlawful

consumption of alcoholic liquors.

Fifth, the liquor thus consumed caused the intoxication of [(name of intoxicated person

under 21 years of age)].

Sixth, [(intoxicated person under 21 years of age)]'s intoxication was at least one cause of

the occurrence in question.

Seventh, as a result of the occurrence, plaintiff suffered [injury] [damage to his property].