STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE TWENTY-FIRST JUDICIAL CIRCUIT KANKAKEE COUNTY (Name all Parties) Plaintiff(s) Case No.________________ VS. Amount claimed $__________________ Plus Cost Defendant(s) $_________________ SUMMONS To each defendant: YOU ARE HEREBY SUMMONED and required to appear before this Court at Kankakee County Courthouse, 450 East Court Street, Kankakee, Illinois at _________A.M., Room ______ on _________________________________, 20_____, to answer the complaint in this case, a copy of which is hereto attached. IF YOU FAIL TO DO SO, A JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE RELIEF ASKED IN THE COMPLAINT. To the officer: This summons must be returned by the officer or other person to whom it was given for service, with endorsement of service and fees, if any, immediately after service, and not less than three (3) days before the day for appearance. If service cannot be made, this summons shall be returned so indorsed. This summons may not be served later than three (3) days before the day for appearance. Witness ______________________________, 20_______ (Seal of court) _______________________________________________ (Clerk of the Circuit Court) By: ___________________________________________ (Deputy Clerk) (Plaintiff's Attorney, or Plaintiff if not represented by an Attorney) Name ______________________________________ Attorney for ________________________________ Address ___________________________________ City ______________________________________ Telephone __________________________________ American LegalNet, Inc. www.FormsWorkFlow.com Service and Return ....................................................... $ _________________ Sheriff's Fees Miles ___________ _________________ Total .................................................................................................................................................... $ _________________ ____________________________________________________ Sheriff of ____________________________ County I certify that I served this summons on defendants as follows: (a) ­(Individual defendants­personal): (The officer or other person making service, shall (a) identify as to sex, race, and approximate age of the defendant with whom he left the summons, and (b) state the place where (whenever possible in terms of an exact street address) and the date and time of the day when the summons was left with the defendant.) __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ (b)--(Individual defendants--abode): By leaving a copy of this summons and a copy of the complaint at the usual place of abode of each individual defendant with a person of his family, of the age of 13 years or upwards, informing that person of the contents of the summons. (The officer or other person making service, shall (a) identify as to sex, race, and approximate age of the person, other than the defendant, with whom he/she left the summons, and (b) state the place where (whenever possible in terms of an exact street address) and the date and time of day when the summons was left with such person.) __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ And also by sending a copy of the summons and of the complaint in a sealed envelope with postage fully prepaid, addressed to each individual defendant at his usual place of abode, as follows: Name of Defendant ___________________________________ ___________________________________ ___________________________________ (c)--(Corporation defendants): By leaving a copy of this summons and a copy of the complaint with the registered agent, officer, or agent of each defendant corporation, as follows: Defendant Corporation ___________________________________ ___________________________________ ___________________________________ Registered Agent, officer, or Agent _________________________________________ _________________________________________ _________________________________________ Date of Service __________________________ __________________________ __________________________ Mailing address _________________________________________ _________________________________________ _________________________________________ Date of mailing __________________________ __________________________ __________________________ (d)--(Other service): _______________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ Sheriff of _________________________________ County American LegalNet, Inc. www.FormsWorkFlow.com