IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS ________________________________________________) Plaintiff, ) v. ) ________________________________________________) Defendant, ) and ) ________________________________________________) Third Party Respondent ) ) NO. CITATION TO DISCOVER ASSETS TO THIRD PARTY TO: ___________________________________________________________________________________________________ (Name and Address of Respondent) YOU ARE REQUIRED to appear and/or file your answer to this Citation on the form appearing on the reverse side hereof (or other appropriate answer) on ___________________, _____ prior to ________ AM/PM in Courtroom C-_____ of the Circuit Court of Lake County, ____________________ County Street, Waukegan, Illinois. A judgment against ________________________________________________(judgment debtor) was entered on _________________________, and $ ____________________________ remains unsatisfied. YOU ARE PROHIBITED from making or allowing any transfer or other disposition of, or interfering with, any property not exempt from execution or garnishment belonging to the judgment debtor or to which the judgment debtor may be entitled or which may be acquired by or become due the judgment debtor until further order of court or termination of the proceedings. You are not required to withhold the payment of any money beyond double the amount of the balance due. If requested, you must produce documents and/or records containing information concerning the property or income of the Judgment Debtor. WARNING: YOUR FAILURE TO APPEAR IN COURT AS HEREIN DIRECTED MAY CAUSE YOU TO BE ARRESTED AND BROUGHT BEFORE THE COURT TO ANSWER TO A CHARGE OF CONTEMPT OF COURT, WHICH MAY BE PUNISHABLE BY IMPRISONMENT IN THE COUNTY JAIL. NOTE: Your written answer is sufficient for your appearance unless you received a further order to personally appear in court. CERTIFICATE OF ATTORNEY OR JUDGMENT CREDITOR Judgment Amount $ _______________________________________________ Balance Due $ __________________________ Date of Judgment/Revival _________________________________________________________________________________ Name of Court Entering Judgment __________________________________________________________________________ Case No. _______________________________________________________________________________________________ The undersigned certifies, under penalties provided by law pursuant to 735 ILCS 5/1-109, that the information contained herein is true and correct. Attorney / Judgment Creditor: _______________________________________ Name ____________________________________ WITNESS: _____________________________ Address __________________________________ _________________________________________ Phone ____________________________________ _______________________________________ Clerk of Court Fax ______________________________________ NOTE: A copy of this Citation and Notice must be mailed to the Defendant within 3 days of service, and a Certificate of Mailing must be signed and filed with the clerk. 171-131 Rev. 10/09 American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS Case No. ______________________________ Hearing Date __________________________ THIRD PARTY RESPONDENT ANSWER TO CITATION PROCEEDINGS ________________________________, certifies under penalty of perjury that with regard to the property of the judgment (Citation Respondent) debtor, the Citation Respondent files the following answers to this Citation to Discover Assets and is in possession of the following property of the judgment debtor. Circle one or more of the following and indicate the amount held: A) Savings Account (Amount withheld) $ __________________________________________________________________ B) Checking and/or Now Account (Amount withheld) $ _______________________________________________________ C) Certificate of Deposit (Amount held) $ __________________________________________________________________ D) Money Market Account (Amount held) $ ________________________________________________________________ E) Trust Account (Amount held) $ ________________________________________________________________________ F) Safety Deposit Box $ ________________________________________________________________________________ G) No Accounts _______________________________________________________________________________________ H) Adverse Claimant: Name __________________________ Address ___________________________________________ I) Wages, Salary or Commissions ________________________________________________________________________ J) Other Personal Property (Describe) _____________________________________________________________________ Attach a sheet for any additional information required by the Citation Sub-Total ________________________ Less right of offset for other loans __________________________ Less deduction for fees limited by 205 ILCS 5/48.1 __________________________ Total ____________________________ According to the business records kept by the Citation Respondent, we show the above information to be correct. _______________________________________ Agent for Citation Respondent Respondent/Agent: _______________________________________ Date Agent Name _______________________________ Business Name _____________________________ Address ___________________________________ __________________________________________ Phone ____________________________________ Fax ______________________________________ NOTE: A copy of this Answer should be mailed to the Court, Attorney for Plaintiff or Judgment Creditor and the Defendant 171-131 Rev. 10/09 American LegalNet, Inc. www.FormsWorkFlow.com