In the Circuit Court for the Third Judicial Circuit Madison County, Illinois Plaintiff vs. Case # Defendant's Name & last 4 digits of Social Security Number Employer WAGE DEDUCTION ORDER This cause coming to be heard upon the return of a Wage Deduction Summons served upon the employer and the answer filed by the employer, a Wage Deduction Notice having been served upon the employee and the Court fully advised; IT IS HEREBY ORDERED: 1. That a lien is hereby imposed upon the non-exempt wages of of the Wage Deduction summons in the amount of $ credit for payments to date. , as of the date of the service including court costs, interest to date and 2. That is ordered to deduct 15% of the defendant's non-exempt gross wages after deduction for mandatory pension or retirement plans or where the spouse/child support deduction order, if any, leaves funds up to 15% of the non-exempt gross wages, each pay period to be remitted to Plaintiff's attorney (or Pro Se creditor) at least monthly. No deductions may occur if Defendant's net check is less than 45 times the federal minimum wage. 3. That a Wage Deduction judgment is hereby entered against Employer, in the periodic sum ordered above each pay period in favor of Defendant , for use of the Plaintiff, . 4. That employer turn over to Plaintiff the withheld wages from the date of service of the wage deduction proceedings to the date of this order, pursuant to the calculations set forth herein. 5. A lien obtained hereunder shall have priority over any subsequent lien obtained hereunder, except that liens for the support of a spouse or dependent children shall have priority over all other liens obtained hereunder. Employer is further directed to file an amended Answer with this Court and send a copy to the attorney for Plaintiff, informing the Court as to spouse/child support deductions received after the entry of this order. 6. That this continuing Wage Deduction Order shall remain in effect until the judgment of $ plus 9% simple interest and costs of $ are paid in full, the Defendant ceases to be employed by the employer, the employee files bankruptcy, or this Court enters an order modifying this order. American LegalNet, Inc. www.FormsWorkFlow.com 7. That any other liens or wage deduction proceedings (other than spouse/child support) shall be held and stacked in the order received by the employer and take effect only upon conclusion of the Order. 8. That this Court retains jurisdiction of the parties hereto and subject matter hereof to amend this order upon any change in circumstances. DATE: JUDGE NAME: ATTORNEY FOR: ADDRESS: CITY: American LegalNet, Inc. www.FormsWorkFlow.com