IN THE CIRCUIT COURT OF TWENTY-SECOND JUDICIAL CIRCUIT McHENRY COUNTY, ILLINOIS ________________________________________________ Case Number ___________________________ Plaintiff vs. ________________________________________________ Defendant Hearing Date ___________________________ THIRD PARTY RESPONDENT ANSWER TO CITATION PROCEEDINGS ___________________________________________, certifies under penalty of perjury that with regard to the property of the (Citation Respondent) judgment debtor, the Citation Respondent files the following answer 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) J) Wages, Salary or Commissions ______________________________________________________________________________ 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 __________________________________________________ Date Respondent/Agent: Agent Name __________________________________ Business Name ________________________________ Address ______________________________________ City, State, Zip ________________________________ Fax _________________________________________ Note: A copy of this Answer should be mailed to the McHenry County Clerk of the Court, 2200 N. Seminary Avenue, Woodstock, Illinois 60098, and the Attorney for Plaintiff or Judgment Creditor, and to the Defendant. CV-CIT3: Revised 12/01/06 American LegalNet, Inc. www.FormsWorkflow.com