STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17th JUDICIAL CIRCUIT BOONE COUNTY, ILLINOIS Plaintiff(s) vs. Case No. Amount Claimed Defendant(s) Plus Court Costs SMALL CLAIM SUMMONS To each Defendant: Address: YOU ARE HEREBY SUMMONED AND REQUIRED TO APPEAR IN PERSON on at in courtroom of the Boone County Courthouse, 601 N. Main St., Belvidere, IL, 61008. IF YOU FAIL TO DO SO, A JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE RELIEF ASKED IN THE COMPLAINT. NOTICE TO THE DEFENDANT: This case will not be heard on the day for appearance specified above. On the day for appearance specified above, the following will occur: A. If you have not obeyed this Summons, a judgment may be entered against you for the relief requested in the complaint B . Even if you have entered your appearance or filed an Answer, you need to appear on the date set forth above. Your case will be set at that time for trial on a future date designated by the Court. You must be present on the trial date and be prepared with any witnesses and/or evidence you want to present. E-filing is now mandatory for documents in civil cases with limited exemptions. To e-file, you must first create an account with an e-filing service provider. Visit http://efile.illinoiscourts.gov/service-providers.htm to learn more and to select a service provider. If you need additional help or have trouble e-filing, visit http://www.illinoiscourts.gov/FAQ/gethelp.asp , or talk with your local circuit clerk222s office. 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. This summons may not be served later than three (3) days before the day for appearance. If service cannot be made, this summons shall be returned so endorsed. This summons may not be served later than 30 days after its issuance. WITNESS Clerk of the Circuit Court Court Seal By: Deputy Clerk (Plaintiff222s attorney or plaintiff if not represented by an attorney) Name Prepared by Attorney for Attorney Registration No. Address ARDC No. City, State, Zip Email Address Telephone Date of Service (To be inserted by office on copy left with the employer or other persons) If you have a disability that requires an accommodation to participate in court, please contact the Court Disability Coordinator at 815-319-4806 File Stamp Summons - Small Claims 7/19/18 American LegalNet, Inc. www.FormsWorkFlow.com SHERIFF222S FEES Service and return $ Miles $ Total Sheriff222s Fees $ Sheriff of County I certify that I served this summons on defendants as follows: (a) - INDIVIDUAL DEFENDANTS - PERSONAL: 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 the 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 and 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 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 pre-paid, addressed to each individual defendant at his usual place of abode, as follows: Name of Defendant Mailing Address Date of Mailing (c) - CORPORATION DEFENDANTS: By leaving a copy 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 (d) - OTHER SERVICE , Sheriff of County By: (Deputy) American LegalNet, Inc. www.FormsWorkFlow.com