Print Form Certificate of Mailing Citation Clear Form (Rev. 7/18/03) CCG 0643 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS DEPARTMENT, DISTRICT CERTIFICATE OF MAILING CITATION Judgment Creditor No. v. Judgment Debtor Citation Respondent I hereby certify that, within 3 business days of service of the citation and citation notice upon a person or party other than the judgment debtor, I served upon the judgment debtor, or the attorney for the judgment debtor, either a copy of the underlying judgment or a certification by the clerk of the court that entered the judgment setting forth the amount of the judgment, the name of that court, the number of the case, copy of the citation served upon the third person or party, and copy of the citation notice. Date: , Signature Printed Name DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS American LegalNet, Inc. www.USCourtForms.com