(Rev. 10/26/01) CCG 0644 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS _______________________________________________________ Plaintiff v. No. ___________________________ _______________________________________________________ Defendant Citation Third Party Respondent CITATION TO DISCOVER ASSETS TO THIRD PARTY To: _____________________________________________ YOU ARE REQUIRED to appear and file your answer to this Citation on the form appearing on the reverse side hereof on ___________________________, ________ prior to ____________ a.m. in Courtroom ________________ of the ___________________________________________________________________________________________________________ (court and address) Judgment was entered _________________________, ________ for ________________________________________ (date) and against ___________________________________________ in the sum of $ ______________________________ There is now due less credits and set off the sum of $ _____________________________________. Your answer will inform the Court as to property you may hold belonging to: _______________________________________. (Judgment debtor) YOU ARE REQUIRED to do the following upon receiving this Citation until further Order of Court in accordance with Supreme Court Rule 277 (f), or until this Citation is dismissed by the Court or by Stipulation: 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 he/she may be entitled or which may be acquired by or become due to him/her, until further order of court or terminaton of the proceeding. You are not required to withhold the payment of any money beyond double the amount of the judgment. WARNING: YOUR FAILURE TO COMPLY WITH THE CITATION PROCEEDING MAY RESULT IN A JUDGMENT BEING ENTERED AGAINST YOU FOR THE UNSATISFIED AMOUNT OF THIS JUDGMENT. 735 ILCS 5/2-1402(d)(1) 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. CERTIFICATE OF ATTORNEY OR NON-ATTORNEY Note: This citation must be accompanied at the time of service by either a copy of the underlying judgment or a certification by either the clerk that entered the judgment or the attorney for the judgment creditor setting forth: 1. Judgment in the amount $ _______________________________________________ 2. Name of the court _____________________________________________________ 3. Case # ______________________________________________________________ I, the undersigned certify under penalties as provided by law pursuant to 735 ILCS 5/1-109 to the Court that the following information is true. Atty. No.: __________________ Name: ____________________________________________ Atty. for: __________________________________________ Address: __________________________________________ _______________________________________________ Signature of Attorney Telephone: ________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (OVER) (Rev. 10/26/01) CCG 0644 B ANSWER ____________________________________________________, certify under penalty of perjury that with regard to the Citation Respondent property of the 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) 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 accounts to be correct. ______________________________________________ Agent for Citation Respondent ____________________________________________ on oath state. I am over 21 years of age and not a party to this case. I served the citation to discover assets as follows : on _______________________ by leaving a copy with the third party defendant on _____________________, ________ at the hour of ___________. m. at ________________ Street, __________________________________ County, Illinois On the third party defendant __________________________ by mailing a copy on ______________________, ________ by certified mail addressed to agent of the third party defendant, return receipt requested. (attached green card receipt of service here) ______________________________________________ **Signed and sworn by party making service ____________________________________, ________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form