3303 3390 3372 3397 (This form replaces CCDR 0109, CCL 0122, and CCM1 0139) Notice of Motion Wage Deduction Exemption Hearing (Rev. 10/24/05) CCG 0653 A IN THE CIRCUIT COURT, COOK COUNTY ILLINOIS _________________ DEPARTMENT/___________ DISTRICT ___________________________________________________ ADDRESS CITY NOTICE OF MOTION WAGE DEDUCTION EXEMPTION HEARING ___________________________________________________ Judgment Creditor v. ___________________________________________________ Judgment Debtor To: JUDGMENT CREDITOR / ATTORNEY } No. ________________________________ EMPLOYER / ATTORNEY Name __________________________________________ Name ___________________________________________ Address ________________________________________ Address _________________________________________ City/State/Zip ___________________________________ City/State/Zip _____________________________________ Atty. No. _______________________________________ Atty. No. _________________________________________ On ____________________, _________ at _________ m, or as soon thereafter as counsel may be heard, I shall appear before the Honorable______________________________ or any judge sitting in his/her stead, in the courtroom usually occupied by him/her in Room __________, ______________________________________________________, Illinois (location) and present a Motion to Claim Exemption under Wage Deduction Proceedings. Name ________________________________________ _ Address ______________________________________ Attorney for ______________________________________ Attorney No. ______________________________________ City/State/Zip _________________________________ Telephone ____________________________________ PROOF OF SERVICE BY DELIVERY / MAIL I, _____________________________________________ (the attorney, certify) (a non-attorney, on oath state), on _____________________________, __________, I served this notice by delivering a copy personally to the person to whom it was directed on ______________________________, __________ at _________________ m. I, _____________________________________________ (the attorney, certify) (a non-attorney, on oath state), I served this notice by mailing a copy to _______________________________________________________________ at ___________________________________________________________________________________________ (address which appears on envelope) and deposited the same in the U. S. Mail at ______________________________________________________________ (place of mailing) at ____________ m., on ______________________________, __________ with proper postage prepaid. _________________________________________ (If not the attorney) Signed and sworn to before me _____________________________________________ _________________________________ Notary Public (OVER) DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 10/24/05) CCG 0653 B IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS _________________ DIVISION/__________ DISTRICT ____________________________________________________ Judgment Creditor v. ____________________________________________________ Judgment Debtor } No. ________________________________ MOTION TO CLAIM EXEMPTION UNDER WAGE DEDUCTION PROCEEDINGS NOW COMES the Judgment Debtor ____________________________________________________________, and moves this Court to find his/her wages to be exempt for reasons as follows: 1. The amount of wages that are being deducted: ( ) is greater than ( i ) 15% of my gross weekly wages or ( ii ) the amount by which disposable earnings for a week exceed the total of 45 times the greater of the state or federal minimum hourly wage. ( ) is greater than ( i ) 25% of disposable earnings for a week or ( ii ) the amount by which disposable earnings for a week exceed 30 times the federal minimum hourly wage. ( ) include pension and retirement benefits and funds. 2. This claim is made based on the following facts: ________________________________________________________________________________ ________________________________________________________________________________ _______________________________________________________________________________. WHEREFORE, Debtor prays that his/her wages be declared to be exempt. ________________________________________ Defendant Atty. No: ___________________ Name: ______________________________________________ Address: _____________________________________________ City/State/Zip: ________________________________________ Telephone: ___________________________________________ 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