Print Form 2805 Clear Form (Rev. 4/21/09) CCL 0024 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS ______________________________________________ Plaintiff(s) No. ___________________________ v. ______________________________________________ Defendant(s) and ______________________________________________ Garnishee AFFIDAVIT FOR GARNISHMENT, (NON-WAGE) _________________________________________________________________________________, on oath states: 1. Judgment was entered on _______________________________, ________ for judgment creditor _____________________________________ and against judgment debtor ___________________________________ for $ _________________________________ and costs. 2. $ _____________________________ has been paid on the judgment. 3. There is unpaid on the judgment: $ _________________ principal $ _________________ costs $ _________________ interest 0.00 $ _________________ TOTAL 4. I believe garnishee ___________________________________________________________ is indebted to the judgment debtor, other than for wages, or has his/her possession, custody or control other property belonging or in which he/she has an interest. 5. The last known address of the judgment debtor is _________________________________________________ I request that summons issue directed to garnishee. _____________________________________________ Signed and sworn to before me _____________________________________________________________, _________ Atty. No.:__________________ Name: ________________________________________________ _________________________________ Notary public Atty. for: ____________________________________________ Address: ____________________________________________ City/State/Zip: ________________________________________ Telephone: __________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (OVER) Affidavit for Garnishment (Non-Wage) (Rev. 4/21/09) CCL 0024 B INTERROGATORIES TO GARNISHEE 1. When you were served with summons did you have in your possession, custody or control any property, other than cash monies, time or demand deposits, belonging to the judgment debtor or in which he/she had an interest? Answer ‰ yes ‰ no 2. If your answer to number 1 above is yes, describe the property: ____________________________________________________________________________________ 3. When you were served with the summons were you otherwise indebted to him/her by cash monies, time or demand deposits, no matter when payable, except for wages? Answer ‰ yes ‰ no 4. If your answer to number 3 above is yes, state: Description: _________________________________________________________________________________ Gross amount when served: $ _______________ Date due: _______________________, ________ Deduction by reason of offset, service or other charge: $ _______________ Net amount subject to garnishment proceeding: $ _______________ AFFIDAVIT __________________________________________________ on oath states that the answers to the interrogatories are true. _____________________________________________ Signed and sworn to before me on the _____________ day of ___________________________________, _________ _________________________________ Notary public DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS