IN THE CIRCUIT COURT OF THE TWENTY-THIRD JUDICIAL DISTRICT DEKALB COUNTY, ILLINOIS ___________________________________________ Plaintiff - Judgment Creditor, vs. ___________________________________________ Defendant - Judgment Debtor, and ___________________________________________ Third Party Respondent. ) ) ) ) ) ) ) ) ) ) ) ) CASE NO.:______________________________ CITATION TO DISCOVER ASSETS TO THIRD PARTY TO:__________________________________________________________________________________________________________ (Name and Address of Third Party Respondent) YOU ARE REQUIRED to appear and/or file your answer to this Citation on the form appearing on the reverse side hereof (or other appropriate answer) on _________________________, prior to __________ AM/PM at the DeKalb County Circuit Clerk's Office, DeKalb County Courthouse, 133 West State Street, Sycamore, Illinois 60178. A judgment against __________________________________________ (Judgment Debtor) was entered on ______________________, and $____________________ remains unsatisfied. 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 the Judgment Debtor may be entitled or which may be acquired by or become due to the Judgment Debtor and from paying over or otherwise disposing of any money not so exempt, which is due or becomes due to the Judgment Debtor, until further order of court or termination of the proceedings. You are not required to withhold the payment of any money beyond double the amount of the balance due. You may be requested to produce documents and/or records containing information concerning the property or income of the Judgment Debtor. 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 JUDGMENT CREDITOR Judgment Amount $________________________ Balance Due $_________________________ Date of Judgment/Revival: Name of Court Entering Judgment: DeKalb County Circuit Court, 133 West State Street, Sycamore, IL 60178 Case No: The undersigned certifies, under penalties provided by law pursuant to 735 ILCS 5/1-109, that the information contained herein is true and correct. Attorney/Judgment Creditor: Name: Attorney for: Attorney No. Address: City/State/Zip: Telephone No.: Facsimile No.: WITNESS:_________________________________________ Clerk of the Circuit Court NOTE: A copy of this Citation and Notice must be mailed to the Defendant within 3 days of service. (White - Circuit Clerk; Yellow - PL; Pink - DF; Goldenrod - Third Party Respondent) Citation to Discover Assets to Third Party\SC000007.SMA REV.: 11/16/2012 American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE TWENTY-THIRD JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS Case No.______________________________________ Hearing Date __________________________________ THIRD PARTY RESPONDENT ANSWER TO CITATION PROCEEDINGS _____________________________________________, certifies under penalty of perjury that with regard to the property of the judgment (Citation Respondent) 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) B) C) D) E) F) G) H) I) J) Savings Account (Amount withheld) $__________________________________________________________________________ Checking and/or Now Account (Amount withheld) $_______________________________________________________________ Certificate of Deposit (Amount held) $__________________________________________________________________________ Money Market Account (Amount held) $________________________________________________________________________ Trust Account (Amount held) $_______________________________________________________________________________ Safety Deposit Box $_______________________________________________________________________________________ No Accounts _____________________________________________________________________________________________ Adverse Claimant: Name _________________________Address____________________________________________________ Wages, Salary or Commissions _______________________________________________________________________________ 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 information to be correct. ______________________________________________________ Agent for Citation Respondent Respondent/Agent: Agent Name ________________________________ Business Name ______________________________ Address ____________________________________ ___________________________________________ Phone ______________________________________ Fax ________________________________________ Note: A copy of this Answer should be mailed to the Court Attorney for Plaintiff or Judgment Creditor and to the Defendant. (White - Circuit Clerk; Yellow - PL; Pink - DF; Goldenrod - Third Party Respondent) Citation to Discover Assets to Third Party\SC000007.SMA REV.: 11/16/2012 American LegalNet, Inc. www.FormsWorkFlow.com ______________________________________________________ Date