CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT 251 WHEATON, ILLINOIS 60187-0707 CITATION THIRD PARTY RESPONDENTName and Address of Defendant or Third Party RespondentTo: File Stamp Here2211 (Rev. 2/19)CITATION TO DISCOVER ASSETS - (3rd PARTY)vsTHIRD PARTY CITATION TO DISCOVER ASSETSCASE NUMBER CERTIFICATE OF ATTORNEY OR JUDGMENT CREDITORAmount of Judgment:Balance Due:Case Number:Name of Court Entering Judgment:Date of Judgment/Revival:UNITED STATES OF AMERICA STATE OF ILLINOIS COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUITPLAINTIFF Signature DEFENDANT WITNESS: CHRIS KACHIROUBAS, Clerk of the Eighteenth Judicial Circuit Court, and the seal thereof, Wheaton, Illinois Date Clerk of the Eighteenth Judicial Circuit The undersigned, certifies under penalties as provided by law pursuant to 735 ILCS 5/1-109 that the information contained is true and correct. WARNING IF YOU FAIL TO APPEAR IN COURT AS DIRECTED IN THIS NOTICE,YOU MAY BE ARRESTED AND BROUGHT BEFORE THE COURT TO ANSWER A CHARGE OF CONTEMPT OF COURT, WHICH MAY BE PUNISHABLE BY IMPRISONMENT IN THE COUNTY JAIL. YOUR FAILURE TO COMPLY WITH THE CITATION PROCEEDING MAY RESULT IN A JUDGMENT BEING ENTERED AGAINST YOU FOR THE UNSATISFIED AMOUNT OF THE JUDGMENT (735 ILCS 5/2-1402(c)(1))You are prohibited from making or allowing any transfer or other disposition of, or interfering with, any property not exempt from the enforcement of a judgment therefrom, a deduction order or garnishment, belonging to the judgment debtor or to which he or she may be entitled or which may thereafter be acquired by or become due to him or her, and from paying over or otherwise disposing of any moneys not so exempt which are due or to become due to the judgment debtor, until the further order of the court or the termination of the proceeding whichever occurs first. The third party may not be obliged to withhold the payment on any moneys beyond double the amount of the balance due sought to be enforced by the judgment creditor.YOU ARE COMMANDED to produce at the examination (bring with you) all books, papers, or records in your possession or over which you have control, which may contain information concerning the property of Judgment debtor which indicates that you are indebted to or holding any funds for the Judgment debtor, including:YOU ARE COMMANDED to appear before the presiding Judge in Courtroom located at the DuPage County Judicial Center, 505 N. County Farm Rd., Wheaton, Illinois on to be examined under oath concerning the property or income or indebtedness due . A Judgment in favor of and against (Judgment Debtor) was entered on and $ remains unsatisfied. Name: DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone Number: Pro SeEmail: Page 1 of 2CourtroomDateTime American LegalNet, Inc. www.FormsWorkFlow.com CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT 251 WHEATON, ILLINOIS 60187-0707 Less deduction for fees limited by 205 ILCS 5/48.1 B. Checking and / or Now Account Name: Business Name Address: City/State/Zip: Telephone Number: 2211 (Rev. 8/17)Case NumberHearing DateTHIRD PARTY RESPONDENT ANSWER TO CITATION TO DISCOVER ASSETSCITATION TO DISCOVER ASSETS - 3rd PARTY Select one or more of the following and the indicate the amount heldAmount heldAmount heldAmount heldAmount heldAmount held$$$$$$(Attach an additional sheet if necessary)NameLess right of offset for other loansSub-TotalTotalAddress Date Citation Respondent or Agent for Citation RespondentCitation Respondent or Agent for Citation Respondent (must type or print)According to the business records kept by the Citation Respondent, we show the above information to be correct.Note: A copy of this Answer should be sent to the Attorney for the Plaintiff or Judgment Creditor, Defendant, and e-filed with the Circuit Court Clerk at www.i2file.net.Do Not Send the Monies Withheld to the Circuit Court Clerk. , certifies under penalty of perjury that with regard to the 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.Citation Respondent A. Savings Account I. Other Personal Property (describe) G. Wages, Salary or Commissions J. Adverse Claimant H. No Accounts F. Safety Deposit Box E. Trust Account D. Money Market Account C. Certificate of Deposit $ $ $ $ $ Debtor/DefendantPage 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com