ARBITRATION CASE - SUMMONS (within state only) 2297 C (Rev. 12/08) UNITED STATES OF AMERICA STATE OF ILLINOIS COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT PLAINTIFF Address City, State, Zip CASE NUMBER vs COPY DEFENDANT Address ARBITRATION CASE SUMMONS City, State, Zip ORIGINAL DUPLICATE ORIGINAL File Stamp Here ALIAS To each defendant: You are hereby Summoned and Required to appear before this Court at the DuPage County Judicial Center, 505 North County Farm Road, Wheaton, Illinois in Courtroom at complaint of the plaintiff(s), a copy of which is hereto attached. on to answer the If you fail to do so, a judgment by default may be taken against you for the relief asked in the complaint. To the Officer This summons must be returned by the officer or other person to whom it was given for service, with endorsement of service and fees, if any, immediately after service and not less than three (3) days before the date of appearance. If service cannot be made, this summons shall be returned so endorsed. This summons may not be served later than thirty (30) days after its date. DATE OF SERVICE TO BE INSERTED BY OFFICER ON COPY LEFT WITH DEFENDANT OR OTHER PERSON Name: DuPage Attorney Number: Attorney for: Address: WITNESS: CHRIS KACHIROUBAS, Clerk of the Eighteenth Judicial Circuit Court, and the seal thereof, Wheaton, Illinois Date City/State/Zip: Telephone Number: Clerk of the Eighteenth Judicial Circuit NOTICE TO PLAINTIFF or PLAINTIFF'S ATTORNEY: When preparing the above summons, you will insert a return day not less than 21 nor more than 40 days after the date of issuance; said return day for the date of issuance. A disclosure statement pursuant to Supreme Court Rule 222 must be attached to the complaint. NOTICE TO PARTIES Parties are required to appear on the return date. If you fail to appear on the return date shown above, your case may be dismissed for want of prosecution. CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60187-0707 American LegalNet, Inc. www.FormsWorkflow.com 2297 (Rev. 12/08) SUMMONS AFFIDAVIT , being first duly sworn upon oath says that the last known mailing address of defendant, is and the last known address of defendant, is Signed and Sworn before me Date Notary Public or Circuit Clerk Signature of Plaintiff or Attorney for Plaintiff SHERIFF'S RETURN I certify that I served this document on defendant(s) as follows: (a) Individual defendants - personal: By leaving a copy and a copy of the complaint with each individual defendant personally (b) Individual defendants - abode: By leaving a copy and a copy of the complaint at the usual place of abode of each individual defendant with a person of his/her family, of the age of 13 years or upwards, informing the person of the contents and also by sending a copy of the summons in a sealed envelope with postage fully prepaid, addressed to each individual defendant at his usual place of abode. (c) Corporation defendants: By leaving a copy and a copy of the complaint with the registered agent, officer or agent of each defendant corporation. (d) Other services: (e) Unable to serve: By Badge No. Name of Defendant Name of Defendant Name of Person summons given to Name of Person summons given to Sex Race Approx. age Sex Race Place of service Place of service City , State Approx. age City , State Date of service Time Date of Mailing Date of service Time Date of Mailing Sheriff of Special Process Server of County Illinois License # By CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60187-0707 American LegalNet, Inc. www.FormsWorkflow.com