CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT 251 WHEATON, ILLINOIS 60187-0707 2297 (Rev. 2/19)ARBITRATION CASE - SUMMONS (within state only) File Stamp HerevsARBITRATION CASE SUMMONS PLAINTIFFDEFENDANT CASE NUMBER UNITED STATES OF AMERICA STATE OF ILLINOIS COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUITNOTICE 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. 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 on to answer the Date Time Courtroom complaint of the plaintiff(s), a copy of which is hereto attached. 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. AddressCity, State, ZipCity, State, ZipAddress WITNESS: CHRIS KACHIROUBAS, Clerk of the Eighteenth Judicial Circuit Court, and the seal thereof, Wheaton, Illinois Date Clerk of the Eighteenth Judicial Circuit DATE OF SERVICE TO BE INSERTED BY OFFICER ON COPY LEFT WITH DEFENDANT OR OTHER PERSON DUPLICATE ORIGINAL ORIGINAL ALIAS Name: DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone Number: Pro SeEmail: E-filing is now mandatory for documents in civil cases with limited exemptions. To e-file, you must first create an account with an e-filing service provider. Visit http://efile.illinoiscourts.gov/service-providers.htm to learn more and to select a service provider. If you need additional help or have trouble e-filing, visit http://www.illinoiscourts.gov/FAQ/gethelp.asp or talk to your circuit clerk's office. American LegalNet, Inc. www.FormsWorkFlow.com CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT 251 WHEATON, ILLINOIS 60187-0707 2297 (Rev. 2/19)ARBITRATION CASE - SUMMONS (within state only) SHERIFF'S RETURNI 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 DefendantName of Person summons given toSex Race Approximate agePlace of serviceDate of service TimeDate of Mailing Name of Defendant Name of Person summons given to Sex Race Approximate age Place of service Date of service Time Date of Mailing Sheriff of CountyBy 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 Signature of Plaintiff or Attorney for PlaintiffSigned and Sworn before me Notary Public or Circuit ClerkDateCity , StateCity , State Special Process Server of Illinois License # American LegalNet, Inc. www.FormsWorkFlow.com