SUMMONS - CIRCUIT COURT STATE OF ILLINOIS 3101-1 (Rev. 10/08) UNITED STATES OF AMERICA IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT COUNTY OF DU PAGE PLAINTIFF CASE NUMBER vs SUMMONS DEFENDANT File Stamp Here CIRCUIT COURT $ ORIGINAL ALIAS To each Defendant: You are Summoned and Required to file an answer to the complaint in this case, a copy of which is hereto attached, or otherwise file your appearance in the office of the Clerk of the Circuit Court, 505 N. County Farm Road, Wheaton, Illinois, within 30 days after service of this summons not counting the day of service. If you fail to do so, a judgment by default may be entered 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: PRO SE DuPage Attorney Number: WITNESS: CHRIS KACHIROUBAS, Clerk of the Eighteenth Judicial Circuit Court, and the seal thereof, Wheaton, Illinois Attorney for: Address: Date City/State/Zip: Telephone Number: Deputy Clerk NOTE: The filing of an appearance or answer with the Circuit Court Clerk requires a statutory filing fee, payable at the time of filing. CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60189-0707 American LegalNet, Inc. www.FormsWorkflow.com SUMMONS - CIRCUIT COURT 3101-2 (Rev. 10/08) SHERIFF'S FEES Service and return .......................................................................... $ _________________ Miles _______________ ............................................................... $ _________________ Total ....................................................................................................................... $_________________ Sheriff of ______________________________ County SHERIFF'S RETURN I certify that I served this summons on defendant as follows: (a) (Individual - personal): By leaving a copy and a copy of the document(s) with each individual as follows: (b) (Individual - abode): By leaving a copy and a copy of the document(s) at the usual place of abode of each individual with a person of his family, of the age of 13 years or upwards, informing that person of the contents of the summons, and also by sending a copy of the summons and the document(s) in a sealed envelope with postage fully prepaid, addressed to each individual at the usual place of abode, as follows: (c) (Corporation): By leaving a copy and a copy of the document(s) with the registered agent, officer, or agent of each corporation as follows: (d) (Other service): (e) (Unable to Serve): By _______________________________, Deputy Badge Number: __________ 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 60189-0707 American LegalNet, Inc. www.FormsWorkflow.com