STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE CIRCUIT COUNTY SUMMONSTo each defendant: (Seal of Court) Witness , 20 (Clerk of the Circuit Court) (Plaintiffs attorney or plaintiff if he is not represented by an attorney) Y and required to FOR THE RELIEF ASKED IN THE . 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.If service cannot be made, this summons shall be returned so endorsed. This summons may not be served later than 3 days Witness , 20 (Clerk of the Circuit Court) NOTARY PUBLIC American LegalNet, Inc. www.FormsWorkFlow.com Service and return. . . . . . . . . . . . . . . . . . . . . . . . . $ Miles . . . . . . . . . . . . . . . . . . . . . . Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Sheriff of Jackson County I certify that I served this summons on defendants as follows: (a)-(Individual defendants personal): (The officer or other person making service shall (a) identify as to sex, race and approximate age of the defendant with whom he left the summons, and (b) state the place where (whenever possible in terms of an exact street address) and the date and time of the day when the summons was left with the defendant.) (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 family, of the age of 13 years of upwards, informing that person of the contents of the summons. (The officer or other person making service shall (a) identify as to sex, race and approximate ago of the person, other than the defendant, with whom he left the summons, and (b) state the place where (whenever possible in terms of an exact street address) and the date and time of day when the summons was left with such person.) and also by sending a copy of the summons and of the complaint in a sealed envelope with postage fully prepaid, addressed to each individual defendant at his usual place of abode, as follows: Name of Defendant Mailing Address Date of Mailing (c)-(Corporation defendants): By leaving this copy and a copy of the complaint with the registered agent, officer or agent of each defendant corporation, as follows: Defendant Corporation Registered agent, officer or agent Date of Service (d)-(Other Service): American LegalNet, Inc. www.FormsWorkFlow.com