STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE _________ JUDICIAL CIRCUIT _____________ COUNTY ___________________________, ) ) Plaintiff, ) v. ) Case no: ______________ ) ___________________________, ) ) Defendant. ) CITATION TO DISCOVER ASSETS Name and Address of Debtor: _____________________________________________________________ ________________________________________________________________________ _____________ Name and Address of Creditor: ___________________________________________________________ _ ________________________________________________________________________ _____________ Date of Judgment ________________________ C ase number of original judgment _________________ Original amount owed $____________________ Balance due: $________________________________ Hearing Date and Time: ________________________________________________________________ YOU ARE ORDERED TO APPEAR before a Judge in the Circuit Court of __________________ County at the above date and time for a hearing to discover any non-exempt assets and income that you may have to pay off the judgment listed above. YOU ARE REQUIRED to bring with you any and all books, papers, or records in your possess ion or control that contain information concerning your property, income, and assets, i ncluding ____________________ ________________________________________________________________________ _____________ YOU ARE PROHIBITED from disposing, transferring, encumbering, or giving away any non-exemp t income or assets until further order of the court or termination of the Citatio n proceedings. YOUR FAILURE TO APPEAR IN COURT AS HEREIN DIRECTED MAY CAUSE YOU TO BE A RRESTED AND BROUGHT BEFORE THE COURT TO ANSWER TO A CHARGE OF CONTEMPT OF COURT WHIC H MAY BE PUNISHABLE BY IMPRISONMENT IN THE COUNTY JAIL. EVEN IF YOU ONLY HAVE NON -EXEMPT INCOME AND ASSETS AND OR YOU CANNOT PAY TOWARDS THIS JUDGMENT, YOU MUST APPEAR. The undersigned certifies, under penalties of law, pursuant to Section 5 /1-109 of the Illinois Code of Civil Procedure, that the above information about the judgment is true and correct as to their belief/ knowledge. ____________________________________ __________________ _________________________________ Creditor Creditor Address and phone number CITATION TO DISCOVER ASSETS -- ORIGINAL CIRCUIT CLERK COPY American LegalNet, Inc. www.USCourtForms.com>>>> 2 Note to Sheriff: This Citation must be served within 5 days of the date of the hearing as stated above. RETURN OF SERVICE-- CITATION TO DISCOVER ASSETS to be completed by Sheriff The undersigned certifies that he/she served this Citation To Discover A ssets on the Defendant as follows: (Check appropriate blank, and complete service information below) _____ a) (Individual defendant - personal): By leaving copy of the complaint with each individual personally. _____ (b) (Individual defendant - abode): By leaving a copy and a copy of the Citation at the usual place of abode of each individual defendant with a person of his family, of the age of 13 years or upwards, informing that person of the contents and also by sending a copy of the Citation in a seal envelope with postage fully prepaid, addressed to each individual d efendant at his usual place of abode. _____ (c) (Other service -- explain below) SERVICE INFORMATION: Name of Defendant: _______________________________________ _ Citation To Discover Assets given to: Name:_____________________ Sex______________ Race_ ___________Approximate Age ____Place of Service Street Address: City of , State of _______________________ _______________________ ____________Date of Service: __________________, 20 ____ Time ______________ _ Date of Mailing (if abode service was used) __________________________ _________________ Signed: ___________________________, Sheriff _____________ County, State of _________________ By _________________________, Deputy American LegalNet, Inc. www.USCourtForms.com