STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT COUNTY OF JO DAVIESS ) Plaintiff/Petitioner ) ) ) vs. ) ) Case No. ) ) Amount Claimed $ plus costs Defendant/Respondent ) CERTIFIED MAIL SUMMONS To each Defendant/Respondent: You are summoned and required to appear before this court at Jo Daviess County Courthouse, 330 North Bench Street, Galena, IL 61036, on at , to answer the complaint in this case, 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. 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 with your local Circuit COffice. (Seal of Court) Witness Clerk of the Circuit Court Deputy Circuit Clerk AFFIDAVIT , on oath says the last known mailing address of Defendant/Respondent , is Signed and sworn to before me (Notary Public) or (Clerk of the Circuit Court) Plaintiff/PetitionerAttorney or Plaintiff/Petitioner if not represented by Attorney Name: Attorney for: Address: City/State/Zip: Telephone/Email: CERTIFICATE OF MAILING A copy of this Alias Summons was mailed to each Defendant/Respondent named in the above affidavit, addressed to each at the address shown, by certified mail, return receipt requested, on . Clerk of the Circuit Court Deputy Circuit Clerk American LegalNet, Inc. www.FormsWorkFlow.com