IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS Case No. Plaintiff(s) Defendant(s) To: Judgment Debtor Employer Name: Address: City, State & Zip: File Stamp WAGE DEDUCTION SUMMONS To the employer: YOU ARE SUMMONED and required to file answers to the Judgment Creditor's interrogatories, in the Office of the Clerk of the Circuit Court, Geneva, Illinois, on or before the "Answer Date" of (21 to 40 days after issuance of summons). However, if this summons is served on you less than 3 days before that date, you must file Answers to the Interrogatories on or before a new "Answer Date", to be set by the Court not less than 21 days after you were served with this summons. This proceeding applies to non-exempt wages which become due at the time you were served with this summons and wages which become due thereafter until the balance due on the judgment is paid. (The "Answer Date" does not require a court appearance, but does require the filing of an Answer to the Interrogatories on or before the "Answer Date".) Hearing on the employer's Answer to Interrogatories and for entry of a Deduction Order will be held on the Kane County Courthouse, "Court Date" of , at 9:00 a.m. in Courtroom of the Kane County Judicial Center, 37W777 Rt. 38, St. Charles, IL unless continued by 100 S. Third St., Geneva, IL Court Order. IF YOU FAIL TO ANSWER, A CONDITIONAL JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU ON THE COURT DATE FOR THE AMOUNT OF THE JUDGMENT UNPAID. FEDERAL AGENCY EMPLOYERS: Effective upon service of this summons and pursuant to 5 USC 522(a), you are to commence to pay over deducted wages to the attorney for the Judgment Creditor in accordance with 735 ILCS 5/12-808. 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 the above date. Attorney/Pro Se: Witness, (date) Address: City, State, Zip: Telephone No.: Clerk of Circuit Court Seal of Court Atty. Registration No.: P2-SC-016 (01/08) American LegalNet, Inc. www.FormsWorkflow.com