IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS Case No. Plaintiff/Petitioner Defendant/Respondent File Stamp CERTIFICATE OF ATTORNEY IN CITATION PROCEEDINGS I, the undersigned attorney for the Judgment Creditor or Clerk of the Court that entered judgment certify under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure of the Illinois Compiled Statutes that the statement set forth in this instrument are true and correct. 1. That the judgment was entered on (date) in (name of court) Court of (name of county) in the State of (name of state) . . 2. 3. The case number of that proceeding is The amount of Judgment (a) Allowable costs previously expended (b) Filing and summons costs of prior supplementary proceedings (c) Filing and service costs for this citation proceeding (d) Interest on Judgment to this date TOTAL DEDUCT: Total amount paid by or on behalf of judgment BALANCE DUE JUDGMENT CREDITOR Name: Attorney for: Atty. Registration No.: Address: City, State, Zip: Telephone No.: Attorney E-mail: Judgment Creditor or Attorney or Clerk of the Court P1-MISC-9 (11/12) American LegalNet, Inc. www.FormsWorkFlow.com