File Stamp Defendant/Respondent Plaintiff/PetitionerIN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOISCase No.SUMMONS IN ADMINISTRATIVE REVIEWTo each Defendant:YOU ARE SUMMONED and required to file an answer in this case or otherwise file your appearance in theoffice of the Clerk of this Court, located in Kane County Illinois within 35 days after the date of this summons.Subscribed and Sworn to before me on(Date)Notary Public/Clerk of the Circuit Court(Seal)Attorney/Pro Se: Address: City, State, Zip: Telephone No.: On, I sent by registered mail a copy of this summons to each defendant addressed asfollows:CERTIFICATE OF MAILINGDEFENDANTADDRESSDate:Attorney Registration No.: Signature:P1-CI-007 (07/18) Attorney E-mail: an account with an e-filing service provider. Visit http://efile.illinoiscourts.gov/service-providers.htm to learnE-filing is now mandatory for documents in civil cases with limited exemptions. To efile, you must first createmore and to select a service provider. If you need additional help or have trouble e-filing, visithttp://www.illinoiscourts.gov/FAQ/gethelp.asp. American LegalNet, Inc. www.FormsWorkFlow.com