171 292 B (Rev 12 /1 7 ) IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE C O UNTY, ILLINOIS ) ) ) Judgment Creditor ) vs. ) ) ) Gen No. Judgment Debtor ) MOTION TO CLAIM EXEMPTION IN WAGE DEDUCTION PROCEEDINGS Now comes the Judgment Debtor in the above entitled cause and moves this Court to find his/her wages to be exempt for the following reason(s): 1. The amount of wages that are being deducted: is greater than (A) 15% of my gross weekly wages or (B) the amount by which disposable earnings for a week exceed the total of 45 times federal minimum hourly wage or 45 times the Illinois minimum wage, whichever is greater. is greater than (A) 25% of disposable earnings for a week or (B) the amount by which disposable earnings for a week exceed 30 times the federal minimum hourly wage. include pension and retirement benefits and funds. 2. This claim is made based on the following facts: WHEREFORE, Judgment Debtor prays that his/her wages be declared to be ex empt. Date: , 20 Judgment Debtor or Attorney Prepared by: Name: Pro Se Address: City: State: Phone: Zip Code: ARDC #: E - mail address: American LegalNet, Inc. www.FormsWorkFlow.com