171 292 A (Rev 12 /1 7 ) IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE C O UNTY, ILLINOIS ) ) ) Judgment Creditor ) vs. ) ) ) G e n No. Judgment Debtor ) NOTICE OF MOTION FOR W AGE DEDUCTION EXEMPTION HEARING To: Judgment Creditor or Attorney for Judgment Creditor To: Employer or Attorney for Employer Name Name Address Address City, State, Zip City, State, Zip Phone Phone On , 20 at AM PM, or as soon as may be heard, I shall appear before th e Honorable in Room at 18 N. County Street, Waukegan, Illinois or any J udge sitting in his/her stead and present a Motion to Claim Exemption U nder Wage Deduction Proceedings. PROOF OF SERVICE I an attorney a non attorney on oath state that: On , 20 I served this notice by delivering a copy personally to the parties to whom it was directed. On , 20 I served this notice by mailing a copy to the parties named above by depositing same in the United States Mail at , Illinois at AM PM with first class postage prepaid. CERTIFICATION Under penalties of perjury as provided by law pursuant to Section 1 - 109 of the Code of Civil Procedure, the undersigned certifies that the statements set forth in this instrument are true and correct. 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