STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY ) ) vs. ) No.________________________ ) ) ) SUMMONS IN MANDAMUS To the defendant: YOU ARE SUMMONED and required to file an answer in this case, or otherwise file your appearance in the office of the clerk of this court, 18 N. County St., Waukegan, Illinois, on or before ____________________, 20_____. However, if this summons is served on you less than 5 days before that date, you must file your th answer or otherwise file your appearance on or before the 5 day after that date. IF YOU FAIL TO DO SO, A JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE RELIEF ASKED IN THE PETITION. To the officer: This summons must be returned by the officer or other person to whom it was given for service, with indorsement of service and fees, if any, immediately after service. If service cannot be made, this summons shall be returned so indorsed. This summons may not be served later than the above date. WITNESS_____________________, 20____. (Seal of Court) _____________________________________ (Clerk of the Circuit Court) By:___________________________________ ( Deputy) (Plaintiffs attorney or plaintiff if he is not represented by an attorney) Name _________________________________________ Attorney for ____________________________________ Address _______________________________________ City ___________________________________________ Telephone ______________________________________ Date of Service: _______________________, 20 _____. (To be inserted by officer on the copy left with the defendant of other person) 171-283 3/02 American LegalNet, Inc. www.USCourtForms.com>>>> 2 ( Service and return..$____________ SHERIFFS FEES ( Miles _____________________....$____________ ( Tota l . $____________ _____________________________________ Sheriff of _____________________County I certify that I served this summons on defendants as follows: (a) (Individual defendants personal): (The officer or other person making service, shall (a) identify as to sex, race and approximate age of the defendant with whom he left the summons, and (b) state the place where (whenever possible in terms of an exact street address) and the date and time of the day when the summons was left with the defendant.) ________________________________________________________________________ __________________ ________________________________________________________________________ __________________ ________________________________________________________________________ __________________ ________________________________________________________________________ __________________ (b) (Individual defendants abode): By leaving a copy and a copy of the complaint at the usual place of abode of each individual defendant with a person of his family, of the age of 13 yupwards, informears or ing that person of the contents of the summons. (The officer or other person making service, shall (a) identify as to sex, race and approximate age of the person, other than the defendant, with whom he left the summons, and (b) state the place where (whenever possible in terms of an exact street address) and the date and time of day when the summons was left with such person.) ________________________________________________________________________ __________________ ________________________________________________________________________ __________________ ________________________________________________________________________ __________________ and also by sending a copy of the summons and of the complaint in a sealed envelope with postage fully prepaid, addressed to each individual defendant at his usual place of abode, as follows: Name of defendant Mailing Address Date of mailing ________________________ __________________________________________ ____________________ ________________________ __________________________________________ ____________________ ________________________ __________________________________________ ____________________ (c) (Corporation defendants): By leaving a copy and a copy of the complaint with the registered agent, officer or agent of each defendant corporation, as follows: Defendant corporation Registered agent, officer or agent Date of service ________________________ __________________________________________ ____________________ ________________________ __________________________________________ ____________________ ________________________ __________________________________________ ____________________ (d) (Other service): ________________________________________________________________________ __________________ ________________________________________________________________________ __________________ ______________________________, Sheriff of _________________________ County By:____________________________________ (Deputy) American LegalNet, Inc. www.USCourtForms.com