STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY vs. Plaintiff Defendant and Employer ) ) ) ) ) ) ) No. __________________ address of employer: _____________________________ _____________________________ WAGE DEDUCTION SUMMONS To the employer: YOU ARE SUMMONED and required to file answers to the judgment creditor’s interrogatories, in the Office of the Clerk of this Court, 18 North County St., Waukegan, Illinois, on or before _________________________________________, ___________(21 to 40 days after issuance of summons) (Year) However, if this summons is served on you less than 3 days before that date, you must file answers to the interrogatories on or before a new return date, to be set by the court, not less than 21 days after you were served with this summons. This proceeding applies to non-exempt wages due at the time you were served with this summons and to wages which become due thereafter until the balance due on the judgment is paid. IF YOU FAIL TO ANSWER, A CONDITIONAL JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE AMOUNT OF THE JUDGMENT UNPAID. FEDERAL AGENCY EMPLOYEES: Effective upon service of this summons and pursuant to 5 USC 552(a), you are to commence to pay over deducted wages to the attorney for the judgment creditor in accordance with 735 ILCS 5/12-808. To the officer: This summons must be returned by the officer or other person to whom it was given for service, with endorsement 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 ______________________, _______ (Year) _______________________________________ (Clerk of the Circuit Court) (Seal of Court) By: ____________________________________ (Deputy) (Plaintiff’s Attorney or Plaintiff if not represented by an Attorney) Name __________________________________________ Attorney For ____________________________________ Address ________________________________________ City ___________________________________________ Telephone ______________________________________ 171-149 3/06 American LegalNet, Inc. www.USCourtForms.com IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS WAGE DEDUCTION NOTICE _______________________________________ Plaintiff - Judgment Creditor Vs. No. _____________________________________ (Summons Return Date) _____________________ _______________________________________ Defendant - Judgment Debtor Judgment Debtor’s Judgment Creditor/Creditor’s Atty. Name __________________________________ Name ____________________________________ Address ________________________________ Address __________________________________ City ___________________________________ City _____________________________________ Phone __________________________________ Phone ___________________________________ Attorney No. ____________________________ Attorney No. ______________________________ Judgment in the amount of $ __________________________________ BALANCE DUE $ _________________________ Employer _______________________________________________________________________________ (Name) NOTICE: The Court has issued a wage deduction summons against the employer named above for wages due or about to become due to the judgment creditor. The wage deduction summons was issued on the basis of a judgment against the judgment debtor in favor of the judgment creditor in the amount stated above. THE AMOUNT OF WAGE THAT MAY BE DEDUCTED IS LIMITED BY FEDERAL AND ILLINOIS LAW. 1. Under Illinos Law, the amount of wages that may be deducted is limited to the lesser of (a) 15% of gross weekly wage or (b) the amount by which disposable earnings for a week exceed the total of 45 times the Federal minimum wage hourly wage or 45 times the Illinois minimum wage, whichever is greater. 2. Under Federal Law, the amount of wages that may be deducted is limited to the lesser of (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. 3. Pension and retirement benefits and refunds may be claimed as exempt from wage deductions under Illinois law. 4. Court ordered child support deductions. The judgment debtor has a right to request a hearing before the Court dispute the wage deduction because the wages are exempt. To obtain a hearing the judgment debtor must notify the Clerk of Court in writing at 18 North County Street, Waukegan, Illinois on or before the return date specified in the Summons. The Clerk of the Court will assign a hearing date and provide forms which must be prepared by the debtor or his/her employer or their attorney, a copy of which must be sent to the judgment creditor and the employer or their attorney. SALLY D. COFFELT, CLERK OF THE CIRCUIT COURT, LAKE COUNTY, ILLINOIS 171-149 3/06 American LegalNet, Inc. www.USCourtForms.com