171 - 140 ( Rev. 12/17) IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS ) ) ) Plaintiff(s) ) vs. ) ) ) Gen No . ) Defendant(s) ) Amount Claimed $ SMALL CLAIMS SUMMONS To each defendant : YOU ARE HEREBY SUMMONED and required to appear before this Court at Courtroom 306, 18 North County Street, Waukegan. Illinois, at AM PM , on , 20 to answer the complaint in this case, a copy of which is hereto attached. IF YOU FAIL TO DO SO, A JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE RELIEF ASKED IN THE COMPLAINT. 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 and not less than 3 days before the day for appearance. If service cannot be made, this summons shall be returned so endorsed. This summons may not be served later than 3 days before the day for appearance. WITNESS , 20 (Seal of Court) (Clerk of the Circuit Court) (Deputy) epresented by an attorney) Prepared by: Name: Pro Se Address: City: State: Phone: Zip Code: ARDC #: E - mail address: NOTICE TO DEFENDANT IF YOU WISH TO CONTEST THIS CLAIM , you must do the following: Pay the statutory Appearance fee and file a written Appearance (forms may be obtained online or in the main office of the Clerk of the Circuit Court) on or before the date and time specified above for your appearance, hereafte r called the return date. You must mail or otherwise deliver to the opposing party a copy of your Appearance. If the Appearance is timely filed and the fee paid, you are not required to appear in court in person on the return date. Your case will then be t ried on the 14th day after the return date, and you should be present in court at the above specified address prepared to proceed to trial. In the event the trial day falls on a court holiday, the trial shall be held on the next earliest court day follow ing said court holiday. IF YOU DO NOT WISH TO CONTEST THIS CLAIM , you need not appear in person or file a written appearance and a judgment will be entered against you on the return day for the amount claimed by the plaintiff in the complaint plus court costs. American LegalNet, Inc. www.FormsWorkFlow.com 171 - 140 ( Rev. 12/17) AFFIDAVIT FOR SERVICE BY CERTIFIED MAIL , being first duly sworn on oath says that the last known mailing address of defendant above is and the last known mailing address of defendant above is The undersigned certifies, under penalties provided by law pursuant to 735 ILCS 5/1 - 109, that the information contained herein is true and correct. D ate:, 20 Plain tiff/ Plaintiff s Attorney American LegalNet, Inc. www.FormsWorkFlow.com