IN THE CIRCUIT COURT OF THE THIRD JUDICIAL CIRCUIT MADISON COUNTY, ILLINOIS Plaintiff vs. Defendant and Garnishee ) ) ) ) ) ) ) ) ) No._________________________ AFFIDAVIT FOR GARNISHMENT-NON-WAGE __________________________________________________________on oath states: 1. Judgment was entered in this case on ___________________________________________, 20______, in favor of judgment creditor ___________________________________________________________________________________ and against judgment debtor ______________________________________________________________________________ for $_______________________________and costs. 2. $____________________________has been paid on the judgment. 3. There is unpaid on the judgment $_______________________principal $_______________________costs $_______________________interest $_______________________TOTAL 4. I believe garnishee is indebted to the judgment debtor other than for wages, or has in his/her/its possession, custody or control property belonging to the judgment debtor or in which judgment debtor has an interest. 5. The last known address of the judgment debtor is: I request that summons be issued and directed to the garnishee. Signed and sworn to before me ___________________, 20____. . Notary Public CERTIFICATE OF CLERK OF COURT OR ATTORNEY I certify that judgment was entered as stated in paragraph 1 above._____________________________________ Clerk of the Court or Attorney for judgment creditor Name_______________________________________ Attorney for__________________________________ Address_____________________________________ City________________________________________ Telephone___________________________________ NOTE: FOUR (4) COPIES OF THIS AFFIDAVIT MUST BE SERVED ON THE GARNISHEE Answer to interrogatories on reverse side hereof to be filed 21 to 30 days after service of summons. American LegalNet, Inc. www.FormsWorkFlow.com INTERROGATORIES TO GARNISHEE 1. When you were served with summons did you have in your possession, custody or control any property belonging to the judgment debtor or in which he/she had an interest? Answer: ________________ (yes or no) 2. If your answer is yes, describe the property: _______________________________________________________________________________________________ _______________________________________________________________________________________________ ______________________________________________________________________________________________ 3. When you were served with the summons were you otherwise indebted to him/her, no matter when payable? Answer: _____________ (yes or no) 4. If your answer is yes, state: Description: _________________________________________________________________________________ Amount: $ ____________________________________ Date due: ____________________________________________________ 5. A copy of the answers to these interrogatories must be filed with the Circuit Clerk and a copy should be sent to the Judgment Creditor or the attorney for the Judgment Creditor by the return date. 6. The garnishee shall forward to the attorney for the Judgment Creditor or the Judgment Creditor, a check for the net amount due the Judgment Creditor, only after the court has entered a deduction order. DO NOT REMIT FUNDS TO THE CIRCUIT CLERK. AFFIDAVIT The undersigned, on oath states that the answers to the interrogatories are true, and that a copy of the completed interrogatories has been mailed by First Class Mail or hand delivered to the Judgment Debtor at his/her last known address. GARNISHEE Signed and sworn to before me , 20___. Notary Public American LegalNet, Inc. www.FormsWorkFlow.com