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IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT MARION COUNTY, ILLINOIS ______________________________ Plaintiff Judgment Creditor vs. ______________________________ Defendant Judgment Debtor Case No.: _______________________ Judgment Debtor (insert last known address) Name and address of attorney for judgment Creditor or of Judgment creditor if not represented by an attorney: Name _______________________________ Address _____________________________ City, State, Zip: _______________________ Phone _______________________________ Balance Due: $ ________________________ Return Date: __________________________ Name _____________________________________ Address ___________________________________ City, State, Zip: _____________________________ Phone _____________________________________ Amount of Judgment: $ _______________________ Name of Employer: __________________________ WAGE DEDUCTION NOTICE NOTICE: The court shall be asked to issue a Wage Deduction Summons against the employer named above for the wages due or about to become due to you. The Wage Deduction Summons may be issued on the basis of a judgment against you in favor of the Judgment Creditor in the amount stated above. Pursuant to Section 2-109 of the Code of Civil Procedure, I the undersigned to hereby certify that I mailed a copy of this Notice to the above named Judgment Debtor by first-class mail on _________________, 20 ______. ___________________________________ Judgment Credit or Judgment Creditor's Attorney THE AMOUNT OF WAGES THAT MAY BE DEDUCTED IS LIMITED BY FEDERAL AND ILLINOIS LAW. (1) Under Illinois law, the amount of wages that may be deducted is limited to the lesser of (a) 15% of gross weekly wages or (b) the amount by which disposable earnings for a week exceed the total of 45 times the Federal minimum hourly wage or, under a wage deduction summons served on or after January 1, 2006, the minimum hourly wage prescribed by Section 4 of the Illinois Minimum Wage Law, 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. You have the right to request a hearing before the court to dispute the wage deduction because the wages are exempt. To obtain a hearing, you must notify the Clerk of the Court in writing at the Marion County Courthouse, 100 East Main Street, Room 206, Salem, IL 62881 on or before the return date specified above. The Clerk of the Court will provide a hearing date and the necessary forms which must be prepared by you or your attorney, a copy of which must be sent to the Judgment Creditor and the Employer, or their attorney, regarding the time and location of the hearing. This notice may be sent by regular first class mail. *NOTE: The Wage Deduction Notice is a four-part form. RONDA YATES, CLERK OF THE CIRCUIT COURT OF MARION COUNTY American LegalNet, Inc. www.FormsWorkFlow.com