IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT MARION COUNTY, ILLINOIS _____________________________ Plaintiff vs _____________________________ Defendant and _____________________________ Employer To the employer: YOU ARE SUMMONED and required to file answers to the judgment creditor's interrogatories, in the office of the Clerk of the Marion County Courthouse, 100 East Main Street, Room 206, Salem IL 62881 on or before ______________________________________________________, ___________. (21 to 40 days after issuance of summons) 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 EMPLOYERS: 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. 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 endorsed. This summons may not be served later than the above date. Witness: ________________________________ (Seal of Court) _______________________________ (Clerk of the Circuit Court) Case No. ________________________ Address of employer: ____________________________________ ____________________________________ WAGE DEDUCTION SUMMONS By _______________________________ (Deputy) (Plaintiff's attorney or plaintiff if not represented by an attorney) Name ___________________________________ Attorney for ______________________________ Address _________________________________ City ____________________________________ Telephone _______________________________ *NOTE: This form is a three-part form. American LegalNet, Inc. www.FormsWorkFlow.com SHERIFF'S FEES Service and return............................................................................ $ _________________ Miles .............................................................................................. $_________________ Total .................................................................................................................$____________ 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 the summons was left, 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 the family or a person residing there, of the age of 13 years or upwards, informing 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 the summons was left, 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 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 or her 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 Marion County By __________________________________________________, Deputy American LegalNet, Inc. www.FormsWorkFlow.com