STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 22nd JUDICIAL CIRCUIT McHENRY COUNTY ________________________________________________ Plaintiff - Judgment Creditor vs. ________________________________________________ Case Number_________________________________ Defendant – Judgment Debtor NOTICE OF MOTION FOR WAGE DEDUCTION EXEMPTION HEARING TO: Judgment Creditor or Attorney for Judgment Creditor Employer or Attorney for Employer Name________________________________________ Name_____________________________________ Address______________________________________ Address___________________________________ City, State Zip_________________________________ City, State Zip______________________________ On_____________________________, 20____, at _______m., or as soon after as counsel may be heard I shall appear before the Honorable ____________________________ in Room _________ at the McHenry County Government Center, 2200 N. Seminary Avenue, Woodstock, IL 60098, or any judge sitting in her/her stead and present a Motion to Claim Exemption under Wage Deduction Proceedings. Name______________________________________ Attorney for________________________________ ______________________________________ Defendant (Judgment Debtor) or Attorney for Defendant (Judgment Debtor) Signature Address____________________________________ City, State Zip_______________________________ Telephone__________________________________ PROOF OF SERVICE I, ___________________________________________(the attorney certify) (a non-attorney on oath) state that: On ___________________________, 20_____, I served this notice by delivering a copy personally to the parties to whom it was directed on at ________________m. On ___________________________, 20_____, I served this notice by mailing a copy to the parties named above by depositing same in the United States Mail at ___________________________, Illinois, at _____________m. with first class postage prepaid. Subscribed and Sworn to before me __________________________________________ Notary Public / Circuit Court Clerk Dated:__________________________, 20_______ CV-NOT5-A: Revised 12/01/06 American LegalNet, Inc. www.FormsWorkflow.com