SUMMONS ­ WAGE DEDUCTION IN THE CIRCUIT COURT OF THE TWENTY-SECOND JUDICIAL CIRCUIT McHENRY COUNTY, ILLINOIS ____________________________________________________ Plaintiff vs. ____________________________________________________ Defendant and ____________________________________________________ Employer Case Number_________________________________ WAGE DEDUCTION SUMMONS To the Employer______________________________________________________________________________________________ Address_____________________________________________________________________________________________________ ____________________________________________________________________________________________________________ YOU ARE SUMMONED and required to file answers to the judgment creditor's interrogatories, in the Office of the Clerk of this Court, 2200 N. Seminary Avenue, Woodstock, Illinois 60098, on or before __________________________, 9:00 a.m., (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 522(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. 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. If service cannot be made, this summons shall be returned so endorsed. This summons may not be served later than the above date. WITNESS: Clerk of the Twenty-Second Judicial Circuit, and the seal thereof, at Woodstock, Illinois. DATED________________________________20_______ Plaintiff's Attorney (or Plaintiff, if not represented by an attorney): Name____________________________________ Address__________________________________________ ________________________________________________ Clerk of the Circuit Court City, State Zip_____________________________ Telephone________________________________ ________________________________________________ Date of Service (To be inserted by officer on copy left with employer or other person) CV-SUM4: Revised 12/01/06 Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com SHERIFF'S FEES FOR SERVICE Service and return Miles ___________ $_________________________ $_________________________ Cost of mailing copies $_________________________ Total Sheriff's Fees $_________________________ ________________________________________________________ Sheriff of _____________________________________ County SHERIFF'S RETURN I CERTIFY THAT I SERVED THIS SUMMONS ON DEFENDANTS AS FOLLOWS: (Check appropriate box and complete information below) (a) INDIVIDUAL DEFENDANTS ­ PERSONAL: By leaving a copy of the summons and a copy of the complaint with each individual defendant personally. INDIVIDUAL DEFENDANTS ­ ABODE: By leaving a copy of the summons and a copy of the complaint at the usual place of abode of each individual defendant with a person of his family, of the age of 13 years or upwards, informing that person of the contents and also by sending a copy of the summons in a sealed envelope with postage fully prepaid, addressed to each individual defendant at his usual place of abode. CORPORATION DEFENDANTS: By leaving a copy of the summons and a copy of the complaint with the registered agent, officer or agent of each defendant corporation. OTHER SERVICE (b) (c) (d) Name of Defendant______________________________ Name of Person Summons given to_______________________________ Sex__________Race_________Approx.Age__________ Place of Service_________________________________ Date of Service_____________________Time________ Date of Mailing_________________________________ Name of Defendant_____________________________ Name of Person Summons given to______________________________ Sex__________Race_________Approx.Age_________ Place of Service________________________________ Date of Service_____________________Time________ Date of Mailing_________________________________ ____________________________________, Sheriff of ______________________ County By: ________________________________________________________, Deputy CV-SUM4: Revised 12/01/06 Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com