IN THE CIRCUIT COURT OF THE TWENTY-SECOND JUDICIAL CIRCUIT McHENRY COUNTY, ILLINOIS ____________________________________________________ Plaintiff vs. Case Number_________________________________ Address of Employer: ____________________________________________________ Defendant and ________________________________________________________ ____________________________________________________ Employer ________________________________________________________ WAGE DEDUCTION SUMMONS TO CONFIRM CONDITIONAL JUDGMENT To the Employer: YOU ARE SUMMONED and required to file your appearance in this case in the office of the McHenry County Clerk of Court, 2200 N. Seminary Avenue, Woodstock, Illinois 60098, on or before ____________________________, 20______, and show cause why the conditional judgment for $___________________ entered against you on ________________________________, 20_____, should not be made final. I F Y O U F A I L T O D O S O , T H E CONDITIONAL JUDGMENT MAY BE CONFIRMED. 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_______ ________________________________________________ Clerk of the Circuit Court By:______________________________________________________ Deputy (Plaintiff’s attorney or Plaintiff, if not represented by an attorney): Name____________________________________ Attorney for_______________________________ Address__________________________________________ City, State Zip_____________________________ Telephone________________________________ ________________________________________________ Date of Service (To be inserted by officer on copy left with employer or other person) CV-SUM6: 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. (b) 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. (c) 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. (d) OTHER SERVICE Name of Defendant______________________________ Name of Defendant_____________________________ Name of Person Summons given to_______________________________ Name of Person Summons given to______________________________ Sex__________Race_________Approx.Age__________ Sex__________Race_________Approx.Age_________ Place of Service_________________________________ Place of Service________________________________ Date of Service_____________________Time________ Date of Service_____________________Time________ Date of Mailing_________________________________ Date of Mailing_________________________________ ____________________________________, Sheriff of ______________________ County By: ________________________________________________________, Deputy CV-SUM6: Revised 12/01/06 Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com