IN THE CIRCUIT COURT OF THE FOURTEENTH JUDICIAL CIRCUIT CLERK ROCK ISLAND COUNTY, ILLINOIS _______________________________PlaintiffJudgment Creditor vs. No._________________________________ ______________________________DefendantJudgment Debtor Name and Address of Attorney for Judgment Creditor or of Judgment creditor if not represented by an attorney: Judgment Debtor: (insert last know address) Name_______________________________________ Name______________________________________ Address_____________________________________ Address____________________________________ City________________________________________ Phone______________________________________ City_______________________________________ Phone_____________________________________ Amount of Judgment $_________________________ Balance Due $_______________________________ Name of Employer____________________________ Return Date:________________________________ WAGE DEDUCTION NOTICE NOTICE: The Court has issued a wage deduction summons against the employer named above for wages due or about to become due to you. The wage deduction summons was issued on the basis of a judgment against you in favor of the judgment creditor in the amount stated above. This judgment is a lien on the judgment debtor’s wages until the total amount due is paid. 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 (i) 15% of gross weekly wages or (ii) the amount by which disposable earnings for a week exceed the total of 45 times the Federal minimum hourly wage, or the minimum hourly wage prescribed by section 4 of the Minimum Wage Law, (820 ILCS 105/4), whichever is greater. (2) Under Federal law, the amount of wages that may be deducted is limited to the lesser of (i) 25% of disposable earnings for a week or (ii) 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 deduction 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 Room 105, Courthouse Building, 210-15th street, Rock Island, Illinois, 61201 on or before the return date specified above The Clerk of the Court will provide a hearing date and the necessary forms that must be prepared by you or your attorney and 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. Revised 3/1/06 American LegalNet, Inc. www.FormsWorkflow.com CERTIFICATE OF ATTORNEY I certify that on _______________________,__________, I served this notice by mailing a copy to the Judgment Debtor and any attorney of record. _____________________________ Attorney AFFIDAVIT OF SERVICE ____________________________________On oath states: On __________________________________,___________, I served this Notice by mailing a copy to the Judgment Debtor and any attorney of record. ______________________________ _______________________________,_________________ _________________________________________________ Notary Public American LegalNet, Inc. www.FormsWorkflow.com