IN THE CIRCUIT COURT OF THE FOURTEENTH JUDICAL CIRCUIT ROCK ISLAND COUNTY, ILLINOIS _________________________________ PLAINTIFF, NO. v. ________________________________________ DEFENDANT, YOUR FAILURE TO APPEAR AT THIS HEARING MAY RESULT IN YOUR ARREST CITATION TO DISCOVER ASSETS TO: ________________________________________________________________________________ (NAME & ADDRESS OF DEFENDANT OR RESPONDENT) YOU ARE HEREBY COMMANDED to appear before the judge presiding in Room _________of the _____ County Courthouse, ___________________________________, Illinois on _______________________, ____________, at _________AM/PM. to be examined under oath to discover assets or income not exempt from the enforcement of the judgment. A judgment against______________________________________________________________(judgment debtor) was entered On __________________________, and $____________________________________remains unsatisfied. YOU ARE COMMANDED to produce at the examination; All books, papers or records in your possession or control which may contain information concerning the property or income of, or indebtedness due judgment debtor and: YOU ARE PROHIBITED from making or allowing any transfer or other disposition of, or interfering with, any property not exempt from execution or garnishment belonging to the judgment debtor or to which the judgment debtor may be entitled or which may be acquired by or become due to the judgment debtor and from paying over or otherwise disposing of any money not so exempt, which is due or becomes due to the judgment debtor, until further order of court or termination of the proceedings. You are not required to withhold the payment of any money beyond double the amount of the balance due. WARNING: YOUR FAILURE TO APPEAR IN COURT AS HEREIN DIRECTED MAY CAUSE YOU TO BE ARRESTED AND BROUGHT BEFORE THE COURT TO ANSWER TO A CHARGE OF CONTEMPT OF COURT, WHICH MAY BE PUNISHABLE BY IMPRISONMENT IN THE COUNTY JAIL. CERTICATE OF ATTORNEY OR JUDGMENT CREDITOR Judgment Amount $_______________________________________________Balance Due $____________________________ Date of Judgment/Revival__________________________________________________________________________________ Name of Court Entering Judgment____________________________________________________________________________ Case No.________________________________________________________________________________________________ The undersigned certifies, under penalties provided by law pursuant to 735 ILCS 5/1-109, that the information contained herein is true and correct. Attorney /Judgment Creditor: ______________________________________ Name_________________________________________ Address_______________________________________ ______________________________________________ WITNESS: ____________________________ _______________________________________ CLERK OF COURT Phone_________________________________________ 9/07 CITATION (A4) American LegalNet, Inc. www.FormsWorkflow.com