STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE FOURTEENTH JUDICIAL CIRCUIT ROCK ISLAND COUNTY Plaintiff Vs. NO.________________________ Defendant And ADDRESS OF EMPLOYER Employer ____________________________ ____________________________ WAGE DEDUCTION SUMMONS To the employer: YOU ARE SUMMONED and required to file answers to the judgment creditor’s interrogatories, in the Office of the Clerk of this Court __________________________Illinois, on or before _______________________________________________________________________________. (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. To the Officer: FEDERAL AGENCY EMPLOYERS: Effective upon service of this summons and pursuant to 5 USC 552 (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 the 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 CIRCUIT COURT) BY:____________________________________________ (DEPUTY) (Plaintiff’s attorney or Plaintiff if he is not represented by Attorney) NAME__________________________________________ ATTORNEY FOR ________________________________ ADDRESS_______________________________________ CITY____________________________________________ TELEPHONE____________________________________ (revised 06/2006) American LegalNet, Inc. www.FormsWorkflow.com SHERIFF’S FEES SERVICE AND/OR RETURN ……………………………………………………………..$___________ MILEAGE……………………………………………………………………………………$___________ TOTAL……………………………………………………………………………………….$___________ I CERTIFY THAT I SERVED THIS SUMMONS ON GARNISHEE(S) AS FOLLOWS: (a)-(INDIVIDUAL GARNISHEE(S)-PERSONAL): BY LEAVING A COPY OF THE SAME WITH EACH INDIVIDUAL GARNISHEE PERSONALLY. (b)-(INDIVIDUAL GARNISHEE(S)-ABODE): BY LEAVING A COPY OF THE SAME AT THE USUAL PLACE OF ABODE OF EACH INDIVIDUAL GARNISHEE WITH A PERSON OF HIS FAMILY OR A PERSON RESIDING THERE, OF THE AGE OF 13 YEARS OR UPWARDS, INFORMING THAT PERSON OF THE CONTENTS AND ALSO BY SENDING A COPY OF THE SAME IN A SEALED ENVELOPE WITH POSTAGE FULLY PREPAID, ADDRESSED TO EACH INDIVIDUAL GARNISHEE AT HIS USUAL PLACE OF ABODE. (c)-(CORPORATION GARNISHEE): BY LEAVING A COPY OF THE SAME WITH THE REGISTERED AGENT, OFFICER OR AGENT OF EACH GARNISHEE CORPORATION. (d)-(OTHER SERVICE): NAME OF PERSON SUMMONS GIVEN TO _______________________________ SEX_____RACE_____APPROX. AGE_____ PLACE OF SERVICE_________________________________ _____________________________________________________ DATE OF SERVICE_________________TIME_____________ DATE______________________________ BY________________________________, DEPUTY SIGNATURE_____________________ DEPUTY (e)-(NOT FOUND): THE WITHIN NAMED __________________NOT FOUND IN THIS COUNTY THIS __________________DAY OF _______________________________________,_______________ REASON:_______________________________________________________________________, BY_____________________________________,DEPUTY________________________________, SHERIFF OF __________________________________COUNTY. Revised 06/2006 American LegalNet, Inc. www.FormsWorkflow.com