STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE TWENTIETH JUDICIAL CIRCUIT ST. CLAIR COUNTY Plaintiff ) Case No. AR ) Vs. ) ) Defendant ) THIS IS AN ARBITRATION CASE SUMMONS To: each defendant: You are hereby summoned and required to appear before this Court at the St. Clair County Courthouse, 10 Public Square, Belleville, Illinois on at the hour of M., in Courtroom No. to answer the complaint of the plaintiff(s) a copy of which is hereto attached. IF YOU FAIL TO DO SO, A JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE RELIEF ASKED IN THE COMPLAINT. E-filing is now mandatory for documents in civil cases with limited exemptions. To e-file, you must first create an account with an e-filing service provider. Visit https://efile.illinoiscourts.gov/service-providers.htm to learn and to select a service provider. If you need additional help or have trouble e-filing, visit http://www.illinoiscourts.gov/FAQ/gethelp.asp. RETURN: This summons may not be served later than three (3) days before the date of appearance. WITNESS: Clerk of the 20th Judicial Circuit Court and the seal thereof at Belleville, Illinois Dated Clerk of the 20th Judicial Circuit NOTICE TO PLAINTIFF IF YOU FAIL TO APPEAR ON THE DATE SET FOR RETURN SHOWN ABOVE, THE CASE WILL BE DISMISSED FOR WANT OF PROSECUTION. IF THIS SUIT INVOLVES A CLAIM IN TORT, SUPREME COURT RULE 222 DISCLOSURE STATEMENT MUST BE ATTACHED TO THE COMPALINT. Name: 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 and not less than three days before the date of appearance. If service cannot be made, this summons shall be returned to endorsed Address: City: Phone: NOTICE TO PLAINTIFF OR PLAINTIFF222S ATTORNEY: When preparing the above SUMMONS, the return date, which will be neither less than 21 nor more then 40 days after the date of the issuance of summons, will be set by the Clerk of the Court at the time of filing the Complaint. NOTE: The filing of an appearance or answer with the Circuit Court Clerk requires a statutory filing fee, payable at the time of filing. CLERK OF THE 20TH JUDICIAL CIRCUIT COURT BELLEVILLE, ILLINOIS 62220 American LegalNet, Inc. www.FormsWorkFlow.com I certify that I served this summons on defendant as follows: (a)- (Individual defendants- personal) By leaving a copy and a copy of the complaint with each individual defendant personally as follows: N ame of Defendan t Date of Service (b)- (Individual defendants- abode) By leaving a copy 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 10 years or upwards, informing that person of the contents of the summons, and also by sending a copy of the summons and of the complaint in sealed envelope with postage with postage fully prepaid, addressed to each individual defendant at his usual place of abode, as follows: N ame of Defendan t Person with whom lef t Date of Service Date of Mailing (c)- (Corporation Defendants): By leaving a copy and a copy of the complaint with the registered agent officer, or agent of each defendant corporation, as follows: Defendant Corporation Registered Agent, Officer or Agen t Date of Service (d)- (Other service): SHERIFF222S FEES Service and return $ Miles .......................... Total .......................... Sheriff of County , Sheriff of County , Deputy American LegalNet, Inc. www.FormsWorkFlow.com NOTICE TO DEFENDANT (A) This case will not be heard on the day for appearance specified on the reverse side, hereafter called the return date. (B) If the Complaint is verified (sworn to), your Answer must be verified. (C) If you have not obeyed this Summons and filed a written Appearance or Answer before the return day, an Order of Default and Judgment may be taken against you on the return day. (D) If you have filed a written Appearance on or before the return day, you must file an Answer not later than 10 days after the return day. If you fail to file an Answer within that time, an Order of Default and Judgment may be taken against you at any time after said 10 days. (E) If you have filed a written Appearance or Answer on or before the return day, you MUST appear on the return date for setting of the arbitration hearing. (F) Late filing of an Appearance or Answer will not relieve you from judgment or default order except by court order. American LegalNet, Inc. www.FormsWorkFlow.com