IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT STEPHENSON COUNTY, ILLINOIS PLAINTIFF(S), } } } VS. } No. } } DEFENDANT(S), } Address of employer: } } and } } EMPLOYER. WAGE DEDUCTION SUMMONS To the employer: YOU ARE SUMMONED and required to file answers to the judgment creditors 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 interrogato ries on orbefore a new return date, to be set by the court, not less than 21 days after you werservede 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. FEDERAL AGENCY EMPLOYERS: Effective upon service of this summons and pursuant to 5 USC 552 (a), you are to commence to pay over deducted was toge 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 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 Circuit Court) By _________________________________________ ( Deputy) (Plaintiffs attorney or plaintiff if not represented by an attorney) Name Attorney for Address City Telephone American LegalNet, Inc. www.USCourtForms.com