STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE TWENTIETH JUDICIAL CIRCUIT WASHINGTON COUNTY vs CASE NO. SUMMONS TO EACH DEFENDANT: [Last name, first name] [Address 1] [Address 2] [City/State/Zip] You are summoned and required to file an answer in this case, or otherwise file your appearance, in the Office of the Clerk of this Court, Washington County Courthouse, Nashville, Illinois, within 30 days after date of service of this summons, not counting the day of service. IF YOU FAIL TO DO SO, A JUDGMENT OR DECREE BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE RELIEF ASKED IN THE COMPLAINT. To the officer: This summons must be returned by the officer or other person to whom it was given for service, with indorsement of service and fees, if any, immediately after service. If service cannot be made, this summons shall be returned so indorsed. This summons may not be served later than 30 days after its date. Witness: (Seal of court) Cynthia Barczewski, Circuit Clerk [Last name, first name] [Address 1] [Address 2] [City/State/Zip] [Telephone] I certify that I have served this summons as specified on __________________________________________ FEES ­ SERVICE MILES TOTAL $______________ $______________ $______________ __________________________________________ (Officer) by:________________________________________ (Deputy) American LegalNet, Inc. www.FormsWorkFlow.com