STATE OF ILLINOIS ) )SS COUNTY OF WILL ) IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS _______________________________________ CASE NO: __________________________________ Plaintiff vs RETURN DATE: ____________________________ _______________________________________ TIME & LOCATION: Defendant 9:00 a.m.; 14 W. Jefferson Street, Joliet, Illinois AFFIDAVIT FOR NON WAGE GARNISHMENT _____________________________________________ being first duly sworn upon oath states: 1. Judgment was entered on ________________________ in favor of the Judgment Creditor __________ ___________________________ and against Judgment Debtor _______________________________ _______________________ for $ _________________________ and costs. 2. $ ________________________ has been paid on the judgment. 3. There is unpaid on the Judgment: $ _______________________ Principal $ _______________________ Costs $ _______________________ Interest $ _______________________ TOTAL UNPAID 4. I believe Garnishee ____________________________________________ is indebted to the Judgment Debtor or has in his possession, custody, or control of property belonging to the Judgment Debtor or in which he/she has an interest. 5. The last known address of the Judgment Debtor is _________________________________________ __________________________________________________________________________________ 6. I request that summons be issued to the Garnishee. I, the undersigned certify under penalties as provided by law pursuant to 735 ILCS 5/1-109 that the statements set forth in this instrument are true and correct. _________________________________________________ Attorney or Party, if not represented by Attorney Name _____________________________________ ARDC # ___________________________________ Firm Name _________________________________ Attorney for ________________________________ Address ___________________________________ City & Zip _________________________________ Telephone _________________________________ (Attorney for Judgment Creditor or Judgment Creditor) Signed and sworn to before me ________________________, 20 _______ ___________________________________ (Notary Public) (SEE REVERSE SIDE) 21A (Revised 06/06) American LegalNet, Inc. www.FormsWorkflow.com CASE NUMBER _______________________________ ANSWER TO INTERROGATORIES BY GARNISHEE 1. When you were served with summons did you have in your possession, custody or control any property belonging to the Judgment Debtor or in which he/she has an interest? ANSWER ________________________________________________________________ 2. If your answer is yes, describe property: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ 3. When you were served with summons were you otherwise indebted to him/her, no matter when payable? ANSWER ________________________________________________________________ 4. If your answer is yes, state: Description _________________________________________________________________________ Amount $ ______________________________________ Date Due ____________________________ AFFIDAVIT ____________________________________________ the undersigned certify under penalties as provided by law pursuant to 735 ILCS .5/1-109 that the statements set forth in this answer to interrogatories as true and correct. I further state that a copy of this answer to interrogatories by Garnishee has been sent by first class mail to the Judgment Creditor or his/her attorney and to the Judgment Debtor at the address specific in the affidavit or any other address or location of the Judgment Debtor known to the Garnishee. Signed and sworn to before me ________________________, 20 _______ _________________________________________ ___________________________________ (Notary Public) IMPORTANT INSTRUCTIONS 1. You must mail a copy of your answer to the Circuit Court Clerk. (This must be a notarized answer.) 2. You must mail a copy of your answer to the Judgment Creditor or his/her attorney. 3. You must mail a copy of your answer to the Judgment Debtor. 4. Upon receipt in duplicated of a release of satisfaction or judgment or a written order of court, you should remit the total amount deducted for the Judgment Creditor whose name and address appear on the reverse side of this form, or if there is not attorney representing the Judgment Creditor, you should remit the total amount deducted to the Judgment Creditor. 5. If the Judgment Debtor has filed a notice to contest the garnishment or to seek exemptions as permitted by law, do not forward any amount deducted without a written order of court. 6. At the time that you forward the proceeds deducted, you must also forward to the clerk of the court, the original of the release and satisfaction. This is the only way in which the court records will show that the judgment against you as the Garnishee has been satisfied. There is no charge for filing the release and satisfaction. Mail the release to PAMELA J. McGUIRE, Circuit Court Clerk, 14 West Jefferson Street, Joliet, IL 60432. PAMELA J. MCGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNTY 21A (Revised 06/06) American LegalNet, Inc. www.FormsWorkflow.com