CC-18 11/11 STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17TH JUDICIAL CIRCUIT COUNTY OF WINNEBAGO FILE STAMP ___________________________________ Plaintiff Case No. ____________________ Vs. ___________________________________ Defendant MOTION / NOTICE OF MOTION FOR WAGE DEDUCTION EXEMPTION HEARING To: Judgment Creditor or Attorney For Judgment Creditor Employer or Attorney for Employer Name ______________________________________ Address _____________________________________ City ________________________________________ Name ______________________________________ Address ____________________________________ City ________________________________________ On ___________________________________ at _________M., or as soon after as counsel may be heard. I shall appear before the Honorable _____________________________________ in room ____________ located at 400 West State St., Rockford, Illinois, or any judge sitting in his/her stead and present a Motion to Claim Exemption under Wage Deduction Proceedings. Name _________________________________________ Attorney for ____________________________________ Address ________________________________________ ___________________________________________ Judgment Debtor/Defendant or Attorney City ___________________________________________ Phone _________________________________________ Proof of Service I, ____________________________________ (the attorney certify) (a non attorney on oath) state that On _________________________________I served this notice by delivering a copy personally to the parties to whom it was directed on at ___________M. On _____________________ I served this notice by mailing a copy personally to the parties named above by depositing same in the United States Mail at _______________________________________, Illinois at _________M. with first class postage prepaid. X ________________________________________________________________ Subscribed and Sworn to before me on this _____ day of __________________ ____ __________________________________________ Notary Public YOU MUST MAIL COPIES OF THIS AND ANY OTHER DOCUMENT FILED TO OPPOSING PARTY/ATTORNEY OF RECORD American LegalNet, Inc. www.FormsWorkFlow.com