This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts. SC - C 3003.1 Page 1 of 5 ( 03 / 18 ) STATE OF ILLINOIS , CITATION TO DISCOVER ASSETS TO DEBTOR'S EMPLOYER For Court Use Only CIRCUIT COURT COUNTY Instructions Directly above, enter the name of the county where the case was filed. Plaintiff (First, middle, last name) v. Enter the name of the plaintiff. Defendant (First, middle, last name) Enter the name of the defendant. Respondent ( Employer's Business Name ) Enter the name and address of the employer. Street Case Number Enter the case number. City State ZIP In 1, if the debtor is a person, enter the name and address for the debtor. If the debtor is a business, enter the name and address of the registered agent. The registered agent can be found on the Illinois Secretary of State222s website. 1 . This citation and notice is being sent to you use the creditor believes the debtor listed below is employed by you or works for you under some other contractual relationship: Debtor's name Street , Apt # City State ZIP In , enter the courtroom number, date and time of the court date, and address of the courthouse. 2 . You must fill out the attached Answer to Citation Proceeding form and file it or come to courtroom on Number at a.m. p.m. Date Time The address of the court is : Street City State ZIP Notice to Debtor You can come to court on the court date listed in section 3. You may be able to claim certain protections (exemptions) at that court date. For a list of exemptions see section 7 below. See How to File an Emergency Motion to Claim Exemption for information on how to file this Motion. If you need to be heard earlier than the court date listed in section 3, you can file an Emergency Motion to Claim Exemption. You do not have to come to court, but if you do not come to court, and you work for the employer, the court may garnish your paycheck. American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Circuit Clerk: SC - C 3003.1 Page 2 of 5 ( 03 / 18 ) Notice to Employer If you do not answer or come to the court date listed in section 3, the judge may do one of two things: oIssue a rule to show cause; OR oEnter a conditional judgment. If there is a rule to show cause court date, you will have to explain why you did not come to court on the court date and why you should not be found in contempt of court. If you do not come to the rule to show cause on the set court date, the judge may find you in contempt, and you might be arrested and jailed. If the court enters a conditional judgment, you will have 30 days to answer or appear. If you fail to do so, then the court may enter a final judgment against you. 3 . The employer222s duties and obligations : a. Fill out and return the Answer on page 4 on or before the court date listed on page 1 . The Answer asks basic questions about the debtor and their income. b. The first question in the Answer is whether the debtor is employed by you or works for you under some other contractual relationship. i. If they do not, then check the 223No224 box, and send the form back. ii . If the debtor does work for you, answer the rest of the Answer about pay periods, hourly wage, gross pay, and required deductions from gross pay. The Answer explain s how to calculate the amount you need to withhold for the garnishment/turnover order. iii. If a positive amount is listed on section 4 M on the Answer , withhold that amount until there is a court order to turn over the wages or the Citation is dismissed. iv. If income varies, withholding must be recalculated for every pay period. c. S ign the form, file the original with the C ircuit C lerk who issued the Citation , and keep a copy for yourself . Give or send a copy of the completed Answer to the debtor and to the creditor. d. Do not withhold any wages from the debtor if the debtor222s income after taxes is equal to or less than $371.25 if paid weekly; $742.50 if paid bi - weekly; $804.38 if paid semi - monthly, or $1,608.75 if paid monthly. If the debtor222s wages after taxes are more than this exemption, then you should withhold the lesser of 15% of the debtor222s gross income or their income after taxes minus the exemption. See how to calculate the amount in the Answer . In 4a, enter the name of the debtor and the date of the judgment. If the judgment has been renewed (223revived224), enter that date. Do not turn over any funds until you receive a wage deduction/turn over order. 4 . Certification by the creditor: , Name In 4b, enter the amount of the judgment. the debtor, on . Date In 4c, enter how much is still owed to you. You are entitled to the judgment amount, court costs (like filing fees, service fees, sheriff's fee, etc.), and post-judgment interest of 9% per year. Subtract any payments made by the debtor. b. The amount of the judgme nt is $ . c. The current amount that remains to be paid, including the creditor's court costs and post - judgment interest, minus any payment made by the debtor or on behalf of the debtor after the judgment was entered , is $ plus cost s of this proceeding. American LegalNet, Inc. www.FormsWorkFlow.com a.A judgment was entered or renewed againstEnter the Case Number given by the Circuit Clerk: SC - C 3003.1 Page 3 of 5 ( 03 / 18 ) You must mail this Citation by first-class regular mail to the debtor. I certify I will mail by regular first - class mail a copy of the Citation to the debtor at the address shown above within 3 business days after service on the employer's Registered agent. I certify that everything in the Citation to Discover Assets to Debtor's Employer is true and Under the Code of Civil Procedure, 735 ILCS 5/1-109 , making a statement on this form that you know to be false is perjury, a Class 3 Felony. correct. I understand that making a false statement on this form is perjury and has penalties provided by law under 735 ILCS 5/1 - 109 . /s/ Your Signature Street Address If you are completing this form on a computer, sign your name by typing it. If you are completing it by hand, sign and print your name. Print Your Name City, State, ZIP Telephone STOP! The Circuit Clerk will fill in this section. Witness this Date: Seal of Court Clerk of the Court: American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Circuit Clerk: SC - C 3003.1 Page 4 of 5 ( 03 / 18 ) STATE OF ILLINOIS , ANSWER TO CITATION PROCEEDING (TO BE FILLED OUT BY EMPLOYER) For Court Use Only CIRCUIT COURT COUNTY Instructions To creditor: Fill out this section in the same way you did on page 1. Do not complete the rest of the form. Plaintiff (First, middle, last name) v. To employer: fill out page 4 and sign below. Defendant (First, middle, last name) Case Number Respondent ( Employer222s Business Name) In 1, check the box that applies. If your answer is "No," enter the last date of employment and go to the Certification Section. If your answer is "Yes," complete the rest of the form. 1. Do you pay any money to the debtor listed in s ection 1 on the Citation ? Yes No If the debtor is no longer working for you, enter the last date employed: Date 2. Of the money paid to the debtor, is any of that money (check all that apply) : a. Subjec t t o prio r cour t ordere d deductio n (includin g child/spous e support ) Cas e Number State Count y b. Disability Retirement Otherwise exempt (specify) : In 2, check any boxes that apply. CALCULATION TO DETERMINE AMOUNT OF WITHHOLDING NOTE: If income varies, withholding must be recalculated for every pay period. (If income varies, withholding must be recalculated for every pay period.) 3. Do you pay debtor: Every w eek Every two weeks Semi - monthly Monthly Other: In 3, check how often you pay the debtor. 4. A. Gross wages per paycheck A. B. Mandatory contributions to pensions or retirement plan B. In 4, enter the amounts for the most recent pay check. C. Subtract (B) from (A) C . D. Multiply (C) by 0.15 D. E. Total of FICA, State Tax, Federal Tax, and Medicare E. NOTE: If a number is negative, enclose in parentheses like this: ($50.00). F. Subtract (E) from (C) F. G. If debtor is paid every week, enter $37