How to collect a money judgment in Illinois -- Supplement©

This supplement includes a forms guide as well as forms. The forms guide is for useonly in filling out the forms. For more information about what these forms mean or are

used for, consult the appropriate Self Help packet.

©Board of Trustees, Southern Illinois University

Forms that are included in this supplement:

Application to Sue As A Poor Person

Affidavit In Support Of Petition For Order To Show Cause

Petition for Order To Show Cause

Order To Show Cause

Order For Payment

Order Modifying Payment Plan

Certificate of Mailing of Order For Payment

Citation To Discover Assets

Citation Notice

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FORMS GUIDE

ALL FORMS:

At the top of each form is the "caption". It is completed as follows:

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE (number of circuit) JUDICIAL CIRCUIT

(name of county) COUNTY

)(your name) )

)Plaintiff, )

)and ) No. (get from Clerk at the time you

) file))

(your spouse's name) ) )

Defendant. )

Determine the number of the "Circuit" according to the chart on the next page. If yourcounty does not appear in the chart, call the Circuit Clerk in the county in which youwill be filing your case and ask for the number of the Circuit.

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Circuit Courts in Illinois

Cook County is its own judicial circuit. The rest of the counties in Illinois fall into one of21 circuits.

First Circuit - The counties of Alexander, Pulaski, Massac, Pope, Johnson, Union, Jackson,Williamson and Saline.

Second Circuit - The counties of Hardin, Gallatin, White, Hamilton, Franklin, Wabash, Edwards,Wayne, Jefferson, Richland, Lawrence and Crawford.

Third Circuit - The counties of Madison and Bond.

Fourth Circuit - The counties of Clinton, Marion, Clay, Fayette, Effingham, Jasper,Montgomery, Shelby and Christian.

Fifth Circuit - The counties of Vermilion, Edgar, Clark, Cumberland and Coles.

Sixth Circuit - The counties of Champaign, Douglas, Moultrie, Macon, DeWitt and Piatt.

Seventh Circuit - The counties of Sangamon, Macoupin, Morgan, Scott, Greene and Jersey.

Eighth Circuit - The counties of Adams, Schuyler, Mason, Cass, Brown, Pike, Calhounand Menard.

Ninth Circuit - The counties of Knox, Warren, Henderson, Hancock, McDonough andFulton.

Tenth Circuit - The counties of Peoria, Marshall, Putnam, Stark and Tazewell.

Eleventh Circuit - The counties of McLean, Livingston, Logan, Ford and Woodford.

Twelfth Circuit - The county of Will.

Thirteenth Circuit The counties of Bureau, LaSalle and Grundy.

Fourteenth Circuit - The counties of Rock Island, Mercer, Whiteside and Henry.

Fifteenth Circuit - The counties of JoDaviess, Stephenson, Carroll, Ogle and Lee.

Sixteenth Circuit - The counties of Kane, DeKalb and Kendall.

Seventeenth Circuit - The counties of Winnebago and Boone.

Eighteenth Circuit - The county of DuPage.

Nineteenth Circuit - The counties of Lake and McHenry.

Twentieth Circuit - The counties of Randolph, Monroe, St. Clair, Washington andPerry.

Twenty-first Circuit - The counties of Iroquois and Kankakee.

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FORM: Application to Sue as a Poor Person

Introduction: Your name

Paragraph 1: Your address, include street and city.

Paragraph 2: The amount and source of your income, for example, $339.00 per month in AFDC, supplemented by Food Stamps.

Paragraph 3:. List other sources of income not listed in 2.

Paragraph 4: The amount of income you had in the last year.

Paragraph 5: Should be the same as 2, unless you expect your income to goup or down, in either case you should list what you expect yourincome to be.

Paragraph 6: List the names and birthdates of your children and/or others you supportfinancially.

Paragraph 7: First blank: total value of your possessions;

Second blank: year and make of your car; if you do nothave a car, simply put "none";

Third blank: value of your car;

Sign your name on both blank lines above where it says "Applicant" and print yourname below each signature.

FORM: Petition For Order To Show Cause

First blank: Your name.

Second blank: The name of the debtor.

Third andfourth blanks: Month, day and year of payment order you are

trying to enforce.

Fifth blank: Amount of money the debtor is supposed to be payingunder the original court order.

Sixth blank: How often the debtor is supposed to be making paymentsunder the original court order (for example, monthly, everyother week)

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Seventh and Eighthblanks: Month and year when the debtor was to begin making

payments under the original order.

Ninth blank: How many missed payments debtor owes.

Sign your name on both of the long blank lines and print your name below eachsignature on the shorter blank line.

In the lower left hand corner, print your name before where it says "pro se" andput your address and telephone number on the lines below.

FORM: Affidavit In Support Of Petition For Order To Show Cause

First blank County in which you live.

Second blank: Your name.

Third blank: debtor’s name.

Fourth and fifth blanks: The last time you received any payments from the debtor.

Sixth blank: debtor's name.

Seventh andEighth blank: The month, day, and year of the original payment order.

Ninth blank: How much money you are owed.

Tenth blank: debtor's name.

Sign your name on both of the long blank lines and print your name below eachsignature on the shorter blank line.

In the lower left hand corner, print your name before where it says "pro se" andput your address and telephone number on the lines below.

FORM: Order To Show Cause

Introduction: First blank: Name and address of debtor.

LEAVE THE REST OF THE FORM BLANK FOR THE JUDGE TO COMPLETE.

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FORM: Order for Payment

FILL OUT ONLY THE CAPTION

LEAVE THE REST OF THE FORM BLANK FOR THE JUDGE TO COMPLETE.FORM: Order Modifying Payment Plan

FILL OUT ONLY THE CAPTION

LEAVE THE REST OF THE FORM BLANK FOR THE JUDGE TO COMPLETE.

FORM: Certificate of Mailing Of Order For Payment

First blank: Your name.

Second blank: The name of the other party.

Third blank: The address of the other party.

Fourth blank: Name of city in which you mailed a copy of the Order forPayment to the other party.

Fifth blank: Date you mailed a copy of the Order for Payment to the otherparty.

Sign your name on both of the long blank lines and print your name below eachsignature on the shorter blank line.

In the lower left hand corner, print your name before where it says "pro se" andput your address and telephone number on the lines below.

FORM: Citation To Discover Assets (Circuit Clerk and Defendant’s copy)

Name and address of Debtor: Name and address of person who owes you money.

Name and address of Creditor: Your name and address.

Date of Judgment: The date your money judgment was entered by the court.

Case number of originaljudgment: The case number that appears on the money judgment

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that was entered by the court.Original amount owed: The total amount of money awarded to you by the court.

Balance due: How much is left owed on the judgment.

Hearing date and time: Do not fill out until you get this information from the Clerk.

First blank: Name of county where you are filing your Citation.

Second blank: What records or information you want the debtor to bringto the hearing.

Creditor blank: Sign your name here

Creditor address andphone number: Your address and phone number.

FORM: Citation Notice (Circuit Clerk and Defendant’s copy)

Name and address of Debtor: Name and address of person who owes you money.

Name and address of Creditor: Your name and address.

Date of Judgment, amount awarded, andamount unpaid: The date your money judgment was entered by the court,

the total amount of money awarded to you by the court,and how much is left owed on the judgment.

Court date and time: Do not fill out until you get this information from the Clerk.

First blank: Address of Circuit Clerk where you are filing your Citation.

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE ___________ JUDICIAL CIRCUIT

__________________ COUNTY

)______________________ ) _____Application granted

) _____Application deniedPlaintiff, )

)vs. ) No. _______

)______________________ ) __________________, 20__

) Defendant. ) ________________________

JUDGE

APPLICATION TO SUE AS A POOR PERSON

I, _____________________________________, on my own behalf, on oath state:

1. My current address is _________________________________________________.

2. My occupation, source of income, amount of public benefits is ________________.

3. My other sources of income or support are ________________________________.

4. My income for the preceding year was approximately ________________________.

5. The sources and amounts of income I expect to receive in the future are:

_____________________________________________________________________.

6. Person(s) who are dependent on me for support are: ________________________

_____________________________________________________________________

_____________________________________________________________________.

7. I own no real estate. The total value of all my personal property does not exceed

$___________ in value and consists of clothing and furniture, and other household

items, including a 20____, ____________ motor vehicle, valued at $____________.

8. I filed no applications for leave to sue or defend as a poor person during the preceding year, and none were filed on my behalf.

9. I am unable to pay the costs of commencing and prosecuting this action.

10. I have a meritorious claim.

WHEREFORE, Applicant prays the Court to permit her/him to commence andprosecute this action as a poor person under 735 ILCS 5/5-105 of the Code of CivilProcedure.

___________________________________Applicant

Under penalties as provided by law pursuant to Section 5/1-109 of the Code ofCivil Procedure, the undersigned certifies that the statements set forth in thisinstrument are true and correct, except as to matters therein stated to be on informationand belief and as to such matters the undersigned certifies as aforesaid that he/sheverily believes the same to be true.

___________________________________Applicant

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE __________ JUDICIAL CIRCUIT

_____________ COUNTY

_________________________, )Plaintiff, )

)vs. ) No. ____ -- ___ -- _____

)_________________________, )

) Defendant. )

PETITION FOR ORDER TO SHOW CAUSE

Now comes _________________, (hereafter referred to as Creditor) on his/her

own behalf and in support of his/her Petition for Order to Show Cause against

________________ (hereafter referred to as Debtor) states as follows:

1. That on ___________________, 20___, this Court entered an order which

requires Debtor to make payments in the amount of $_____________ per

___________, beginning on ____________________, 20 ___.

2. That Debtor has violated this order in that he/she has not paid all of the

payments he/she was ordered to pay (See Affidavit) and a delinquency of

$________________ is now owed.

3. That Debtor can satisfy the Order to Show Cause by paying the amount that is

owed.

WHEREFORE, Creditor asks that this court:

A. Issue an order requiring Debtor to show cause, if any he/she has, why he/she

should not be held in contempt of court and punished for failure to comply with this

court's order.

B. Issue an order modifying the existing payment order to pay the past due

payments that are owed.

C. For any other relief that equity may require.

____________________________________________

Under penalties as provided by law pursuant to Section 1-109 of the Code ofCivil Procedure, the undersigned certifies that the statements set forth in thisinstrument are true and correct, except as to matters therein stated to be on informationand belief and as to such matters the undersigned certifies as aforesaid that she verilybelieves the same to be true.

_______________________________ ______________

__________________, pro se

__________________

__________________

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE _________ JUDICIAL CIRCUIT

___________ COUNTY

__________________, ) )

Plaintiff, ) )

vs. ) No. _____ -- __ -- _____ )__________________, ) )

Defendant. )

ORDER TO SHOW CAUSE

Name and Address of Person to be Served with this Order:

________________________________________________________________

This cause having come on to be heard on the Petition for Order to Show Cause

filed by __________________, the Court having considered the petition and having

been otherwise fully informed in the premises, finds that it should be granted.

WHEREFORE, IT IS HEREBY ORDERED that _____________ shall appear on

the ______ day of ____________, 20 ___, at _______ __.m. at the

________________county courthouse, ________________, Illinois, and show cause, if

any he/she has, why he/she should not be held in contempt of court and punished for

failing to comply with the order entered by this Court on __________________, 20 ___.

_______________________ _______________________________DATE JUDGE

RETURN OF SERVICE--ORDER TO SHOW CAUSEto be completed by Sheriff

The undersigned certifies that he/she served this Order To Show Cause on the Defendant asfollows:

(Check appropriate blank, and complete service information below)

_____ a) (Individual defendant - personal):By leaving copy of the complaint with each individual personally.

_____ (b) (Individual defendant - abode):By leaving a copy and a copy of the complaint at the usual place of abode of eachindividual defendant with a person of his family, of the age of 13 years or upwards,informing that person of the contents and also by sending a copy of the summons in aseal envelope with postage fully prepaid, addressed to each individual defendant at hisusual place of abode.

_____ (c) (Other service -- explain below)

SERVICE INFORMATION:

Name of Defendant:

Order To Show Cause given to:

Name: Sex Race Approximate Age

Place of Service

Street Address: City of , State of

Date of Service: , 20 ____ Time

Date of Mailing (if abode service was used)

Signed: , Sheriff of County, State of __________________

By: , Deputy

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE __________ JUDICIAL CIRCUIT

_____________ COUNTY

__________________, Plaintiff ))

)vs. ) No. ______ -- ______

)___________________, Defendant. )

AFFIDAVIT IN SUPPORT OF PETITION FOR ORDER TO SHOW CAUSE

STATE OF ILLINOIS ) ) ss.

COUNTY OF ___________ )

I, ______________, having been duly sworn state as follows:

1. That if I were sworn as a witness at trial, I could competently testify to the facts set

forth in this affidavit based on my personal knowledge.

2. That (check all that apply and complete blanks)

( ) I have not received any payments from ___________ since _______20 ___.

( ) That while I have received payments from ____________, it is less than the amount

he/she was ordered to pay on ___________, 20 ___ and I am owed $___________.

( ) That ___________ has the ability to pay the amount that is owed.

___________________________________________

Under penalties as provided by law pursuant to Section 1-109 of the Code ofCivil Procedure, the undersigned certifies that the statements set forth in this instrument aretrue and correct, except as to matters therein stated to be on information and belief and as tosuch matters the undersigned certifies as aforesaid that she verily believes the same to betrue.

_______________________________ ____________________________, pro se

_______________

_______________

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE _______________ JUDICIAL CIRCUIT

________________ COUNTY

)________________________, )

)Plaintiff, )

)and ) No. ____________

)________________________, )

)Defendant. )

ORDER MODIFYING PAYMENT PLAN

The Court, having had a hearing on the Order To Show Cause filed by __________,

heard the evidence, and being otherwise fully advised in the premises, finds that it should be

granted.

IT IS HEREBY ORDERED that the order entered on ______________, 20 ___ ordering

______________ to make payments in the amount of $____________ per _________ be

modified as follows:

A. Defendant _____________________ shall pay to _____________________, the

sum of $____________ per __________, the first payment to be made on the _______ day of

20 ___ and payable on the _______ day of each _____________ thereafter until the judgment

has been paid in full.

B. Defendant _____________________ shall pay to _____________________,, as

and for an arrearage of past due payments the sum of $____________ per __________, the

first payment to be made on the _______ day of 20 ___ and payable on the _______ day of

each _____________ thereafter until the past due amount has been paid in full.

DATE: ______________ ENTER:_______________________________ JUDGE

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE _______________ JUDICIAL CIRCUIT

________________ COUNTY

)________________________, )

)Plaintiff, )

)and ) No. ____________

)________________________, )

)Defendant. )

ORDER FOR PAYMENT

The Court, having had a hearing on the Citation to Discover Assets filed by

__________, heard the evidence, and being otherwise fully advised in the premises, finds that

it should be granted.

IT IS HEREBY ORDERED that Defendant _____________________ shall pay to

_____________________, the sum of $____________ per __________, the first payment to

be made on the _______ day of 20 ___ and payable on the _______ day of each

_____________ thereafter until the judgment has been paid in full.

DATE: ______________ ENTER:_______________________________ JUDGE

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE ____________ JUDICIAL CIRCUIT

____________________ COUNTY

__________________________, ))

Plaintiff, ))

vs. ) No. ____-- __ --____)

__________________________, ))

Defendant. )

CERTIFICATE OF MAILING OF ORDER FOR PAYMENT

I, _______________________, hereby certify that I mailed a copy of the Order For

Payment to ________________________ at _____________________ by depositing the

same in the United States mail at _______________________, Illinois, postage fully prepaid

on ________________, 20____.

______________________,___________

Under penalties as provided by law pursuant to Section 5/1-109 of the Code ofCivil Procedure, the undersigned certifies that the statements set forth in this instrument aretrue and correct, except as to matters therein stated to be on information and belief and as tosuch matters the undersigned certifies as aforesaid that she/he verily believes the same to betrue.

______________________, ___________

___________________, pro se

___________________

___________________

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE _________ JUDICIAL CIRCUIT

___________ COUNTY

__________________, ) )

Plaintiff, ) )

vs. ) No. ____________ )__________________, ) )

Defendant. )

CITATION NOTICE

Name and Address of Debtor:

______________________________________________________________________________

Name and Address of Creditor:

______________________________________________________________________________

Date of Judgment, amount awarded, and amount unpaid:

______________________________________________________________________________

Court Date and Time:____________________________________________________________

NOTICE: The Court has issued a citation against you. The citation directs you to appear in

court to be examined for the purpose of allowing the creditor to discover income and assets

belonging to you or in which you have an interest. The citation was issued because of a

judgment against you in favor of the creditor in the amount stated above. On or after the above

date, the court may compel you to apply any discovered non-exempt income or assets to pay

towards the judgment.

The amount of income or assets that may be applied toward the judgment is limited by federal

and Illinois law. YOU HAVE THE RIGHT TO ASSERT STATUTORY EXEMPTIONS AGAINST

CERTAIN INCOME OR ASSETS WHICH MAY NOT BE USED TO PAY THE JUDGMENT

LISTED ABOVE. Those exemptions are listed on the reverse side of this Notice

CITATION NOTICE- ORIGINAL CIRCUIT CLERK’S COPY

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE _________ JUDICIAL CIRCUIT

___________ COUNTY

__________________, ) )

Plaintiff, ) )

vs. ) No. ____________ )__________________, ) )

Defendant. )

CITATION NOTICE

Name and Address of Debtor:

______________________________________________________________________________

Name and Address of Creditor:

______________________________________________________________________________

Date of Judgment, amount awarded, and amount unpaid:

______________________________________________________________________________

Court Date and Time:____________________________________________________________

NOTICE: The Court has issued a citation against you. The citation directs you to appear in

court to be examined for the purpose of allowing the creditor to discover income and assets

belonging to you or in which you have an interest. The citation was issued because of a

judgment against you in favor of the creditor in the amount stated above. On or after the above

date, the court may compel you to apply any discovered non-exempt income or assets to pay

towards the judgment.

The amount of income or assets that may be applied toward the judgment is limited by federal

and Illinois law. YOU HAVE THE RIGHT TO ASSERT STATUTORY EXEMPTIONS AGAINST

CERTAIN INCOME OR ASSETS WHICH MAY NOT BE USED TO PAY THE JUDGMENT

LISTED ABOVE. Those exemptions are listed on the reverse side of this Notice

CITATION NOTICE- DEFENDANT’S COPY

YOUR EXEMPTION RIGHTSYou may have other rights not listed here

1. Under Illinois or federal law, the following items are exempt and cannot be taken from you topay this judgment:

Social Security and SSI benefits;

public assistance benefits;

unemployment compensation benefits;

worker’s compensation benefits;

veterans’ benefits;

circuit breaker property tax relief benefits;

your equity interest, not to exceed $2000 in value, in any personal property youchoose;

your equity interest, not to exceed $1200 in value, in any one motor vehicle;

your equity interest, not to exceed $750 in value, in any tools of your trade.

2. Under Illinois law, you are entitled to the first $7500 of the value of your home as long asyou live there.

3. Under Illinois law, the amount of your salary that may be applied toward a judgment islimited to the lesser of (a) 15% of your gross weekly salary or (ii) the amount by which your netweekly exceeds $231.75.

4. Under federal law, the amount of wages that may be applied toward a judgment is limited tothe lesser of (a) 25% of your net weekly salary or (b) the amount by which your net weeklysalary exceeds $154.50.

5. Pension and retirement benefits and refunds may be claimed as exempt under Illinois law.

YOU HAVE THE RIGHT AT THE CITATION HEARING TO DECLARE EXEMPT INCOME ORASSETS OR BOTH.

You also have the right to seek declaration at an earlier date by notifying the clerk in writing atthe following address: ____________________________________________________ .

When so notified, the Clerk will obtain a prompt hearing date and will provide the necessaryforms that must be prepared by you or your attorney and sent to the creditor or the creditor’s

attorney regarding the time and location of the hearing. This notice may be sent by regular firstclass mail.

YOUR EXEMPTION RIGHTSYou may have other rights not listed here

1. Under Illinois or federal law, the following items are exempt and cannot be taken from you topay this judgment:

Social Security and SSI benefits;

public assistance benefits;

unemployment compensation benefits;

worker’s compensation benefits;

veterans’ benefits;

circuit breaker property tax relief benefits;

your equity interest, not to exceed $2000 in value, in any personal property youchoose;

your equity interest, not to exceed $1200 in value, in any one motor vehicle;

your equity interest, not to exceed $750 in value, in any tools of your trade.

2. Under Illinois law, you are entitled to the first $7500 of the value of your home as long asyou live there.

3. Under Illinois law, the amount of your salary that may be applied toward a judgment islimited to the lesser of (a) 15% of your gross weekly salary or (ii) the amount by which your netweekly exceeds $231.75.

4. Under federal law, the amount of wages that may be applied toward a judgment is limited tothe lesser of (a) 25% of your net weekly salary or (b) the amount by which your net weeklysalary exceeds $154.50.

5. Pension and retirement benefits and refunds may be claimed as exempt under Illinois law.

YOU HAVE THE RIGHT AT THE CITATION HEARING TO DECLARE EXEMPT INCOME ORASSETS OR BOTH.

You also have the right to seek declaration at an earlier date by notifying the clerk in writing atthe following address: ____________________________________________________ .

When so notified, the Clerk will obtain a prompt hearing date and will provide the necessaryforms that must be prepared by you or your attorney and sent to the creditor or the creditor’sattorney regarding the time and location of the hearing. This notice may be sent by regular firstclass mail..

STATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE _________ JUDICIAL CIRCUIT

___________ COUNTY

__________________, ) )

Plaintiff, )v. ) Case no: ______________ )__________________, ) )

Defendant. )

CITATION TO DISCOVER ASSETS

Name and Address ofDebtor:__________________________________________________________________

Name and Address ofCreditor:_________________________________________________________________

Date of Judgment ________________________ Case number of original judgment____________________

Original amount owed $____________________ Balance due:$___________________________________

Hearing Date and Time:_____________________________________________________________________

YOU ARE ORDERED TO APPEAR before a Judge in the Circuit Court of __________________ County atthe above date and time for a hearing to discover any non-exempt assets and income that you may have topay off the judgment listed above.

YOU ARE REQUIRED to bring with you any and all books, papers, or records in your possession or controlthat contain information concerning your property, income, and assets, including_____________________________________________________________________________________________________________________.

YOU ARE PROHIBITED from disposing, transferring, encumbering, or giving away any non-exempt incomeor assets until further order of the court or termination of the Citation proceedings.

YOUR FAILURE TO APPEAR IN COURT AS HEREIN DIRECTED MAY CAUSE YOU TO BE ARRESTEDAND BROUGHT BEFORE THE COURT TO ANSWER TO A CHARGE OF CONTEMPT OF COURT WHICHMAY BE PUNISHABLE BY IMPRISONMENT IN THE COUNTY JAIL. EVEN IF YOU ONLY HAVE NON-EXEMPT INCOME AND ASSETS AND OR YOU CANNOT PAY TOWARDS THIS JUDGMENT, YOU MUSTAPPEAR.

The undersigned certifies, under penalties of law, pursuant to Section 5/1-109 of the Illinois Code of Civil Procedure, thatthe above information about the judgment is true and correct as to their belief/ knowledge.

____________________________________ ____________________________________________________Creditor Creditor Address and phone number

CITATION TO DISCOVER ASSETS -- ORIGINAL CIRCUIT CLERK COPY

Note to Sheriff: This Citation must be served within 5 days of the date of the hearing as stated above.

RETURN OF SERVICE-- CITATION TO DISCOVER ASSETSto be completed by Sheriff

The undersigned certifies that he/she served this Citation To Discover Assets on theDefendant as follows:

(Check appropriate blank, and complete service information below)

_____ a) (Individual defendant - personal):By leaving copy of the complaint with each individual personally.

_____ (b) (Individual defendant - abode):By leaving a copy and a copy of the Citation at the usual place of abode of eachindividual defendant with a person of his family, of the age of 13 years or upwards,informing that person of the contents and also by sending a copy of the Citation in aseal envelope with postage fully prepaid, addressed to each individual defendant at hisusual place of abode.

_____ (c) (Other service -- explain below)

SERVICE INFORMATION:

Name of Defendant:

Citation To Discover Assets given to:

Name: Sex Race Approximate Age

Place of Service

Street Address: City of , State of

Date of Service: , 20 ____ Time

Date of Mailing (if abode service was used)

Signed: , Sheriff of County, State of __________________

By: , DeputySTATE OF ILLINOIS

IN THE CIRCUIT COURT OF THE _________ JUDICIAL CIRCUIT

___________ COUNTY

__________________, ) )

Plaintiff, )v. ) Case no: ______________ )__________________, ) )

Defendant. )

CITATION TO DISCOVER ASSETS

Name and Address ofDebtor:__________________________________________________________________

Name and Address ofCreditor:_________________________________________________________________

Date of Judgment ________________________ Case number of original judgment____________________

Original amount owed $____________________ Balance due:$___________________________________

Hearing Date and Time:_____________________________________________________________________

YOU ARE ORDERED TO APPEAR before a Judge in the Circuit Court of __________________ County at

the above date and time for a hearing to discover any non-exempt assets and income that you may have topay off the judgment listed above.

YOU ARE REQUIRED to bring with you any and all books, papers, or records in your possession or controlthat contain information concerning your property, income, and assets, including_____________________________________________________________________________________________________________________.

YOU ARE PROHIBITED from disposing, transferring, encumbering, or giving away any non-exempt incomeor assets until further order of the court or termination of the Citation proceedings.

YOUR FAILURE TO APPEAR IN COURT AS HEREIN DIRECTED MAY CAUSE YOU TO BE ARRESTEDAND BROUGHT BEFORE THE COURT TO ANSWER TO A CHARGE OF CONTEMPT OF COURT WHICHMAY BE PUNISHABLE BY IMPRISONMENT IN THE COUNTY JAIL. EVEN IF YOU ONLY HAVE NON-EXEMPT INCOME AND ASSETS AND OR YOU CANNOT PAY TOWARDS THIS JUDGMENT, YOU MUSTAPPEAR.

The undersigned certifies, under penalties of law, pursuant to Section 5/1-109 of the Illinois Code of Civil Procedure, thatthe above information about the judgment is true and correct as to their belief/ knowledge.

____________________________________ ____________________________________________________Creditor Creditor Address and phone number

CITATION TO DISCOVER ASSETS DEFENDANT’S COPY

Date of Service: __________________, 20 __(To be completed by officer)