Free CCG-0116 - Illinois

2124 - Served 2224 - Not Served 2324 - Served By Mail

(This form replaces CCMD 0014, CCM1-129 & CCL 0022)

(Rev. 1/8/01) CCG 0116

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS __________________ DEPARTMENT/__________ DISTRICT _________________________________________________________ v.

Plaintiff(s)

No. __________________________________
Address of Employer: _____________________

_________________________________________________________ and

Defendant(s)

______________________________________
_________________________________________

_________________________________________________________ Respondent(s)

WAGE DEDUCTION SUMMONS
To the Employer:
YOU ARE SUMMONED and required to file answers to the judgment creditor's interrogatories, in the office of the Clerk

of this Court, ______________________________________________________________________, Illinois on or before
Location

________________________________, ________, (21 to 40 days after issuance of summons). However, if this summons is served on you less than 3 days before that date, you must file answers to the interrogatories on or before a new return date, to be set by the court, not less than 21 days after you were served with this summons.
This proceeding applies to non-exempt wages due at the time you were served with this summons and to wages which become due until the balance due on the judgment is paid. IF YOU FAIL TO ANSWER, A CONDITIONAL JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE AMOUNT OF THE JUDGMENT UNPAID. FEDERAL AGENCY EMPLOYERS: Effective upon service of this summons and pursuant to 5 USC 552(a), you are to commence to pay over deducted wages to the attorney for the judgment creditor in accordance with 735 ILCS 5/12-808. To the officer: This summons must be returned by the officer or other person to whom it was given for service, with endorsement of service and fees, if any, immediately after service. If service cannot be made, this summons shall be returned so endorsed. This summons may not be served later than the above date. Atty. No. _________________ Name: __________________________________________ Attorney for: ______________________________________ Address: _________________________________________ City/Zip: ________________________________________ Telephone: ______________________________________ WITNESS _____________________________________ ______________________________________________ DOROTHY BROWN, Clerk of Court Date of Service ________________________, _______
(To be inserted by officer on copy left with employer or other person.) (Facsimile Telephone Number)

** Service by Facsimile Transmission will be accepted at: ____________________________________________________
(Area Code)

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS