Free CCG 0648 1-11-02 - Illinois


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Date: December 30, 2005
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State: Illinois
Category: Court Forms - Local
Author: carmen
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Citation Notice
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS MUNICIPAL DEPARTMENT, _________ DISTRICT FIRST
Richard J. Daley Center, Room 601, Chicago, IL 60602 District 3: 2121 Euclid, Rolling Meadows, IL 60008 District 5: 10220 S. 76th Ave., Bridgeview, IL 60455

(Rev. 10/24/05) CCG 0648 A

District 2: 5600 Old Orchard Rd., Skokie, IL 60077 District 4: 1500 Maybrook Dr., Maywood, IL 60153 District 6: 16501 S. Kedzie Pkwy., Markham, IL 60426

CITATION NOTICE PRINT NAME OF PERSON OR PARTY SUING ______________________________________________
Judgment Creditor v.

PRINT YOUR CASE NUMBER No. ____________________________________ PRINT COURT DATE Court Date: _________________________________
a.m. PRINT TIME Time: _______________________________ p.m.
CHECK BLACKBOARD FOR COURT DATE AND TIME

PRINT NAME OF PERSON OR PARTY BEING SUED ______________________________________________
Judgment Debtor Judgment Debtor's last known:

PRINT NAME OF PERSON OWING JUDGMENT Name: ________________________________________

PRINT COMPLETE ADDRESS Address: _______________________________________

PRINT CITY, STATE AND ZIP CODE City/State/Zip: __________________________________ PRINT COMPLETE TELEPHONE NUMBER Telephone: _____________________________________ PRINT NAME OF

PRINT NAME OF PERSON OWING A judgment in favor of ________________________________ and against _______________________________ PERSON COLLECTING PRINT JUDGMENT DATE PRINT REVIVAL DATE was entered on __________________________, _________, (or revived on _________________________, _________) AMOUNT OUTSTANDING PRINT JUDGMENT AMOUNT in the amount of $ ____________________________ and $ ____________________________ remains unsatisfied.
Name and address of Attorney for Judgment Creditor or Judgment Creditor (if without an attorney):
IF APPLICABLE,

PRINT "PRO SE-99500" IF NO ATTORNEY Atty. No.: __________________

PRINT YOUR NAME Name: ___________________________________________ IF NO ATTORNEY, LEAVE BLANK Atty. for: _________________________________________ PRINT YOUR ADDRESS Address: _______________________________________
City/State/Zip:_____________________________________ PRINT YOUR CITY, STATE AND ZIP CODE Telephone: _______________________________________ PRINT YOUR COMPLETE TELEPHONE NUMBER

A S

P M

E L

PRINT NAME OF PERSON OWING JUDGMENT Name of person to receive Citation: ___________________________________________________________________
NOTICE: The court has issued a citation against the person named above. The citation directs that person to appear in court to be examined for the purpose of allowing the judgment creditor to discover income and assets belonging to the judgment debtor or in which the judgment debtor has an interest. The citation was issued on the basis of a judgment against the judgment debtor and in favor of the judgment creditor in the amount stated above. On or after the court date stated above, the court may compel the application of any discovered income or assets toward payment on the judgment. The amount of income or assets that may be applied toward the judgment is limited by federal and Illinois law. THE JUDGMENT DEBTOR HAS THE RIGHT TO ASSERT STATUTORY EXEMPTIONS AGAINST CERTAIN INCOME OR ASSETS OF THE JUDGMENT DEBTOR WHICH MAY NOT BE USED TO SATISFY THE JUDGMENT IN THE AMOUNT STATED ABOVE. (see reverse) DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS