Free CCG 0653 1-4-01 - Illinois

3303 3390 3372 3397 (This form replaces CCDR 0109, CCL 0122, and CCM1 0139) Notice of Motion Wage Deduction Exemption Hearing

(Rev. 10/24/05) CCG 0653 A

IN THE CIRCUIT COURT, COOK COUNTY ILLINOIS _________________ DEPARTMENT/___________ DISTRICT
ADDRESS

___________________________________________________
CITY

NOTICE OF MOTION WAGE DEDUCTION EXEMPTION HEARING

___________________________________________________
Judgment Creditor v. Judgment Debtor

___________________________________________________
To: JUDGMENT CREDITOR / ATTORNEY

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(location)

No. ________________________________

EMPLOYER / ATTORNEY

Name __________________________________________ Name ___________________________________________ Address ________________________________________ Address _________________________________________ City/State/Zip ___________________________________ City/State/Zip _____________________________________ Atty. No. _______________________________________ Atty. No. _________________________________________ On ____________________, _________ at _________ m, or as soon thereafter as counsel may be heard, I shall appear before the Honorable______________________________ or any judge sitting in his/her stead, in the courtroom usually occupied by him/her in Room __________, ______________________________________________________, Illinois and present a Motion to Claim Exemption under Wage Deduction Proceedings. Name ________________________________________ _ Address ______________________________________ City/State/Zip _________________________________ Telephone ____________________________________ PROOF OF SERVICE BY DELIVERY / MAIL I, _____________________________________________ (the attorney, certify) (a non-attorney, on oath state), on _____________________________, __________, I served this notice by delivering a copy personally to the person to whom it was directed on ______________________________, __________ at _________________ m. I, _____________________________________________ (the attorney, certify) (a non-attorney, on oath state), I served this notice by mailing a copy to _______________________________________________________________ at ___________________________________________________________________________________________
(address which appears on envelope)

Attorney for ______________________________________ Attorney No. ______________________________________

and deposited the same in the U. S. Mail at ______________________________________________________________
(place of mailing)

at ____________ m., on ______________________________, __________ with proper postage prepaid.

_________________________________________
Signed and sworn to before me _____________________________________________
(If not the attorney)

_________________________________ Notary Public
(OVER)

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

(Rev. 10/24/05) CCG 0653 B IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS _________________ DIVISION/__________ DISTRICT

____________________________________________________
Judgment Creditor v.

____________________________________________________
Judgment Debtor

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No. ________________________________

MOTION TO CLAIM EXEMPTION UNDER WAGE DEDUCTION PROCEEDINGS NOW COMES the Judgment Debtor ____________________________________________________________, and moves this Court to find his/her wages to be exempt for reasons as follows: 1. The amount of wages that are being deducted: ( ) is greater than ( i ) 15% of my gross weekly wages or ( ii ) the amount by which disposable earnings for a week exceed the total of 45 times the greater of the state or federal minimum hourly wage. ( ) is greater than ( i ) 25% of disposable earnings for a week or ( ii ) the amount by which disposable earnings for a week exceed 30 times the federal minimum hourly wage. ( ) include pension and retirement benefits and funds. This claim is made based on the following facts:

2.

________________________________________________________________________________ ________________________________________________________________________________ _______________________________________________________________________________.
WHEREFORE, Debtor prays that his/her wages be declared to be exempt.

________________________________________
Defendant Atty. No: ___________________ Name: ______________________________________________ Address: _____________________________________________ City/State/Zip: ________________________________________ Telephone: ___________________________________________

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