Free $$WRK1$$ - Illinois

2122 - Served 2222 - Not Served 2322 - Served By Mail (This form replaces CCL 18, CCMD 13 and CCM1 13 C)

(Rev. 12/11/01) CCM 0013 A

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS No. ______________________________________ Amount of Judgment $ ___________________ Balance Due $ _____________________________ Return Date ____________________________

___________________________________________________ Plaintiff(s) v. ___________________________________________________ Defendant(s)

SUMMONS TO CONFIRM JUDGMENT BY CONFESSION
To each defendant: YOU ARE SUMMONED and required either: 1. To appear in person in the office of the clerk of this court, in Room __________________________,
Address City or Town Time

_________________________________________________________________, Illinois, at _________________m. On _____________________________, ________, and file your appearance in writing with the Clerk of the Court or, 2. To cause your appearance in writing to be filed in this action by yourself or your attorney. On this date this case will be tried unless, upon application, another trial date is set by the Court. IF YOU DO NOT APPEAR OR CAUSE YOUR APPEARANCE TO BE FILED, THE JUDGMENT BY CONFESSION FOR $ ______________________________________ AND COSTS ENTERED AGAINST YOU ON ____________________________________, ________, MAY BE CONFIRMED BASED UPON COMPLAINT, A COPY OF WHICH IS HERETO ATTACHED.
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, and not less than 3 days before the day for appearance. If service cannot be made, this summons shall be returned so endorsed.

Atty. No.: __________________ Name: ___________________________________________ Atty. for: _________________________________________ Address: ________________________________________ City/State/Zip:_____________________________________ Telephone: _______________________________________

WITNESS ______________________________, ________ ________________________________________________ DOROTHY BROWN, Clerk of the Circuit Court of Cook County

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

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

(OVER)

(This form replaces CCL 18, CCMD 13 and CCM1 13 C)

(Rev. 12/11/01) CCM 0013 B SHERIFF'S FEES

Service and return_____________________________ $____________________ Miles________________________________________ ____________________ Total ______________________________________________ $ ____________________ ___________________________________________, Sheriff of Cook County I certify that I served this summons on defendants as follows: (a)-(Individual defendants-personal): By leaving a copy and a copy of the complaint with each individual defendant personally, as follows: Name of defendant _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ (b)-(Individual defendants-abode): By leaving a copy and a copy of the complaint at the usual place of abode of each individual defendant with a person of his/her family, of the age of 13 years or upwards, informing that person of the contents of the summons, and also by sending a copy of the summons and of the complaint in a sealed envelope with postage fully prepaid, addressed to each individual defendant at his/her usual place of abode, as follows: Name of defendant __________________________________ __________________________________ __________________________________ Person with whom left _______________________________ _______________________________ _______________________________ Date of service _____________ _____________ _____________ Date of mailing _______________ ________________ ________________ Date of service ______________________ ______________________ ______________________ ______________________

_________________________________________, Sheriff of Cook County By_____________________________________, Deputy

AFFIDAVIT OF SERVICE
___________________________________ on oath states: I served this summons on defendants by mailing by_________________________________________________ (registered) (certified) mail a copy of the summons and of the complaint in a sealed envelope with postage fully prepaid, addressed to each individual defendant at the address set forth in a copy of a notice of defense to a wage assignment served upon the judgment creditor, as follows: Name of defendant ___________________________ ___________________________ ___________________________ Signed and sworn to before me _________________________________, ________ __________________________________________ Notary Public DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Address in notice of defense _________________________ _________________________ _________________________ Date of mailing ____________ ____________ ____________ Employer _____________________ _____________________ _____________________

_____________________________________