Free CCM 0124 6-30-08.pmd - Illinois

Citation to Discover Assets to a Third Party INTHE CIRCUIT COURT OF COOK COUNTY, ILLINOIS First MUNICIPAL DEPARTMENT/ ___________________ DISTRICT

(Rev. 6/30/08) CCM 0124 A

Print Name of Person or Party Suing ________________________________________________________________ Plaintiff, v.

Print Name of Defendant ________________________________________________________________ Defendant, Print Name of Respondent ________________________________________________________________ Respondent.

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Print Your Case Number No. _______________________________________

CITATION TO DISCOVER ASSETS TO A THIRD PARTY

Print Name of Third Party To: _________________________________
YOU ARE REQUIRED to either file your answer to this Citation on the form appearing on the reverse side or appear on Print Court Date 1401 ____________________________, ___________ before 9:30 a.m. in Courtroom ______________ located at:

Print Judgment Date Print Name of Plaintiff Judgment was entered on ________________________________, ___________ in favor of Plaintiff ____________________________ and against
Print Total Amount Print Case Number Print Name of Defendant Defendant(s)__________________________________________ in this court under case number __________________ in the sum of $ _____________. Print Amount There is now due, less credit and off-set, sum of $ ___________________ (Judgment Balance). Further sums may become due

as costs and interest accrue.

You are PROHIBITED from making or allowing any transfer or other disposition of, or interfering with, any property not exempt from the enforcement of a judgment, a deduction order or garnishment, property belonging to the judgment debtor or to which s/he may be entitled or which may thereafter be acquired by or become due to him or her, and from paying over or otherwise disposing of any moneys not so exempt, which are due to the judgment debtor. This prohibition shall remain in effect until further order of court or termination of the proceeding. You are not required to withhold the payment of any monies beyond double the amount of the total sum due the judgment creditor. If the account consists solely of funds that can be identified as exempt under federal or state law, you are PROHIBITED from FREEZING THE ACCOUNT and YOU MUST RESPOND that the account consists solely of exempt funds. Deposited funds that are exempt under federal and state law include Social Security, SSI, veteran's benefits, Railroad Retirement benefits, public assistance benefits, unemployment compensation benefits and/or circuit breaker property tax relief benefits. WARNING: Your failure to comply with the citation proceeding may result in a judgment being entered against you for the unsatisfied amount of this judgment. 735 ILCS 5/2-1402(f)(1). WARNING: YOUR FAILURE TO APPEAR IN COURT OR FILE YOUR ANSWER AS DIRECTED MAY CAUSE YOU TO BE ARRESTED AND BROUGHT BEFORE THE COURT TO ANSWER TO A CHARGE OF CONTEMPT OF COURT, WHICH MAY BE PUNISHABLE BY IMPRISONMENT IN THE COUNTY JAIL.
CERTIFICATION BY JUDGMENT CREDITOR OR ATTORNEY FOR JUDGMENT CREDITOR

Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure (735 ILCS 5/1-109), the undersigned certifies that the above information regarding the amount of the judgment, the date of the judgment, or its revival date, the balance due thereon, the name of the Court and the number of the case is true and correct.

Print "Pro Se-99500" Atty. No. ______________________

if no Attorney Print Your Name Name: _____________________________________________________ Print Your Address Address: ____________________________________________________
Print Your City, State and Zip Code City/State/Zip: ______________________________________________

Complete # Complete # Telephone:______________________ FAX: ______________________
Clerk of the Court _________________________________

EX AM

Print Name of Person or Party Being Sued Your answer will inform the Court as to property you may hold belonging to _________________________________ (Judgment Debtor).

PL E

Richard J. Daley Center, 50 W. Washington, Chicago, IL 60602 District 3: 2121 Euclid, Rolling Meadows, IL 60008 th District 5: 10220 S. 76 Ave., Bridgeview, IL 60455

District 2: 5600 Old Orchard Rd., Skokie, IL 60077 District 4: 1500 Maybrook Dr., Maywood, IL 60153 District 6: 16501S. Kedzie Pkwy., Markham, IL 60428

Sign Your Name Signature: _______________________________________

Seal of Court
(OVER)

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