This is a Illinois form that can be used for General within Local County, Cook.
Last updated: 7/12/2011
Print Form Daley Center District 2 District 3 Citation to Discover Assets to Third Party (Wages) District 4 District 5 District 6 Clear Form (Rev. 5/08/09) CCM 0638 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS MUNICIPAL DEPARTMENT/ ________________ DISTRICT _________________________________________________ Plaintiff(s), v. _________________________________________________ _______________________ Defendant's Social Security Number and Defendant(s), _________________________________________________ Third Party Respondent. CITATION TO DISCOVER ASSETS TO THIRD PARTY (WAGES) To: ____________________________________________ YOU ARE REQUIRED to appear or file your answer to this Citation on the form appearing on the reverse side or attached on ________________________, _________ before 9:30 a.m. in Courtroom _____________ located at: } Court Date: ___________________________ No. ________________________________ 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 District 2: District 4: District 6: 5600 Old Orchard Rd., Skokie, IL 60077 1500 Maybrook Dr., Maywood, IL 60153 16501 S. Kedzie Pkwy., Markham, IL 60426. Judgment was entered on _________________________________ in favor of Plaintiff _____________________________________ and against Defendant(s) _________________________________________________________ in this Court under the above case in the sum of $ __________________________. There is now due, less credit and off-set, the sum of $ __________________________. Further sums may become due as costs and interest accrue. YOU ARE TO INFORM the court of property and wages and other money you may hold belonging to Defendant ____________________________ or to which s/he may be entitled or which may thereafter be acquired by or become due to him or her. YOU ARE PROHIBITED from making or allowing any transfer or other disposition of, or interfering with, any property not exempt from execution or garnishment belonging to Defendant 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 or to become due to Defendant, up to double the amount of the balance due, until further order of court or termination of the proceeding, whichever occurs first. THE COURT MAY PUNISH YOU if you violate the restraining provision of this citation as and for contempt, and the court may enter judgment against you for either the amount of the unpaid portion of the judgment and costs allowable under this section or the amount of the value of the property transferred, whichever is less. 735 ILCS 5/2-1402(f)(1). Failure to answer this Citation may also result in entry of judgment against you for the balance due. 735 ILCS 5/2-1402(c)(4); 735 ILCS 5/12-807(a). WARNING: YOUR FAILURE TO APPEAR OR FILE AN ANSWER IN COURT AS HEREIN DIRECTED MAY CAUSE YOU TO BE ARRESTED AND BROUGHT BEFORE THE COURT TO ANSWER TO THE 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. Atty. No. ______________________ Name: _____________________________________________________ Address: __________________________________________________ City/State/Zip: _____________________________________________ Telephone ______________________ FAX: ______________________ Signature: _______________________________________ Clerk of the Court __________________________________ Seal of Court (OVER) DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 5/08/09) CCM 0638 B ____________________ Defendant's Name: ________________________________ S.S. No. - _______________ Case No.: ______________________ Defendant's Address: ____________________________________________________________________________________________ CERTIFICATION OF MAILING 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), I certify that I mailed by regular first-class mail a copy of the citation and citation notice to Defendant at the address shown above on _____________________, _________. Signature: _________________________________________________ Name: ________________________________ Employer/Agent: ______________________________________________________________ Court Date: INTERROGATORIES/ANSWER TO THIRD PARTY CITATION TO DISCOVER ASSETS (WAGES) Do you pay any money to the Defendant listed above? Yes No If terminated, date ____________________________, IF YOUR ANSWER IS "NO," GO TO "RESPONDENT CERTIFICATION" Of the funds paid to the debtor, are any of those funds: Disability? Retirement? Otherwise exempt? (Describe _________. Subject to prior court ordered deduction (including child/spouse support) Case Number, State, County __________________________________. __________________________________________________________). CALCULATION TO DETERMINE AMOUNT OF WITHHOLDING (Note: If income varies, withholding must be recalculated for every pay period.) Do you pay debtor: Every week Every two weeks Semi-monthly Monthly (A) Gross wages per paycheck minus mandatory contributions to pensions or retirement plan (B) 15% of (A) = (C) Enter total FICA, State Tax, Federal Tax and Medicare (D) Subtract (C) from (A) = Other ___________________________ (A) _________________ (B) _________________ (C) _________________ 0.00 (D) _________________ (E) If debtor is paid every week, enter $360.00 If debtor is paid every two weeks, enter $720.00 If debtor is paid semi-monthly, enter $780.00 If debtor is paid monthly, enter $1560.00 If other, multiply 45 times state minimum wage (currently $8.00) times number of weeks in pay period (F) Subtract (E) from (D) (Enclose a negative number in parentheses, e.g., ($50.00)) (G) Enter the Lesser of Line (B) or (F) (H) Enter Child Support or other Court Ordered Deduction (I) Subtract (H) from (G) (Enclose a negative number in parentheses, e.g., ($50.00)) (E) ______
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