CITATION NOTICE
(Name and address of Court)
Name of Case: (Name of Judgment Creditor), Judgment Creditor v.
(Name of Judgment Debtor), Judgment Debtor.
Address of Judgment Debtor: (Insert last known address)
Name and address of Attorney for Judgment Creditor or of Judgment Creditor (If no attorney is listed): (Insert name and address)
Amount of Judgment: $ (Insert amount)
Name of Person Receiving Citation: (Insert name)
Court Date and Time: (Insert return date and time specified in 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 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:
The judgment debtor may have other possible exemptions under the law.
THE JUDGMENT DEBTOR HAS THE RIGHT AT THE CITATION HEARING TO DECLARE EXEMPT CERTAIN INCOME OR ASSETS OR BOTH. The judgment debtor also has the right to seek a declaration at an earlier date, by notifying the clerk in writing at (insert address of clerk). When so notified, the Clerk of the Court will obtain a prompt hearing date from the court and will provide the necessary forms that must be prepared by the judgment debtor or the attorney for the judgment debtor and sent to the judgment creditor and the judgment creditor's attorney regarding the time and location of the hearing. This notice may be sent by regular first class mail.
INCOME AND ASSET FORM
To Judgment Debtor: Please complete this form and bring it with you to the hearing referenced in the enclosed citation notice. You should also bring to the hearing any documents you have to support the information you provide in this form, such as pay stubs and account statements. The information you provide will help the court determine whether you have any property or income that can be used to satisfy the judgment entered against you in this matter. The information you provide must be accurate to the best of your knowledge.
If you fail to appear at this hearing, you could be held in contempt of court and possibly arrested.
In answer to the citation proceedings served upon the judgment debtor, he or she answers as follows:
Name:.....................
Home Phone Number:.................
Home Address:....................
Date of Birth:......................
Marital Status:.....................
I have......... dependents.
Do you have a job? YES NO
Company's name I work for:......................
Company's address:..............................
Job:
I earn $....... per.......
If self employed, list here your business name and address:
................................................
Income from self employment is $......... per year.
I have the following benefits with my employer:
................................................
I do not have a job, but I support myself through:
Government Assistance $........ per month
Unemployment $........ per month
Social Security $........ per month
SSI $........ per month
Pension $........ per month
Other $........ per month
Real Estate:
Do you own any real estate? YES NO
I own real estate at.........., with names of other owners
....................................................
Additional real estate I own:........................
I have a beneficial interest in a land trust. The name and address of the trustee is:............. The beneficial interest is listed in my name and........................
There is a mortgage on my real estate. State the mortgage company's name and address for each parcel of real estate owned:
....................................................
An assignment of beneficial interest in the land trust was signed to secure a loan from..........................
I have the following accounts:
Checking account at..........;
account balance $......
Savings account at..........;
account balance $......
Money market or certificate of deposit at........
Safe deposit box at..............................
Other accounts (please identify):................
I own:
A vehicle (state year, make, model, and VIN):....
Jewelry (please specify):........................
Other property described as:......................
Stocks/Bonds.....................
Personal computer................
DVD player.......................
Television.......................
Stove.......................
Microwave.......................
Work tools.......................
Business equipment.......................
Farm equipment.......................
Other property (please specify):
................................................
Signature:....................
The lien established under this Section does not affect the rights of citation respondents in property prior to the service of the citation upon them and does not affect the rights of bona fide purchasers or lenders without notice of the citation. The lien is effective for the period specified by Supreme Court Rule.
This subsection (m), as added by Public Act 88-48, is a declaration of existing law.
735 ILCS 5/2-1402