Citation And Certification - Illinois Circuit Court
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1
2
3CIRCUIT COURT OF ILLINOIS
Sixth Judicial Circuit
Sixth Judicial Circuit
Sixth Judicial Circuit
CIRCUIT COURT OF ILLINOIS
Champaign County
Champaign County
Champaign County
Sixth Judicial Circuit
Champaign County
_______________________________
Petitioner
vs.
Case No.:___________________
_______________________________
Respondent
CITATION AND CERTIFICATION
The Circuit Clerk has reviewed the below listed Petitioner/Petitioner’s Attorney Certifi cation and based thereon
issues this Citation.
1.
The last known address of the Respondent is:
______________________________________________________________________________________________.
The name, address and phone number of the Petitioner and/or his/her attorney is:
2.
______________________________________________________________________________________________
______________________________________________________________________________________________.
3.
The current balance, including costs, interest and attorney’s fees, if applicable, is:
$__________________________.
YOU, the RESPONDENT, are hereby ordered to appear for examination before the Court in courtroom ______,
4.
YOU, the RESPONDENT, are hereby ordered to appear for examination before the Court at
Champaign County Courthouse, 101 East Main Street, Urbana, Illinois, on the ________
Courtroom___________, 101 East Main Street, Urbana, Illinois, on the___________________
day of _____________________, 20_________, at ____________________a.m./p.m. At this hearing you may
be questioned by the Petitioner, his/her counsel or by the Court about your assets and income which are
not exempt from execution.
THE RESPONDENT HAS THE RIGHT TO ASSERT STATUTORY EXEMPTIONS
AGAINST CERTAIN INCOME OR ASSETS OF THE RESPONDENT WHICH MAY NOT
BE USED TO SATISFY THE JUDGMENT IN THE AMOUNT STATED ABOVE.
IF YOU FAIL TO APPEAR IN COURT AS DIRECTED IN THIS NOTICE, YOU MAY 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
A Citation Notice and an Income and Asset Form is attached.
PLEASE READ THEM.
PETITIONER/PETITIONER’S ATTORNEY CERTIFICATION
I, the undersigned, certify under penalties of perjury pursuant to 735 ILCS 5-1-109 and state the following:
1.
Amount of Judgment: $___________________
2.
Date of Judgment:
____________________
3.
Balance currently due: $___________________
4.
Interest on Judgment: $___________________
Signature of Petitioner or Petitioner’s Attorney
WITNESS, Linda S. Frank, Clerk of the Circuit Court of Champaign County, Illinois this ____________day
Katie M. Blakeman, Clerk of the Circuit Court of Champaign County, Illinois this ______ day
of___________________________________, 20______.
Clerk of the Circuit Court
Page 1 of 3 - Citation and Certification
Page 1 of 2
Revised: 01/09
Revised 01/09; 06/10
Linda S. Frank
Page 1 of 3 Citation and Certification
Revised 01/10
MMP: 06/10
Clerk of the Sixth Judicial Circuit Court
Clerk of the Sixth Judicial Circuit Court
101 E. Main Street
101 E. Main Street
Urbana, Illinois 61801
Urbana, Illinois 61801
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