Wage Deduction Notice Form
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UNITED STATES OF AMERICA
STATE OF ILLINOIS
COUNTY OF LASALLE
IN THE CIRCUIT COURT OF THE THIRTEENTH JUDICIAL CIRCUIT
CASE NUMBER
______________
Plaintiff - Judgment Creditor
vs.
RETURN DATE
____________
File Stamp Here
Defendant - Judgment Debtor
WAGE DEDUCTION NOTICE
LaSalle County Court House, 119 W. Madison Street, Ottawa, Illinois 61350
Judgment Debtor’s
Employer
_________________________________
______________________________
Name
Name
_______________________________
______________________________
Address
Address
____________________________
__________________________
City/State/Zip
City/State/Zip
______________________________
____________________________
Telephone
Telephone
_____________
_____________
____________
Judgment Amount of $
Date of Judgment
Return Date
NOTICE: The Court shall be asked to issue a wage deduction summons against the employer named above for wages
due or about to become due to you. The wage deduction summons may be issued on the basis of a judgment against
you in favor of the judgment creditor in the amount stated above.
THE AMOUNT OF WAGES THAT MAY BE DEDUCTED
IS LIMITED BY FEDERAL AND ILLINOIS LAW.
(1) Under Illinois law, the amount of wages that may be deducted is limited to the lesser of (i) 15% of gross weekly wages
or (ii) the amount by which disposable earnings for a week exceed the total of 45 times the federal minimum hourly wage
or the minimum hourly wage prescribed by Section 4 of the Illinois Minimum Wage Law, whichever is greater.
(2) Under federal law, the amount of wages that may be deducted is limited to the lesser of (i) 25% of disposable earn-
ings for a week or (ii) the amount by which disposable earnings for a week exceed 30 times the federal minimum hourly
wage.
(3) Pension and retirement benefits and refunds may be claimed as exempt from wage deductions under Illinois law.
You have the right to request a hearing before the court to dispute the wage deduction because the wages are exempt.
To obtain a hearing, you must notify the Circuit Clerk in writing at LaSalle County Courthouse, 119 West Madison Street,
Ottawa, Illinois 61350, on or before the Return Date specified above. The Clerk of the Court will provide a hearing date
and the necessary forms that must be prepared by you or your attorney and sent to the judgment creditor and the
employer, or their attorney, regarding the time and location of the hearing. This notice may be sent by regular first class
mail.
THIS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION
OBTAINED SHALL BE USED FOR THAT PURPOSE
Attorney for Judgment Creditor/or Judgment Creditor
________________________________
Name:
___________________________
____________________________________
Attorney No.:
______________________________
Address:
Signature of Judgment Creditor or Attorney
__________________________
City/State/Zip:
_____________________________
________________________________
Telephone:
Date
LaSalle County Circuit Clerk
Ottawa, Illinois 61350
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