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Affidavit of Amount Due in Rule to Show Cause
AFAMTDUE (11/01)
UNITED STATES OF AMERICA
STATE OF ILLINOIS
COUNTY OF LASALLE
IN THE CIRCUIT COURT OF THE THIRTEENTH JUDICIAL CIRCUIT
___________________________________
Plaintiff
vs.
___________________________________
No._______________________
Respondent
AFFIDAVIT OF AMOUNT DUE IN RULE TO SHOW CAUSE
1. The judgment herein requires payment of $__________________ per _______________ commencing on
_______________________, 20_______ so that ________________ payments become due through
___________________, 20 _______ _______________________ as shown below.
2. Respondent has made ______________ payments of $ ______________ each, totaling $__________.
Payment of $____________ as shown below.
3. A calculation of all amounts coming due through _____________________, 20_______ is as follows:
* NUMBER OF
AMT TO BE
TOTAL
PAYMENTS
PAID EACH
AMT TO
PERIOD
REQUIRED
PAYMENT
BE PAID
From ___________, 20 ____ thru ___________, 20 ____ ___________ x $__________= $__________
From ___________, 20 ____ thru ___________, 20 ____ ___________ x $__________= $__________
From ___________, 20 ____ thru ___________, 20 ____ ___________ x $__________= $__________
Total Coming Due. . . . . . . . .$____________
4. A calculation of the amounts paid by Respondent through _________________, 20 ______ is as follows:
NUMBER OF ** AMT. OF
TOTAL
PAYMENTS
EACH
AMOUT
PERIOD
MADE
PAYMENT
PAID
From ___________, 20 ____ thru ___________, 20 ____ ___________ x $__________= $__________
From ___________, 20 ____ thru ___________, 20 ____ ___________ x $__________= $__________
From ___________, 20 ____ thru ___________, 20 ____ ___________ x $__________= $__________
Total Paid. . . . . . . . . . . . . . .$____________
5. Balance due through ______________________, 20 _______. . . . . . . . . . . . . . . . . . .$____________
* If other than periodic amounts
____________________________________
** If not uniform insert additional lines
Petitioner/Respondent
Prepared by ___________________________
(Attorney for Petitioner/Respondent)
Signed and Sworn to before me this
Address _________________________________
________ day of _____________, 20______
________________________________________
Phone __________________________________
____________________________________
Notary Public
LASALLE COUNTY CIRCUIT CLERK
OTTAWA, ILLINOIS 61350