IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT
LAKE COUNTY, ILLINOIS
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Plaintiff,
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vs.
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Case. No.
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_____________________________________________ )
Defendant.
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CITATION TO DISCOVER ASSETS
TO: _____________________________________________________________________________________________
(Name & Address of Defendant or Respondent)
YOU ARE COMMANDED to appear before the judge presiding in Room C- ______ of Lake County Courthouse,
_________________ County Street, Waukegan, Illinois, on _______________, 20____ at _______ AM/PM to be
examined under oath to discover assets or income not exempt from the enforcement of the Judgment.
A judgment against ______________________________________________________ (judgment debtor) was entered
on __________________, ___________ and $______________________ remains unsatisfied.
YOU ARE COMMANDED to produce at the examination: all books, papers or records in your possession or control which
may contain information concerning the property or income of, or indebtedness due judgment debtor and including the
documents contained on the attached Rider to the Citation to Discover Assets, which is incorporated by reference and
made a part of this order. Please complete the enclosed Income and Asset Form and bring it with you to the above
referenced hearing.
YOU ARE PROHIBITED from making or allowing any transfer or other disposition or, interfering with, any property not
exempt from execution or garnishment belonging to the Judgment debtor or to which the judgment debtor may be entitled
or which may be acquired by or become due to the Judgment Debtor and from paying over or otherwise disposing of any
money not so exempt, which is due the Judgment Debtor, until the further order of court or termination of the proceedings.
You are not required to withhold the payment of any money beyond double the amount of the balance due.
WARNING: 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.
CERTIFICATE OF ATTORNEY OR JUDGMENT CREDITOR
Judgment Amount: $ _______________________
Balance due: $ ____________________
Date of Judgment/Revival: ___________________ , _____
Name of Court Entering Judgment: __________________________________
Case No.:________________________
The undersigned certifies, under penalties provide by law pursuant to 735 ILCS 5/1-109, that the information
contained herein is true and correct.
Attorney/Judgment Creditor
Name: _________________________________________
_______________________________________
Address: _______________________________________
WITNESS: ______________________________
City, State, Zip___________________________________
Phone: _________________________________________
______________________________________
ARDC: _________________________________________
CLERK OF COURT
171-23 (Rev 08/12)