CC-27 V2
STATE OF ILLINOIS
TH
IN THE CIRCUIT COURT OF THE 17
JUDICIAL CIRCUIT
WINNEBAGO COUNTY
FILE STAMP
_________________________________
Case No. _____________________
Plaintiff
vs.
_________________________________
Defendant
and
_________________________________________
Employer Name and Address
_________________________________________
_________________________________________
WAGE DEDUCTION SUMMONS
TO THE EMPLOYER _____________________________________,
YOU ARE HEREBY SUMMONED and required to file answers to the judgment creditor’s interrogatories, in the Office of
the Clerk of the Court, 400 West State St. Room 108, Rockford, IL 61101 on or before ____________________, 20_____,
(21 to 40 days after issuance of summons)
However, if this summons is served on you less than 3 days before that date, you must file answers to the
interrogatories on or before a new return date, to be set by the court, not less than 21 days after you were served with
this summons.
This proceeding applies to non-exempt wages due at the time you were served with this summons and to wages which
become due thereafter until the balance due on the judgment is paid.
IF YOU FAIL TO ANSWER, A CONDITIONAL JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE AMOUNT OF
THE JUDGMENT UNPAID.
FEDERAL AGENCY EMPLOYERS: Effective upon service of this summons and pursuant to 5 USC 552 (a), you are to
commence to pay over deducted wages to the attorney for the judgment creditor in accordance with 735 ILCS 5/12-808.
TO THE OFFICER:
This summons must be returned by the officer or other person to whom it was given for service, with endorsement of service and fees,
if any, immediately after service. If service cannot be made, this summons shall be returned so endorsed. This summons may not be
served later than the above date.
(Seal of Court)
Witness. _____________________________, 20________
________________________________________________
Clerk of the Circuit Court
By: ______________________________________________________________
Plaintiff’s Attorney or Plaintiff,
Name:__________________________________________
Attorney for: _____________________________________
Address: ________________________________________
City/State/Zip: ___________________________________
Telephone No: ___________________________________
Date of Service _____________________, 20 _____
(To be inserted by officer on copy left with defendant or other person)
If you have a disability that requires an accommodation to participate in court, please contact the Court
Disability Coordinator at 815-319-4806.