"NOTICE OF INTENT TO ASSIGN WAGES
This notice is required by the Illinois Wage Assignment Act. The notice has been sent to tell you that a creditor (name and address listed below) plans to have your wages assigned. A wage assignment is a document you signed at the time you signed the contract for your debt. It authorizes your creditor to receive a portion of your wages directly from your employer, in order to pay your debt. This notice contains important information about the debt and what your options are. You should read the entire notice carefully.
WHY THE CREDITOR WANTS TO ASSIGN YOUR WAGES
You signed a wage assignment on....... (date)....... The wage assignment was signed as security if you failed to make payment on the contract you signed on......... (date) .......... A copy of the wage assignment is attached. The creditor's records show that you have not made a payment since ......... (date)....... and that you now owe $........ on the contract. The creditor will send a demand for wages to your employer 20 days from the date you receive this.
The creditor's name, address, and phone number are:
......................
......................
......................
......................
(Signed by)"
UNDERSTANDING YOUR CHOICES UNDER THE ILLINOIS WAGE ASSIGNMENT ACT
There are options available to you in this process. You should consider your options and determine the one that is best for you. You have the right to contact an attorney at any point concerning the wage assignment, or to help you determine your best option.
Your options include:
You can stop the wage assignment by filling out the enclosed Revocation Notice Form, or by writing a letter stating that you are revoking the wage assignment. Send the Revocation Notice Form or letter by registered or certified mail to the creditor, at the address listed above. It is highly recommended that you give a copy of the Revocation Notice Form or letter to your employer so your employer can stop any pending payments.
If you choose to write a letter, it should be addressed to the creditor, and should include:
Even if the wage assignment has already begun, you can still stop it now or at any point in the future.
Up to 15% of your wages will be sent to the creditor every pay period. Once the total amount is repaid, the creditor will send a notice to you and to your employer that includes the creditor's name, your name, and the account number, stating that the wage assignment is closed and no further wages should be assigned.
If you agree on another repayment option with your creditor, the creditor will send a notice to your employer stating that your wages should not be assigned.
"REVOCATION NOTICE
The employee's name and address are:
......................
......................
......................
......................
The creditor's name and address are:
......................
......................
......................
......................
Re: (insert account number)
I, (insert name), hereby revoke the wage assignment I signed on (insert date the wage assignment was signed). You no longer have my permission to use this wage assignment.
..................... .......................
(Signed by) (Date)"
740 ILCS 170/2.2