ILLINOIS SECRETARY OF STATE
DRIVER SERVICES DEPARTMENT
REPORT ON CIVIL JUDGMENT INVOLVING A MOTOR VEHICLE ACCIDENT
(MUST BE FILE-STAMPED BY COURT)
Check the appropriate box:
INSTALLMENT AGREEMENT ORDERED: I hereby certify that on , , the
court entered an order authorizing payment by installment agreement.
DEFAULT OF INSTALLMENT AGREEMENT: I hereby certify that on , ,
the court entered an order that the defendant is in default of, and vacated, the installment agreement.
JUDGMENT RELEASED: I hereby certify that on , , having received full
satisfaction of all sums of monies due from the judgment debtor, the judgment was released by the
JUDGMENT VACATED: I hereby certify that on , , the court entered an
order vacating the judgment that was rendered on , .