(305 ILCS 5/3-10.1)
(from Ch. 23, par. 3-10.1)
Execution of notice of lien.
The County Department of the county in which the recipient resides shall
execute a notice of lien which shall contain the name and address of the
recipient, a legal description of the property, the fact that a lien is
being claimed for aid paid under this Article, and such other information
as the Illinois Department may by rule prescribe.
The notice shall designate the County Superintendent of Public Aid in
his official capacity, and his successors in office, as the holder of the
lien and shall be executed by the County Superintendent, in his official
capacity, and shall be acknowledged substantially in the following form:
"State of Illinois, County of (name of county): I (give name of the
officer and his official title) certify that (name and official
title of superintendent of public aid) personally known to me to be the
same person whose name is subscribed to the foregoing instrument, appeared
before me this day in person and acknowledged that he signed the
instrument as required of him by law, for the uses therein set forth."
"Dated (insert date).
Signature of officer (Seal)."
(Source: P.A. 91-357, eff. 7-29-99.)