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Financial Institution Execution Proceedings - Judgment Debtor Who Is Natural Person - Application And Execution JD-CV-24 - Connecticut
| Financial Institution Execution Proceedings - Judgment Debtor Who Is Natural Person - Application And Execution Form. This is a Connecticut form and can be used in Civil Statewide . |
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FINANCIAL INSTITUTION EXECUTION STATE OF CONNECTICUT PROCEEDINGS - JUDGMENT DEBTOR SUPERIOR COURT * A P F E A B A *WHO IS A NATURAL PERSON, www.jud.state.ct.us APPLICATION AND EXECUTION (See page 2 for instructions to financial institution) * E X I S S U E *JD-CV-24 Rev. 12-03 C.G.S. 52-367b, P.A. 03-62, sec. 23, P.A. 03-224 sec. 13, P.A. 03-266 sec. 10 INSTRUCTIONS - JUDGMENT CREDITOR OR ATTORNEY INSTRUCTIONS - CLERK 1. Type or print legibly. 1. Check the file to ensure that the information provided 2. Complete the application section; prepare original and 2 copies. on the application is correct. 3. Complete section 1 of the Exemption Claim Form, JD-CV-24a and attach to this form.2. Sign original execution. 4. Present original and 1 copy to clerk of court. Retain a copy. 3. Return original to applicant, retain a copy for file. ADDRESS OF COURT JUDICIAL DISTRICT DOCKET NO. HOUSING SESSION G.A. NAME AND MAILING ADDRESS OF JUDGMENT CREDITOR OR ATTORNEY (To be completed by Judgment Creditor) NAME(S) AND ADDRESS(ES) OF JUDGMENT CREDITOR(S) NAME(S) AND ADDRESS(ES) OF JUDGMENT DEBTOR(S) Fold DATE OF JUDGMENT 1. AMOUNT OF JUDGMENT (Include, where applicable,2. AMOUNT OF COSTS 3. AMOUNT OF JUDGMENT, COSTS AND FEES prejudgment interest and (Add 1 and 2) attorneys fees) APPLICATION 4. TOTAL AMOUNT PAID (If any) 5. TOTAL AMOUNT UNPAID (Subtract 4 from 3)6. APPLICATION FEE FOR FINANCIAL INSTITUTION EXECUTION (If not waived by the court) 7. OTHER COURT ORDERED POSTJUDGMENT COSTS AND FEES 8. TOTAL OF ITEMS 5, 6 AND 7 IS THIS A JUDGMENT ARISING OUT OF SERVICES RENDERED AT A HOSPITAL? NO YES IF THIS IS A JUDGMENT ARISING OUT OF SERVICES RENDERED AT A HOSPITAL, HAS A STAY OF A NO YES FINANCIAL INSTITUTION EXECUTION BEEN ENTERED PURSUANT TO AN INSTALLMENT PAYMENT ORDER? IF A STAY OF A FINANCIAL INSTITUTION EXECUTION HAS BEEN ENTERED, HAS THE JUDGMENT DEBTOR DEFAULTED ON AN INSTALLMENT PAYMENT ORDER? NO YES (Specify): SIGNED (Judgment Creditor or Attorney) DATE SIGNED TELEPHONE NO. FINANCIAL INSTITUTION EXECUTION TO ANY PROPER OFFICER, Whereas on said Date of Judgment the above-named Judgment Creditor(s) recovered judgment against the above-named Judgment Debtor(s) before theabove-named court for the amount of judgment, costs and fees stated above, as appears of record, whereof execution remains to be done. These are,therefore, BY AUTHORITY OF THE STATE OF CONNECTICUT TO COMMAND YOU: Within seven days from your receipt of this execution, make demand upon the main office of any financial institution having its main office within yourcounty, or if such main office is not within your county and such financial institution has one or more branch offices within your county, upon an employee ofsuch a branch office, such employee and such branch office having been designated by the financial institution in accordance with regulations adopted bythe commissioner of banking, for payment to you pursuant to section 52-367b(b) of the general statutes of any nonexempt debt du e said JudgmentDebtor(s), which sum shall not exceed the total unpaid judgment, costs and fees as stated above, plus post judgment interest on the unpaid amount of saidjudgment from its date until the time when this execution shall be satisfied, plus the application fee and other court ordered postjudgment costs and feesand your own fee. After having made such demand you are directed to serve a true and attested copy of this execution, together with the attached affidavit and exemption claim form, with your doings endorsed thereon, with the financial institution officer upon whom such demand was made. Said sum shall be received by you and applied on this execution in For Court Use Only accordance with the provisions of section 52-367b of the general statutes. If you have made an initial demand within the seven-day period, you may make additional demands on the main office of other financial institutions or employees of other branch offices as directed herein, provided any such additional demand is made not later than forty-five days from your receipt of this execution. HEREOF FAIL NOT, AND MAKE DUE RETURN OF THIS WRIT WITH YOUR DOINGS THEREON, ACCORDING TO LAW. SIGNED (Assistant Clerk) DATE SIGNED PAGE 1 OF 2 FINANCIAL INSTITUTION EXECUTION PROCEEDINGS <<<<<<<<<********>>>>>>>>>>>>> 2 NOTE: The provisions of section 52-367b, as amended from time to time, take precedence over these instructions. INSTRUCTIONS TO FINANCIAL INSTITUTION UPON RECEIPT OF A FINANCIAL INSTITUTION EXECUTION WHEN JUDGMENT DEBTOR IS A NATURAL PERSON1. If any funds are removed from the judgment debtors account pursuant to subsection (c) of section 52-367b of the general statut es, complete section II of the accompanying Exemption Claim Form (JD-CV-24a) and send, forthwith, 2 copies of both this form and th e Exemption Claim Form to the judgment debtor and to any secured party that is a party to a control agreement between you and suc h secured party under article 9 of title 42a of the general statutes, postage pre-paid, at the last known address of the judgment debtor and of any such secured party with respect to the affected accounts on the records of your institution.2. Remove from the judgment debtors account the amount of any debts due from you to the judgment debtor not exceeding the Total Amount Unpaid as appears on page 1 of this form plus interest and the Application Fee for Financial Institution Execution and o ther court ordered postjudgment costs or fees and the serving officers fee, before your midnight deadline, as defined in section 42 a-4-104 of the general statutes. If electronic direct deposits that are readily identifiable as exempt federal veterans benefits, social security benefits, including, but not limited to, retirement, survivors and disability benefits, supplemental security income benefits or child support payments processed and received pursuant to Title IV-D of the Social Security Act were made to the judgment debtors account during the thirty-day period preceding the date that the execution was served on you, you shall leave the lesser of the account balance or one thousand dollars in the judgment debtors account; provided nothing in this subsection shall be construed to lim it your right or obligation to remove such funds from the debtors account if required by any other provision of law or by a court order. The judgment debtor shall have access to such funds left in the judgment debtors account. You may notify the judgment creditor tha t
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