New Jersey > Statewide > Civil Division
Information Subpoena app11l - New Jersey
| Information Subpoena Form. This is a New Jersey form and can be used in Civil Division Statewide . |
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APPENDIX XI-L. INFORMATION SUBPOENA AND WRITTEN QUESTIONS IMPORTANT NOTICE--PLEASE READ CAREFULLY FAILURE TO COMPLY WITH THIS INFORMATION SUBPOENA MAY RESULT IN YOUR ARREST AND INCARCERATION NAME: ADDRESS: TELEPHONE NO.: Attorneys for: Plaintiff -vsDefendant THE STATE OF NEW JERSEY, to: ______________________________________________ Judgment has been entered against you in the Superior Court of New Jersey, Law Division, Special Civil Part, _______ County, on _______, 20__, in the amount of $_______ plus costs, of which $_______ together with interest from _______, 20__, remains due and unpaid. Attached to this Information Subpoena is a list of questions that court rules require you to answer within 14 days from the date you receive this subpoena. If you do not answer the attached questions within the time required, the opposing party may ask the court to conduct a hearing in order to determine if you should be held in contempt. You will be compelled to appear at the hearing and explain your reasons for your failure to answer. If this judgment has resulted from a default, you may have the right to have this default judgment vacated by making an appropriate motion to the court. Contact an attorney or the clerk of the court for information on making such a motion. Even if you dispute the judgment you must answer all of the attached questions. You must answer each question giving complete answers, attaching additional pages if necessary. False or misleading answers may subject you to punishment by the court. However, you need not provide information concerning the income and assets of others living in your household unless you have a financial interest in the assets or income. Be sure to sign and date your answers and return them to the address in the upper left hand corner within 14 days. Dated: _______, 20__ ___________________________________ Attorney for ___________________________________ Clerk SUPERIOR COURT OF NEW JERSEY LAW DIVISION: SPECIAL CIVIL PART _______________ COUNTY DOCKET NO. CIVIL ACTION INFORMATION SUBPOENA American LegalNet, Inc. www.FormsWorkflow.com QUESTIONS FOR INDIVIDUALS 1. Full name _______________________________________________________________ 2. Address ________________________________________________________________ 3. Birthdate ________________________________________________________________ 4. Social Security # _________________________________________________________ 5. Driver's license # and expiration date _________________________________________ _______________________________________________________________________ 6. Telephone # _____________________________________________________________ 7. Full name and address of your employer _______________________________________ _______________________________________________________________________ (a) Your weekly salary: Gross _______ Net _______ (b) If not presently employed, name and address of last employer. _________________ ____________________________________________________________________ 8. Is there currently a wage execution on your salary? Yes ___ No ___ 9. List the names, addresses and account numbers of all bank accounts on which your name appears. 10. If you receive money from any of the following sources, list the amount, how often, and the name and address of the source: Type Alimony Loan Payments Rental Income Pensions Bank Interest Stock Dividends Other Amount & Frequency Name & Address of Sources American LegalNet, Inc. www.FormsWorkflow.com 11. Do you receive any of the following, which are exempt from levy? Any levy on disclosed exempt funds may result in monetary penalties including reimbursement of the debtor's out-of-pocket expenses. Social Security benefits S.S.I. benefits Welfare benefits V.A. benefits Unemployment benefits Yes Yes Yes Yes Yes Amount per month Amount per month Amount per month Amount per month Amount per month Amount per month _ Amount per month No No No No No No No Workers' compensation benefits Yes Child support payments Yes Attach copies of the three most recent bank statements for each account listed in Question 9 that contains funds from these sources. 12. Do you own the property where you reside? Yes ___ No ___ If yes, state the following: (a) Name of the owner or owners ___________________________________ ____ (b) Date property was purchased ___ ________________________________ ____ (c) Purchase price _______________________________________________ _____ (d) Name and address of mortgage holder ____________________________ __ __________________________________________________________ _______ (e) Balance due on mortgage _____________________________________ ______ 13. Do you own any other real estate? Yes ___ No ___ If yes, state the following for each property: (a) Address of property _____________________________________________ __ (b) Date property was purchased ___________________________________ ____ (c) Purchase price ________________________________________________ ____ (d) Name and address of all owners ________________________________ ____ __________________________________________________________ _______ ____ (e) Name and address of mortgage holder ___________________________ ___________________________________________________________ ______ (f) Balance due on mortgage _______________________________________ ____ ____________________________________________________________ _____ (g) Names and address of all tenants and monthly rental paid by each tenant _____________________________________________________________ __________________________________________________________________ American LegalNet, Inc. www.FormsWorkflow.com 14. Does the present value of your personal property, which includes automobiles, furniture, appliances, stocks, bonds, and cash on hand, exceed $1,000? Yes ___ No ___ If the answer is "yes," you must itemize all personal property owned by you. Cash on hand: $___________ Other personal property: (Set forth make, model and serial number. If financed, give name and address of party to whom payments are made). If Financed Balance Still Due Present Value Item Date Purchased Purchase Price 15. Do you own a motor vehicle? Yes ___ No ___ If yes, state the following for each vehicle owned: _ (a) Make, model and year of motor vehicle ____________________________ ________________________________________________________ _________ (b) If there is a lien on the vehicle, state the name and address of the lienholder and the amount d
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