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STATE OF INDIANA ) ) SS: COUNTY OF HAMILTON ) _________________________________________ Judgment Creditor IN THE SUPERIOR COURT NO. 5 OF HAMILTON COUNTY v. CAUSE NO. 29D05-___________________________ _________________________________________ Judgment Debtor Judgment Debtor's address for service: _______________________________________ _______________________________________ SERVICE REQUESTED BY: ___Certified Mail or ___Sheriff of __________________ Co. VERIFIED MOTION FOR PROCEEDINGS SUPPLEMENTAL Judgment Creditor appears and states that, to the best of its/his/her knowledge: 1. Judgment Creditor owns the judgment rendered in this cause against the Judgment Debtor; 2. Judgment Creditor's judgment is unsatisfied; and 3. Judgment Creditor has no cause to believe that levy of execution against the Judgment Debtor will satisfy the judgment. Judgment Creditor therefore moves the Court to issue an order requiring the Judgment Debtor to appear to testify concerning all income and assets. I swear or affirm under the penalties for perjury that the foregoing representations are true. Date: __________________ ______________________________________ Signature of Judgment Creditor/attorney Address of Judgment Creditor/attorney: __________________________________________ __________________________________________ Telephone:_________________________________ Attorney number: ________________________ American LegalNet, Inc. www.FormsWorkFlow.com SHERIFF'S RETURN OF ORDER TO APPEAR I hereby certify that on the below date: ____ I served this Order to Appear by delivering a copy to the Judgment Debtor. ____ I served this Order to Appear by leaving a copy: ____ at the dwelling or usual place of abode of Judgment Debtor; ____ with a person of suitable age and discretion residing therein, namely: _________________________________________________________ ____ and by mailing a copy of the Order to Appear to the Judgment Debtor, by first class mail, to the address listed on the Order to Appear (date copy mailed if different from below: ______________________); ____ I was unable to serve this Order to Appear because _______________________ ________________________________________________________________. Date: __________________ ________________________________ Sheriff of ________________________ County, Indiana By:_____________________________ American LegalNet, Inc. www.FormsWorkFlow.com STATE OF INDIANA ) ) SS: COUNTY OF HAMILTON ) IN THE SUPERIOR COURT NO. 5 OF HAMILTON COUNTY __________________________________ Judgment Creditor v. CAUSE NO. 29D05-__________________________ __________________________________ Judgment Debtor ORDER TO APPEAR IN COURT Judgment Creditor files verified motion. Motion granted. Judgment Debtor(s) is/are ordered to appear in this Court on ________________________________, 20_______, at _________________.m and bring with you evidence of your income and assets. YOU ARE HEREBY NOTIFIED THAT FAILURE TO APPEAR IN COURT MAY RESULT IN YOUR BEING HELD IN CONTEMPT OF COURT AND BEING PUNISHED BY INCARCERATION IN THE COUNTY JAIL FOR A PERIOD NOT TO EXCEED 180 DAYS. Date:__________________ ________________________________ Judge, Hamilton Superior Court No. 5 American LegalNet, Inc. www.FormsWorkFlow.com