Preview
APPWEX
WAGE EXECUTION PROCEEDINGS STATE OF CONNECTICUT
APPLICATION, ORDER, EXECUTION
JD-CV-3 Rev. 2-15
SUPERIOR COURT
www.jud.ct.gov
1 1 1 11 1 111 11 11 1 11111 1
C.G.S. §§ 31-580), 52-350a, 52-361a, 52-356d, WAGE EX
29 U.S.C. 206(a)(1) Employer: See Page 2 for instructions
Instructions 1 1 1 1111111 111 1 11111 1
Judgment Creditor or Attorney Clerk Proper Officer
1. Unless filing electronically, prepare original and four copies.
1. Issue execution by signing original. 1. Leave one signed copy with employer.
2. Attach form JD-CV-3a to this form, or include with execution
2. Enter any court ordered limitation at the bottom of
2. Make return on signed original.
as one PDF electronic form. section 11 on page 2. 3. Leave one copy of Modification and Exemption
3. Present original and 3 copies to clerk of court. 3. Return original and 2 copies if on paper. Claim form (JD-CV-3a) with employer and fill in
4. Keep one copy for your file. 4. Retain/scan copy for court file. "Date of Service" on form.
Name and mailing address of Judgment Creditor or Attorney
ADA NOTICE
(To be completed by Judgment Creditor or Attorney)
---, The Judicial Branch of the State
MIDLAND CREDIT MANAGEMENT, INC of Connecticut complies with the Americans
with Disabilities Act (ADA). If you need a
C/0 London & London reasonable accommodation in accordance
with the ADA, contact a court clerk or an ADA
48 Christian Lane contact person listed at www.jud.ct.gov/ADA.
Newington, CT 06111 21-11342
L _J
Address of court
(Number, street, and town) D G.A. IX] J.D. D Housing Session Date of judgment
I 23-Sep-21
Docket number
I LLI-CV-21-6028430-S
L 50 FIELD STREET TORRINGTON CT 06790
Name(s) and address(es) of Judgment Creditor(s) Name(s) and address(es) of Judgment Debtor(s)
old)
MIDLAND CREDIT MANAGEMENT, INC Kayla Beyus
C/0 London & London
48 Christian Lane 179 Pearl St Apt 1
.�
C: Newington, CT 06111 Torrington CT 06790-5232
I
0
:;:::;
Ill (If known) Ill
Name and address of employer of Judgment Debtor 255 Roberts St Telephone number of employer
(if known)
Litchfield Woods Torrington CT 06790 860/489-5801
1. Amount of judgment 2. Amount of costs and fees
(Include where applicable, prejudgment interest and attorney's fees)
< Russell L. London 06/07/2022
To: Any Proper Officer
By the authority of the State of Connecticut, you are ordered to cause any wages due to the Judgment
Debtor(s), not exceeding the Amount of Execution calculated on page 2, to be paid to the Judgment
Creditor(s) until the judgment is satisfied, including postjudgment interest as ordered by the court, if
applicable, plus the application fee(s) and other Court ordered postjudgment costs and fees, and your own
fees or until the execution is modified or set aside.
Serve this execution within one year of this date, and make return of service to this courtwithin thirty days
from satisfaction of the execution.
Signed (Assistant Clerk of said court)
� I On (Date)
Page 1 of 2 WAGE EXECUTION PROCEEDINGS
21-11342
Important Notice To Employer
You are being served with a wage execution, a court order requiring you to withhold non-exempt wages from a person employed by you. This execution is being served on you
because your employee, the Judgment Debtor (on page 1), has had a judgment entered against him/her by the Superior Court requiring him/her to pay judgment, costs and fees to
the Judgment Creditor (on page 1) and has not made payment of the total amount of the judgment plus any costs and fees as shown on page 1. This notice is to inform you of the
actions you must take in order to comply with the law regarding wage executions. Please read each section carefully.
I. Youmust notify the employee -
Your employee has certain legal rights which
executions are to be satisfied in the order in which you are served with them. (Income
withholdings and voluntary wage deductions for support of a family, if there are any,
may allow him/her to request the court to change or stop this execution upon his/her
wages. A notice of his/her rights and how
to get a hearing in court is attached to the
must be paid before this executio n. Family support income withholdings and voluntary
second copy of the wage deductions are issued on Form JD-FM-1.)
wage execution given to you by the officer. You must complete
your portion of the wage execution and your portion of the exemption and modification
V. Maximum amount deducted - The maximum amount which can belegally
claim form anddeliver or mail,
postage prepaid,
a copy ofthese papers to your
withheld from your employee's wages is 25% of his/her disposable earnings for each
employee immediately so that your employee can make any claims allowed by law.
week. The amount to be withheld to pay this execution may be less than 25%, but it
can never be more. The computations you complete below will allow you to calculate
II. Execution not effective for 20 days -
This execution is not effective until after
the exact amount which should be withheld from this employee's wages.
20 days from the day the officer served these papers on you. No money should be
Unless the court orders that this execution is to be for a smaller amount, you must
deducted from your employee's wages until the first wages you pay to your employee
withholdand
after the 20-day period ends. If your employee elects within the 20-day period to pay overthe maximum amount which you figure
out using the
computations below. Your employee has a right to request the court to reduce the
make a claim to the court that his/her wages are partially or totally exempt from
amount withheld,
execution to pay this judgment or he/she seeks to have the amount of this execution but until you receive notice that the court has agreed to allow the
amount to be reduced, you must withhold the maximum amount.
changed, wages are not to be withheld from the employee until the court decides the
claims or determines the rights of your employee in this case. If you are not notified
VI. Yourduty to comply with this execution - You have a legal duty to make
that your employee has filed papers with the court, the execution is to be enforced
deductions from your employee's wages and pay any amounts deducted as required
after 20 days from the date of service on you. by this execution. If you do not, legal action may be taken against you. If you are
found to be in contempt of a court order, you may be held liable to the Judgment
Ill. Stay of execution - No earnings claimed to be exempt or subject to a claim for
Creditor for the amounts of wages which you did not withhold from your employee.
modification may be withheld from any employee until determination of the claim by
VII.Discipline
againstyour employee - You may notdiscipline,
suspend or
the court.
discharge your employee because this wage execution has been served upon you. If
you do unlawfully take action against your employee, you may be liable to pay
him all
IV. Only one execution issued under section 52-361a of the General Statutes is
of his lost earnings and employment benefits from the time of your action to the time
to be satisfied at a time - You must make deductions from your employee's wages
that the employee is reinstated.
and pay over the withheld money against only one execution issued under General
The law allows you to take disciplinary measures against the employee if you are
Statutes section 52-361 a at a time. If you are served with more than one execution
served with more than 7 wage executions against his/her wages in any calendar year.
issued under General Statutes section 52-361 a against this employee's wages, the
Section I.Calculation Of Employee's Disposable Earnings
"Disposable Earnings" means that part of the earnings of an individual remaining after the deduction from those earnings of amounts to be
withheld for payment of federal income and employment taxes, normal retirement contributions, union dues and initiation fees, group life
insurance premiums, health insurance premiums, and federal tax levies.
1. Employee's gross compensation per week .
2. Federal income tax withheld ........................................................
3. Federal employment tax.
4. Normal retirement contribution
5. Union dues and initiation fees
6. Group life insurance premium ......................................................
7. Health insurance premium .
8. Other federal tax levies.
9. Total allowable deductions (Add lines 2-8)
10. Weekly Disposable Earnings (Subtract line 9 from line 1) .......................................................
Section II.Calculation Of Employee's Disposable Earnings
To be calculated by employer Column 1
A-1. Weekly disposable earnings
(from line 10 above)
A-2. 25% of disposable earnings for week
B-1. Weekly disposable earnings
(from line 10 above)
8_2_ Forty times the higher of the cur rent federal minimum
houri wa e or s tate full minimum fair wa
e.
Amount by which line B-1 exceeds B-2
Amount of Execution (Employer must pay the lesser of the two amounts in column 2 unless the court
ordered limitation set forth below is a lesser amount, in which case the employer must pay that lesser amount)
Court ordered limitation
(If any, to be entered by clerk)
JD-CV-3 Rev. 2-15
Page 2 of 2
EXEMPTION AND MODIFICATION
CLAIM FORM, WAGE EXECUTION STATE OF CONNECTICUT �
JD-CV..Ja Rev. 11-15
C.G.S. § 31-SS(i), 52-212, 52-350a, 52�52b, 52-361a, SU�IZfcf�YRT �
52-361b, 29 u.s.c. 206(aX1) g
111111111111111
Name and mailing addreu ofjudgment debtor (pe,ion who mJSt pay money) Of'
attorney of;,idgment debtor MXMPEX
(Tobe completedbyjudgment creditor (person who moneyis paid to))
rKayla Beyus 7 Instruct.ions
To: To proper officer: Complete Se<:tion II below an
Preview
APPWEX WAGE EXECUTION PROCEEDINGS STATE OF CONNECTICUT APPLICATION, ORDER, EXECUTION JD-CV-3 Rev. 2-15 SUPERIOR COURT www.jud.ct.gov 1 1 1 11 1 111 11 11 1 11111 1 C.G.S. §§ 31-580), 52-350a, 52-361a, 52-356d, WAGE EX 29 U.S.C. 206(a)(1) Employer: See Page 2 for instructions Instructions 1 1 1 1111111 111 1 11111 1 Judgment Creditor or Attorney Clerk Proper Officer 1. Unless filing electronically, prepare original and four copies. 1. Issue execution by signing original. 1. Leave one signed copy with employer. 2. Attach form JD-CV-3a to this form, or include with execution 2. Enter any court ordered limitation at the bottom of 2. Make return on signed original. as one PDF electronic form. section 11 on page 2. 3. Leave one copy of Modification and Exemption 3. Present original and 3 copies to clerk of court. 3. Return original and 2 copies if on paper. Claim form (JD-CV-3a) with employer and fill in 4. Keep one copy for your file. 4. Retain/scan copy for court file. "Date of Service" on form. Name and mailing address of Judgment Creditor or Attorney ADA NOTICE (To be completed by Judgment Creditor or Attorney) ---, The Judicial Branch of the State MIDLAND CREDIT MANAGEMENT, INC of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a C/0 London & London reasonable accommodation in accordance with the ADA, contact a court clerk or an ADA 48 Christian Lane contact person listed at www.jud.ct.gov/ADA. Newington, CT 06111 21-11342 L _J Address of court (Number, street, and town) D G.A. IX] J.D. D Housing Session Date of judgment I 23-Sep-21 Docket number I LLI-CV-21-6028430-S L 50 FIELD STREET TORRINGTON CT 06790 Name(s) and address(es) of Judgment Creditor(s) Name(s) and address(es) of Judgment Debtor(s) old) MIDLAND CREDIT MANAGEMENT, INC Kayla Beyus C/0 London & London 48 Christian Lane 179 Pearl St Apt 1 .� C: Newington, CT 06111 Torrington CT 06790-5232 I 0 :;:::; Ill (If known) Ill Name and address of employer of Judgment Debtor 255 Roberts St Telephone number of employer (if known) Litchfield Woods Torrington CT 06790 860/489-5801 1. Amount of judgment 2. Amount of costs and fees (Include where applicable, prejudgment interest and attorney's fees) < Russell L. London 06/07/2022 To: Any Proper Officer By the authority of the State of Connecticut, you are ordered to cause any wages due to the Judgment Debtor(s), not exceeding the Amount of Execution calculated on page 2, to be paid to the Judgment Creditor(s) until the judgment is satisfied, including postjudgment interest as ordered by the court, if applicable, plus the application fee(s) and other Court ordered postjudgment costs and fees, and your own fees or until the execution is modified or set aside. Serve this execution within one year of this date, and make return of service to this courtwithin thirty days from satisfaction of the execution. Signed (Assistant Clerk of said court) � I On (Date) Page 1 of 2 WAGE EXECUTION PROCEEDINGS 21-11342 Important Notice To Employer You are being served with a wage execution, a court order requiring you to withhold non-exempt wages from a person employed by you. This execution is being served on you because your employee, the Judgment Debtor (on page 1), has had a judgment entered against him/her by the Superior Court requiring him/her to pay judgment, costs and fees to the Judgment Creditor (on page 1) and has not made payment of the total amount of the judgment plus any costs and fees as shown on page 1. This notice is to inform you of the actions you must take in order to comply with the law regarding wage executions. Please read each section carefully. I. Youmust notify the employee - Your employee has certain legal rights which executions are to be satisfied in the order in which you are served with them. (Income withholdings and voluntary wage deductions for support of a family, if there are any, may allow him/her to request the court to change or stop this execution upon his/her wages. A notice of his/her rights and how to get a hearing in court is attached to the must be paid before this executio n. Family support income withholdings and voluntary second copy of the wage deductions are issued on Form JD-FM-1.) wage execution given to you by the officer. You must complete your portion of the wage execution and your portion of the exemption and modification V. Maximum amount deducted - The maximum amount which can belegally claim form anddeliver or mail, postage prepaid, a copy ofthese papers to your withheld from your employee's wages is 25% of his/her disposable earnings for each employee immediately so that your employee can make any claims allowed by law. week. The amount to be withheld to pay this execution may be less than 25%, but it can never be more. The computations you complete below will allow you to calculate II. Execution not effective for 20 days - This execution is not effective until after the exact amount which should be withheld from this employee's wages. 20 days from the day the officer served these papers on you. No money should be Unless the court orders that this execution is to be for a smaller amount, you must deducted from your employee's wages until the first wages you pay to your employee withholdand after the 20-day period ends. If your employee elects within the 20-day period to pay overthe maximum amount which you figure out using the computations below. Your employee has a right to request the court to reduce the make a claim to the court that his/her wages are partially or totally exempt from amount withheld, execution to pay this judgment or he/she seeks to have the amount of this execution but until you receive notice that the court has agreed to allow the amount to be reduced, you must withhold the maximum amount. changed, wages are not to be withheld from the employee until the court decides the claims or determines the rights of your employee in this case. If you are not notified VI. Yourduty to comply with this execution - You have a legal duty to make that your employee has filed papers with the court, the execution is to be enforced deductions from your employee's wages and pay any amounts deducted as required after 20 days from the date of service on you. by this execution. If you do not, legal action may be taken against you. If you are found to be in contempt of a court order, you may be held liable to the Judgment Ill. Stay of execution - No earnings claimed to be exempt or subject to a claim for Creditor for the amounts of wages which you did not withhold from your employee. modification may be withheld from any employee until determination of the claim by VII.Discipline againstyour employee - You may notdiscipline, suspend or the court. discharge your employee because this wage execution has been served upon you. If you do unlawfully take action against your employee, you may be liable to pay him all IV. Only one execution issued under section 52-361a of the General Statutes is of his lost earnings and employment benefits from the time of your action to the time to be satisfied at a time - You must make deductions from your employee's wages that the employee is reinstated. and pay over the withheld money against only one execution issued under General The law allows you to take disciplinary measures against the employee if you are Statutes section 52-361 a at a time. If you are served with more than one execution served with more than 7 wage executions against his/her wages in any calendar year. issued under General Statutes section 52-361 a against this employee's wages, the Section I.Calculation Of Employee's Disposable Earnings "Disposable Earnings" means that part of the earnings of an individual remaining after the deduction from those earnings of amounts to be withheld for payment of federal income and employment taxes, normal retirement contributions, union dues and initiation fees, group life insurance premiums, health insurance premiums, and federal tax levies. 1. Employee's gross compensation per week . 2. Federal income tax withheld ........................................................ 3. Federal employment tax. 4. Normal retirement contribution 5. Union dues and initiation fees 6. Group life insurance premium ...................................................... 7. Health insurance premium . 8. Other federal tax levies. 9. Total allowable deductions (Add lines 2-8) 10. Weekly Disposable Earnings (Subtract line 9 from line 1) ....................................................... Section II.Calculation Of Employee's Disposable Earnings To be calculated by employer Column 1 A-1. Weekly disposable earnings (from line 10 above) A-2. 25% of disposable earnings for week B-1. Weekly disposable earnings (from line 10 above) 8_2_ Forty times the higher of the cur rent federal minimum houri wa e or s tate full minimum fair wa e. Amount by which line B-1 exceeds B-2 Amount of Execution (Employer must pay the lesser of the two amounts in column 2 unless the court ordered limitation set forth below is a lesser amount, in which case the employer must pay that lesser amount) Court ordered limitation (If any, to be entered by clerk) JD-CV-3 Rev. 2-15 Page 2 of 2 EXEMPTION AND MODIFICATION CLAIM FORM, WAGE EXECUTION STATE OF CONNECTICUT � JD-CV..Ja Rev. 11-15 C.G.S. § 31-SS(i), 52-212, 52-350a, 52�52b, 52-361a, SU�IZfcf�YRT � 52-361b, 29 u.s.c. 206(aX1) g 111111111111111 Name and mailing addreu ofjudgment debtor (pe,ion who mJSt pay money) Of' attorney of;,idgment debtor MXMPEX (Tobe completedbyjudgment creditor (person who moneyis paid to)) rKayla Beyus 7 Instruct.ions To: To proper officer: Complete Se<:tion II below an