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FINANCIAL INSTITUTION EXECUTION PROCEEDINGS STATE OF CONNECTICUT
JUDGMENT DEBTOR WHO IS A NATURAL PERSON, SUPERIOR COURT
APPLICATION AND EXECUTION
JD-CV-24 Rev. 11-21
www.jud.ct.gov
C.G.S. §§ 52-356b, 52-367b
(See page 2 for instructions to financial institution and ADA Notice)
Instructions - Judgment Creditor or Attorney Instructions - Clerk
1. Check the file to ensure the information on the application is correct.
1. Complete this form, an Exemption Claim form, and a Financial Institution Execution (form JD-CV-24A).
If filing electronically, combine into one PDF document. If filing on paper, prepare original, attach form
JD-CV-24A and file the original with the clerk. Keep 1 copy for your records. 2. Sign original execution.
3. Upload the original to the file.
2. Applications must be accompanied by the statutory fee set in General Statutes§ 52-367b.
Address of court Docket number
Judicial District
[X]
>----
70 HUNTINGTON STREET NEW LONDON CT 06320
Name and mailing address of Judgment Creditor or Attorney
â–¡ Housing SessionKNL-CV-20-6047002-S
(Number, street, town, state, zip code) (To be completed by Judgment Creditor) (Plaintiff)
I 7 COURT USE ONLY
MIDLAND FUNDING LLC APFEABA EXISSUE
C/O London & London
48 Christian Lane Newington, CT 06111
1 1 1111 1 11 1 1 1 11111 1 111 11
1 1 1111 1 1 1 111 11 1111 1 1 11 1
L _J
20-10561
Name(s) and address(es) of Judgment Creditor(s) (Party to whom money is owed) (Number, street, town, zip code)
C/O London & London
C:
MIDLAND FUNDING LLC 48 Christian Lane, Newington, CT 06111
0
Name(s) and address(es) of Judgment Debtor(s) (Party who owes money) (Number, street, town, zip code)
-�
ati
165 Iron St
Bonnie Yerrington
Appl
Ledyard CT 06339
Date of judgment 1. Amount of judgment 3. Total amount of judgment, costs and fees (Add 1 and 2)
2. Amount of costs and fees
(Include, where applicable,
1 1
prejudgment interest and
102.15 1
11/05/2021 795.50 attorney's fees) 897.65
4. Total amount paid (If any) 6. Application fee for financial institution execution (If not waived by the court)
5.Total amount unpaid (Subtract 4 from 3)
1 1
0.00 897.65 105.00
8. Other court ordered postjudgment costs and fees
7. Application fees paid for prior executions on this judgment 9.Total of items 5, 6, 7 and 8
1
0.00 0.00 1002.65
â–¡
-
No Yes
Is this judgment arising out of services rendered at a hospital? ........
[X]
Select if applicable:
Postjudgment interest was
If yes above, has a stay of a financial institution execution been D
X ordered by the court
entered pursuant to an installment payment order?
....................
[X] No â–¡ Yes
If a stay of a financial institution execution has been entered, has the
â–¡
weekly
No
Judgment Debtor defaulted on an installment payment order? ........ [X] Yes (Specify):
Payments of 35.00 beginning on 12/20/2021
Date signed
Signed (Judgment Creditor or Attorney) (Party to whom money is owed) Telephone number
I I
400805 Russell L. London 08/01/2022 860-666-4500
Financial Institution Execution
To any proper officer,
By authority of the State of Connecticut, and pursuant to General Statutes§ 52-367b you are ordered as follows: Within 7 days, make demand for
payment to you of any nonexempt debt owed by the Judgment Debtor(s). Make this demand upon the main office of any financial institution having
its main office within your county. If the main office is not within your county, but a branch office of the institution is within your county, make
demand on an employee of such branch office as long the employee and the branch office have been designated by the financial institution in
accordance with regulations adopted by the commissioner of banking. Only upon demand of a financial institution which does not have any main
office or branch office in this state, demand may be made by certified mail, return receipt requested.
After having made demand you are directed to serve a true and attested copy of this execution, together with the attached affidavit and Exemption
Claim form, Financial Execution (form JD-CV-24A), with your doings endorsed thereon, upon the financial institution officer upon whom the demand
was made. Receive the sum paid by the financial institution and apply it on this execution in accordance with the provisions of General Statutes §
52-367b.
Do not serve more than one financial institution execution per Judgment Debtor at a time, including copies.
After service of an execution on one financial institution, do not serve the same execution or a copy on another
For Court Use Only
financial institution until receiving confirmation from the preceding financial institution that the Judgment
Debtor had insufficient funds available for collection to satisfy the execution. However, any additional service
of an execution must not be made later than 45 days from your initial receipt of the execution.
Also, after service of an execution, do not serve the same execution or a copy on the financial institution if an
electronic direct deposit from a readily identifiable source described in General Statutes§ 52-376b (c) was
made to the Judgment Debtor's account within the look-back period described in General Statutes§ 52-376b
(c) (2 months or, with regard to federal benefits, such greater period as required by federal law). If no such
deposit was made, you may subsequently serve the same execution if the execution has not expired or
otherwise become unenforceable.
Hereof fail not, and make due return of this writ with your doings thereon, according to law.
Signed (Assistant Clerk) Date signed
I
Page 1 of 2
20-10561
NOTE: The provisions of General Statutes§ 52-367b, as amended, take precedence over these instructions.
Instructions to Financial Institution Upon Receipt of a Financial Institution Execution When Judgment
Debtor is a Natural Person
1. If any funds are removed from the Judgment Debtor's account pursuant to General Statutes§ 52-367b(c), complete
section II of the attached Exemption Claim Form, Financial Institution Execution (form JD-CV-24A) and take the following
actions: (1) Send 2 copies of both this form and the Exemption Claim Form, Financial Institution Execution form to the
Judgment Debtor and any secured party that is a party to a control agreement between you and the secured party under
article 9 of title 42a of the General Statutes. Copies must be sent postage pre-paid, to the last known address in your
records of the recipient; and (2) Issue notice to the account holder, or to a fiduciary who administers the account and
receives communications on behalf of the account holder, in the time and manner stated in Federal Regulations
31 CFR 212.6 and 212.7.
2. Remove from the Judgment Debtor's account the amount of any debts due from you to the Judgment Debtor not exceeding
the total amount included in box 9 of the application on page 1 of this form, plus postjudgment interest, if ordered by the
court, and the serving officer's fee. You must take this action before your midnight deadline, as defined in General Statutes
§ 42a-4-104.
Leave in the Judgment Debtor's account (A) the full amount of 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, exempt benefits paid by the federal Railroad Retirement Board or the
federal Office of Personnel Management, unemployment compensation benefits exempt under General Statutes § 52-352b
child support payments processed and received pursuant to Title IV-D of the Social Security Act, and (B) the amount of the
electronic direct deposits, not to exceed $1,000, that are readily identifiable as wages provided such deposits were made to
the account during the look-back period of two months preceding the date that the execution was served on the financial
institution, or, with regard to federal benefits, such greater time as required by federal law. If no such deposits have been
made to the Judgment Debtor's account during the look-back period, or if such readily identifiable funds are less than
$1,000, leave in the account as exempt pursuant to General Statutes § 52-352b(18), the lesser of the account balance or
$1 ,000 in the aggregate. To the extent that such funds are left in the account as exempt pursuant to General Statutes§
52-352b(18), the provisions of that section shall not be the basis for a claim of exemption pursuant to this section in
response to a levy of execution. However, nothing in this paragraph shall be construed to limit your right or obligation to
remove such funds from the Judgment Debtor's account if required by any other provision of law or by a court order. The
Judgment Debtor shall have full and customary access to any funds left in the account. You may notify the Judgment
Creditor that funds have been left in the Judgment Debtor's account pursuant to this provision. Also, nothing in this
paragraph shall alter the exempt status of funds which are exempt from execution under General Statutes§ 52-367b(a) or
under any other provision of state or federal law, or the right of a Judgment Debtor to claim such exemption. Further,
nothing in this paragraph shall be construed to affect any other rights or obligations of the financial institution with regard to
the funds in the Judgment Debtor's account.
3. Hold the amount removed from the Judgment Debtor's account pursuant to this execution for 15 days from the date you
mail the copies of this form and the Exemption Claim Form, Financial Institution Execution form to the Judgment Debtor
and any secured party. During the 15 day period you must not pay the officer serving this execution.
4. If the Judgment Debtor returns the Exemption Claim Form, Financial lnsutution Execution form or other written notice that
an exemption is being claimed or if any secured party delivers to you written notice of their claim of a prior perfected
security interest in the account, you must, within 2 business days of receipt of such notice, send a copy of such notice to
the clerk of the court that issued the execution. Continue to hold the amount removed from the Judgment Debtor's account
for 45 days or until you receive a court order regarding disposition of the funds, whichever occurs first. If no order is
received within 45 days of the date you send a copy of the Exemption Claim Form, Financial Institution Execution form or
notice of exemption or a secured party claim notice to the clerk of the court, return the funds to the Judgment Debtor's
account.
5. If you do not receive the Exemption Claim Form, Financial Institution Execution form or secured party claim notice within 15
days of mailing the required documents to the Judgment Debtor and any secured party, you must, upon demand, pay the
serving officer the amount removed from the Judgment Debtor's account.
6. If no Exemption Claim Form, Financial Institution Execution form or secured party claim notice is filed or if the court orders
you to pay the serving officer an amount removed from the Judgment Debtor's account not exceeding the amount due on
the execution and you fail or refuse to do so, you shall be liable in an action to the Judgement Creditor(s) named in the
execution for the amount of nonexempt monies which you fail or refuse to pay, excluding funds of up to $1,000 which you
in good faith allowed the Judgment Debtor to access pursuant to General Statutes§ 52-367b(c).
7. If you pay exempt monies from the account of the Judgment Debtor contrary to these instructions, or the provisions of
General Statutes § 52-367b, you shall be liable in an action to the Judgment Debtor for any exempt monies paid and you
shall refund or waive any charges of fees by you, including, but not limited to, dishonored check fees, overdraft or minimum
balance service charges and legal process fees, which were assessed as a result of such payment of exempt monies.
For information on ADA accommodations,
contact a court clerk or go to: www.iud.ct.gov/ADA.
JD-CV-24 Rev. 11-21 Page z 012
EXEMPTION CLAIM FORM STATE OF CONNECTICUT
FINANCIAL I NSTITUTION EXECUTION SUPERIOR COURT
JD-CV-24A Rev. 10-21
C.G $ §§ 31-SS(i). 52-3210, 52-3500, 52-352b, 52-3610,
SEE INSTRUCTIONS ON BACK/PAGE 2 www.jud.ct. gov
52.Jo7b; 29 U.S.C. 206(a)(1)
Name and address of Judgment Debtor or Anomey
(To be completed byJudgment creditor or anorneyJ COURT USE ONLY
To: r 7 MXMPEX
Bonnie Yerrington
165 Iron St
1111111111 1101 111
Ledyard CT 06339
L j 20-10561
Section 1 - (To be completed by judgment creditor)
Judicial
IV1 District
till
Housing
D Session
MIDLAND FUNDING LLC
IName and address of coun (Number, s1ree1, Town and Zip COdeJ
SUPERIOR COURT 70 HUNTINGTON STREET
Name of Judgment Debtor
NEW LONDON CT 06320
Docket number
V. Bonnie Yerrington
Bonnie Yerrington KNL-CV-20-6047002-S
Section 2 - (To be completed by financial institution - see instructions on back/page 2)
Name and address of nnanclal Institution to which exemption Olalm /II any) Is to be returned
Amount removP.d por�u;mt to P.x�ution
IDote of moiling to Judgment Debtor
Amount ;md type of Axempl fund� not remove