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FINANCIAL INSTITUTION EXECUTION STATE OF CONNECTICUT HAVIN
PROCEEDINGS - JUDGMENT DEBTOR SUPERIOR COURT i A Mt
WHO IS A NATURAL PERSON, www. jud.ct gov 7
APPLICATION AND EXECUTION (See page 2 for instructions to financial institution) AGRE
Wei I ‘f. mM
DOS, 65 82-3080, 62-2676 14-01516-0/BXA eSsisegEs
Instructions - Judgment Creditor Or Attorney. Instructions - Clerk
1. Type or print legibly. 4, Check the filo 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, Prosenl original anit éopy/ lo lark of court. Retain a copy. 3: Retuin’original to applicant, relain:a copy for file.
[Addross-of cout se LJ suatctat istrict Geographic — | Docket number"
P.O. Box 247, Litchfleld, CT 06759 (J) Housing session” [7] number, LLI-CV-14-6041202-S U)
‘Name and mailing address | ‘of Judgment Creditor or Attorney (To'be completed by. ‘Judgment Creditor):
rm 4
TOBIN MELIEN & MAROHN
45 Court. Street
. New Haven, CT 06511
i Name(s)sund address(es) of Judgment Creditors)
zg UNIFUND CORPORATION, clo Tobin Mellen & Marohn, 45 Court St. New Haven CT:
7 |" Name(s) and address(as).of Judgment Debtor(s) , - -
% | MELISSA HICKCOX, 1099 Hickory Hill Road, , Thomaston, Connecticut. 06787
§
B [Baeoriedamant 77 Amomnt of uagment Tndlide, where onplcabie, | ZAMaunT ot coals ‘Amount Of uadgment, Coste ond fees (AAT and 2)
< | 3/46/45: |:$15,329:28. fir? on
i |_ $400.60 __ | $15,720.88. :
A. Folaramount paid (it any) Total amount unpald: (Subfract 4 trom 3° | 6. Application toe for, financial institution execution ‘(if not walvod by. the co
$.00 $100.00
BrFolal of wems's, 6 and 7
$ 15,829.88
‘Check appicable
postjudgment intorest was ordered by the court
|| Te this judgment arising out of services renderad’ ol a hospitar?
[xno 0 ves"
If this Is.a judgment rising out of. services rendered at a hospital, has a stay of a financial Institullon execution been
‘entered pursuant to-an installment payment order? No O ves
‘Judgment Debtor defaulted on-an.instaliment payment order?
PAYMENT ORDER
fate signed, Felophione number
5/42/2045. |._-203-777-6660:
Ifa stay of a financial institution execullon has been entered, hi
I} ‘No [1] ves (Specify): 'NON-COMPLIA}
Signed (Judgment Creditor or Attomey) Ms oe
William L.. Marohn
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 the above-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 your county, 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 of such a branch office, such employee and such brat fice-having been;designated by the'financial
institution in accordance-with regulations adopted by the commissioner of banking, for payment to, you ‘purstiant to section'52-367b(b) of the
general statutes of any nonexempt debt due said Judgment Debtor(s), which.sum shall'not exceed the total unpaid judgment, costs and
fees as stated above, plus postjtidgment interest as ordered by the court, if applicable, plus the application fee and other court ordered
postjudgment costs and fees and 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 accordance with the provisions
of section 52-367b of the general statutes. You shall not serve more than one financial institution
execution per judgment debtor at a time, including copies thereof. After service of an execution on FFICE OF THE CLERK
one financial institution, you shall not serve the same execution or a copy thereof upon another Ss U PER' 7
financial institution until receiving confirmation from the preceding finanicial institution that the 1OR COURT
judgment debtor had insufficient funds at the preceding financial institution available for collection
to satisfy the execution, provided any such additional service is made not later than forty-five days JUN 12 2015
from the receipt by you of such execution,
ot; and make due return of this writ with your doings thereon, according\to law. JUDICIAL DISTRICT
islont gle), ? Date signed
pibive. (\edboA— 0
&.[2 12 OF LITCHFIELD
Page 1 of 2 FINANCIAL INSTITUTION EXECUTION PROCEEDINGS
For Court Use OnlyOFFICER'S RETURN TO COURT
STATE OF CONNECTICUT:
: SS: NEW BRITAIN OCTOBER 2, 2015
COUNTY OF HARTFORD
RE: UNIFUND CORPORATION
VS MELISSA HICKCOX
DOCKET NO: LLI-CV-14-6011202-S
THEN AND BY VIRTUE HEREOF, | MADE A DEMAND ON THOMASTON
SAVINGS BANK, FIRST NIAGARA BANK, BANK OF AMERICA, WEBSTER BANK,
SANTANDER, PEOPLE’S UNITED BANK, WELLS FARGO BANK, TD BANK, FOR
THE AMOUNT OF THIS EXECUTION WITH STATUTORY INTEREST AND MY FEES
THEREON.
AND AFTERWARDS, SAID BANK PAID ME THE SUM OF $00.00 DOLLARS
PLUS $00.00 INTEREST, PLUS MY FEES.
(_) PARTIALLY SATISFIED
(_) FULLY SATISFIED
( X) WHOLLY UNSATISFIED
Hartford County