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APPWEX gfe
WAGE EXECUTION PROCEEDINGS
APPLICATION, ORDER, EXECUTION
STATE.OF CONNECTICUT
SUPERIOR COURT Tn ae
JD-CV-3_ Rev. 2-15 www.jud.ct.gov age
C.G.S, §§ 31-58), 52-3602, 52-36 1a, 52-356d, WAGEEX
29.U.S.C. 206(a)(1) Etnployen
See Page 2 for insteuctions
Instructions CTE
Judgment Creditor or Attorney Clerk Proper Officer
4. Unless fling 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 or
as one POF electronic form, section Il 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
(To be completed by Judgment Creditor or Attomey)
4 ADA NOTICE
‘The Judicial Branch of the State
Marder, Roberson & DeFelice Law Offices, LLC of Connecticut complies with the Americans.
76 South Frontage Road with Disabilities Act (ADA). if you need a
Vernon, CT 06066 reasonable accommodation in accordance
with the ADA, contact a court clerk or an ADA,
contact person listed at wwnwjud.ch.gow/ADA,
L —
‘Address of court (Number, street, and town)
Cea JD. [LJHousing Session | Date ofjudament Docket number
(Feta) 95 Washington Street, Hartford, CT 06106 01/03/2022 HHD-CV21-6149337-S
Nanie(s) and address(esy of Judgment Greditor(a) ‘Nama(s) and address(es) of Judgment Debtor(s)
360 Federal Credit Union Brian Russell
191 Ella Grasso Turnpike 70 Lincoln Way
Windsor Locks, CT 06096 Windsor, CT 06095
2
Name and address of employer of Judgment Debtor (if known) ‘Telephone numberofemployer (known)
Fish N Tingz Bar & Grill LLC, 384 Middle Turnpike W, Manchester, CT 06040-3870 860-730-4440
1, Amount of judament (include where applicable, prejudgment interest and aflamey’s fees) ‘2rAmount
of casts and tees
$9,149.04 $ 427.66
3. Total amountof judgment, costs and fees (Add 1 and2) [4 Tolal amount paid (any) &. Total amount unpaid (Subiract4 from 3)
$ 9,576.70 $ 0,00 $ 9,576.70
‘6. Application fee for wage execution (ifnot walved by the court) | 7- Applicabion fees paid for priar executions on his judgment
$ 105.00 $0.00 Check i applicable
'& Oiher Court ordered postjudgment costs and fees 9. Total oflines 5,6, 7and 6 ; Postjudgmient interest was
$-9,681.70 [x] ordered by the Court
The above-named Judgment Creditor(s) recovered a judgment against the above-named Judgment Debtor(s). The Judgment Debtor(s) has/have
failed to pay the total amount due on that judgment.
Pursuant to the Connecticut General Statutes, the Court listed above entered an order that the judgment be paid by the above-named
Judgment Debtor(s) in the following installment payments:
The amount of $ 35.00 was ordered to be paid in weekly (weekly, monthly, or other) installment payments. “See Note below
(Note: This is not the amount the employer must pay. Employer must pay the amount of execution calculated on page 2 of this form.
The court ordered that installment payments begin on 4/31/2022 (commencement date)
The Judgment Debtor(s) failed to comply with the Installment Payment Order
c
Therefore, the J ment Cred} ) applies/apply for this execution upon the wages of the Judgment Debtor(s) for the remaining amount
due on the judg ntsh ‘in line 9 above
For Court Use Only
Coe Telephone Number
File date
“iol 4493, 860-871-8000
To: Any Proper Offitdr
Mt
By the authority of thi lalé 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) Gn (Datey
Page 1 of 2 WAGE EXECUTION PROCEEDINGS
(O9E
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 himmer to pay judgment, costs and feesfo
‘the Judgment Creditor (on page 1) and has not made payment of the total amount of the judgment plus any costs and fees as shawn 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.
|. You must 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
may allow him/her to request the court to change or stop this execution upon his/her withholdings and voluntary wage deductions for support of a family, if there are any,
wages. A notice of his/her rights and how ta get 2 hearing in court is attached to the must be paid before this execution. Family support income withholdings and voluntary
second copy of the wage execution given to you by the officer. You must complete wage deductions are issued on Form JD-FM-1.}
‘your portion of the wage execution and your portion af the exemption and modification V. Maximum amount deducted — The maximum amount which can be fegally
claim form and deliver or mail, postage prepaid, @ copy of these papers to your withheld from your employee's wages is 25% of his/her disposable eamings for each
employee immediately so that your employee can make any claims allowed by law. week. The amountto 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
Jl. 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
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APPWEX gfe WAGE EXECUTION PROCEEDINGS APPLICATION, ORDER, EXECUTION STATE.OF CONNECTICUT SUPERIOR COURT Tn ae JD-CV-3_ Rev. 2-15 www.jud.ct.gov age C.G.S, §§ 31-58), 52-3602, 52-36 1a, 52-356d, WAGEEX 29.U.S.C. 206(a)(1) Etnployen See Page 2 for insteuctions Instructions CTE Judgment Creditor or Attorney Clerk Proper Officer 4. Unless fling 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 or as one POF electronic form, section Il 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 (To be completed by Judgment Creditor or Attomey) 4 ADA NOTICE ‘The Judicial Branch of the State Marder, Roberson & DeFelice Law Offices, LLC of Connecticut complies with the Americans. 76 South Frontage Road with Disabilities Act (ADA). if you need a Vernon, CT 06066 reasonable accommodation in accordance with the ADA, contact a court clerk or an ADA, contact person listed at wwnwjud.ch.gow/ADA, L — ‘Address of court (Number, street, and town) Cea JD. [LJHousing Session | Date ofjudament Docket number (Feta) 95 Washington Street, Hartford, CT 06106 01/03/2022 HHD-CV21-6149337-S Nanie(s) and address(esy of Judgment Greditor(a) ‘Nama(s) and address(es) of Judgment Debtor(s) 360 Federal Credit Union Brian Russell 191 Ella Grasso Turnpike 70 Lincoln Way Windsor Locks, CT 06096 Windsor, CT 06095 2 Name and address of employer of Judgment Debtor (if known) ‘Telephone numberofemployer (known) Fish N Tingz Bar & Grill LLC, 384 Middle Turnpike W, Manchester, CT 06040-3870 860-730-4440 1, Amount of judament (include where applicable, prejudgment interest and aflamey’s fees) ‘2rAmount of casts and tees $9,149.04 $ 427.66 3. Total amountof judgment, costs and fees (Add 1 and2) [4 Tolal amount paid (any) &. Total amount unpaid (Subiract4 from 3) $ 9,576.70 $ 0,00 $ 9,576.70 ‘6. Application fee for wage execution (ifnot walved by the court) | 7- Applicabion fees paid for priar executions on his judgment $ 105.00 $0.00 Check i applicable '& Oiher Court ordered postjudgment costs and fees 9. Total oflines 5,6, 7and 6 ; Postjudgmient interest was $-9,681.70 [x] ordered by the Court The above-named Judgment Creditor(s) recovered a judgment against the above-named Judgment Debtor(s). The Judgment Debtor(s) has/have failed to pay the total amount due on that judgment. Pursuant to the Connecticut General Statutes, the Court listed above entered an order that the judgment be paid by the above-named Judgment Debtor(s) in the following installment payments: The amount of $ 35.00 was ordered to be paid in weekly (weekly, monthly, or other) installment payments. “See Note below (Note: This is not the amount the employer must pay. Employer must pay the amount of execution calculated on page 2 of this form. The court ordered that installment payments begin on 4/31/2022 (commencement date) The Judgment Debtor(s) failed to comply with the Installment Payment Order c Therefore, the J ment Cred} ) applies/apply for this execution upon the wages of the Judgment Debtor(s) for the remaining amount due on the judg ntsh ‘in line 9 above For Court Use Only Coe Telephone Number File date “iol 4493, 860-871-8000 To: Any Proper Offitdr Mt By the authority of thi lalé 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) Gn (Datey Page 1 of 2 WAGE EXECUTION PROCEEDINGS (O9E 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 himmer to pay judgment, costs and feesfo ‘the Judgment Creditor (on page 1) and has not made payment of the total amount of the judgment plus any costs and fees as shawn 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. |. You must 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 may allow him/her to request the court to change or stop this execution upon his/her withholdings and voluntary wage deductions for support of a family, if there are any, wages. A notice of his/her rights and how ta get 2 hearing in court is attached to the must be paid before this execution. Family support income withholdings and voluntary second copy of the wage execution given to you by the officer. You must complete wage deductions are issued on Form JD-FM-1.} ‘your portion of the wage execution and your portion af the exemption and modification V. Maximum amount deducted — The maximum amount which can be fegally claim form and deliver or mail, postage prepaid, @ copy of these papers to your withheld from your employee's wages is 25% of his/her disposable eamings for each employee immediately so that your employee can make any claims allowed by law. week. The amountto 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 Jl. 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