Judgment: PLYMOUTH ROCK ASSURANCE CORPORATION v. BANYAY, KATHERINE

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                                APPLICATION FOR EXAMINATION                           STATE OF CONNECTICUT                                                For Court Use Only
       OF JUDGMENT DEBTOR AND                                    SUPERIOR COURT                                                      PAEJD
       NOTICE OF HEARING
       JD-CV-54 Rev. 4-13
       C.G.S. § 52-397
                                                                    www.jud.ct.gov
                                                                                                                                  *PAEJD*
                                                          Instructions To Judgment Creditor
                                    1. Fill out and give the original and 2 copies to the clerk to review and sign.
                                    2. Attach a completed "Subpoena" form JD-CL-43, if one is needed.
                                    3. Give the original and 1 copy of the signed application to a proper officer for service (delivery).
                                    4. Make a copy for your file.
                                    5. The original application must be returned to court after it is served at least 6 days before the court
                                      hearing.
                                    6. Come to the court hearing and be prepared to examine the judgment debtor on the debtor's property
                                      and the means of paying the judgment.                                    Docket number
       To: The Superior Court                                                                                  AAN-CV-14-6016332-S
           Judicial     Housing        Geographical                                                     Small
           District     Session        Area                                                             Claims
                                       number        At MILFORD                                         Area at
       Address of Court (Number, street, town and zip code)
       14 West River Street Milford, CT 06460
       Name(s) of judgment creditor(s)                               Address(es) (Number, street, town, state and zip code)
       Plymouth Rock Assurance Corporation                           695 Atlantic Avenue
                                                                     Boston, MA 02111


       Name of judgment debtor                                       Address (Number, street, town, state and zip code)
       Katherine Banyay                                              11 Beard Place, Milford, CT 06460
       Date of judgment      Amount of damages awarded               Amount of costs awarded               Total damages and costs awarded
       12/15/2014            $7,504.25                               $398.96                               $7,903.21
       Name and address of judgment creditor's attorney (If applicable)
       Jay M. Wolman, Esq. Raymond Law Group LLC 90 National Drive, Suite 3, Glastonbury, CT 06033

       Application For Examination Of Judgment Debtor
       A judgment was recovered against the judgment debtor named above in the Superior Court on the date and for the amount of
       damages and costs indicated above.        ("X" one or both)

              An execution was issued on this judgment which has been returned unsatisfied in whole or in part.
              Postjudgment interrogatories were served on the judgment debtor in accordance with the Connecticut General
              Statutes, but the judgment debtor did not to respond within 30 days of the date of service.

       The judgment creditor(s) requests that the judgment debtor be ordered to come to the Superior Court where the judgment
       was entered, to be examined under oath concerning any property and means of paying this judgment.
       Signed (Judgment creditor or attorney)                                         Date signed           Telephone number
        /s/   Jay   M.  Wolman     433791                                             01/26/2015            860-633-0580

       Order For Examination And Notice Of Hearing
       The Application for Examination of Judgment Debtor having been presented to the court, it is ordered that the judgment
       debtor named above come to the Superior Court at the court location shown above,                   to be examined under oath
       concerning the judgment debtor's property and means of paying the judgment             described in the above Application for
       Examination of Judgment Debtor on the date and time set for the hearing shown below.

                                                        Court Hearing Date And Time
                                       Date of hearing      Time of hearing            Courtroom

                                                                                .m.

       To Any Proper Officer:
       By authority of the State of Connecticut, you are commanded to give notice of the pendency of this Application and to
       summon the judgment debtor to appear at the place, date, and time set for the examination by serving on said judgment
       debtor, as prescribed by law for the service of civil process, a true and attested copy of the foregoing Application and of this
       order at least twelve days prior to the hearing date shown above.
       Make service and return this Application to the court at least six days prior to the hearing date shown above.

       Signed (Judge/Clerk)                                                                        Date signed