Preview
FINANCIAL INSTITUTION EXECUTION STATE OF CONNECTICUT M aa i]
PROCEEDINGS - JUDGMENT DEBTOR SUPERIOR COURT "APFEABA®
WHO IS A NATURAL PERSON, www. jud.ct.gov
APPLICATION AND EXECUTION
tor neee (See page 2 for instructions to financial institution |
CGS. §§ 52-356b, 52-367b and ADA Notice) EXISSUE
PA 147, 14-9
Instructions - Judgment Creditor Or Attorney Instructions - Clerk
1. Type or print legibly. 1. Check the file fo ensure that the information provided
2. Complete the application section: prepare original and 2 copies. Con the application is correct
3. Complete section 1 of the Exemption Claim Form, JD-CV-24a and attach to this form. 2, Sign onginal execution
4. Present original and 1 copy to clerk of court. Retain a copy. 3. Retum orginal to applicant, retain a copy for fle.
‘Address of court Te] Judicial astict Geographic | Docket number
123 Hoyt Street, Stamford, CT 06905 Ir] ws seu ea FST CV 16 6028559
Name and mailing address of Judgment Creditor or Attorney (To be completed by Judgment Creditor)
Nicholas J. Adamucci, Esq. 7
Adamucci, LLC.
270 Greenwich Avenue
Greenwich, CT 06830 =e
ba a
Name(s) and address(es) of Judgment Creditor(s)
Finocchio Brothers Carting of Greenwich Inc. - 49 Liberty Place, Stamford, CT
| Name(s) and address(es) of Judgment Debtor(s)
3 Janet Lee- 255 Greenwich Avenue, Greenwich, Connecticut 06830
3S
2
& | Date of judgment 7. Amount of jadgment (include, where applicable, | 2. Amount of costs %, Amount of judgment, costs and fees (Add 7 and 2)
& | 1n7n016 2960.80 prequdoment interest ond’ | 429.70 3340.50
“Total amount paid (if any) > & Total amount unpaid (Subtract 4 from 3) | 6. Application fee for financial institution execution (if nol waived by the court)
0 3370. so 105
7. Application fees paid for prior executions on this judgment > ] 8 Other court ordered postjudgment costs and fees > B Total of tems 5,6, 7 and
0 203.43 349%, 13
[Check appicable 7
pial? [No] Yes [ie] postjudgment interest was ordered by the court
If this is a judgment arising out of services rendered at a hospital, has a stay of a financial institution execution been [i] No Cres
entered pursuant to an installment payment order?
If stay of a financial institution execution has been entered, has the Judgment Debtor defaulted on an installment payment order?”
[No [1 Yes (Specify
Signed (Judgment Creditor prAttorfiey), Date signed ‘Telephone number
OT a-98-1F RO3- P5970 7
Financial Instipowregiation
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 branch office having been designated by the financial institution in accordance with regulations adopted by the commissioner of banking, for
payment to you pursuant 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 postjudgment 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 one For Court Use Only
financial institution, you shall not serve the same execution or a copy thereof upon another financial institution until receiving
confirmation from the preceding financial institution that the 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 from the receipt by you of such execution. After service of an execution, you shall not serve the same execution or a
copy thereof upon such financial institution if an electronic direct deposit from a readily identifiable source described in
section 52 -376b (c) of the General Statutes was made to the judgment debtor's account within the look-back period
described in section 52 -376b (c) of the General Statues (sixty days 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 or a copy thereof
upon such institution, provided 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
Page 1 of 2 FINANCIAL INSTITUTION EXECUTION PROCEEDINGS
Reset FormNOTE: The provisions of section 52-367b, as amended from time to time, 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 subsection (c) of section 52-367b of the General Statutes,
complete section Il of the accompanying Exemption Claim Form (JD-CV-24a) and (1) send, forthwith, 2 copies of both this form and the
Exemption Claim Form to the judgment debtor and to any secured party that is a party to a control agreement between you and such
secured party under article 9 of title 42a of the General Statutes, postage pre-paid, at the last known address of the judgment debtor and
of any such secured party with respect to the affected accounts on the records of your institution and (2) mail notice to the judgment
debtor as required by 31CFR212.6 and 212.7.
N
Remove from the judgment debtor's account the amount of any debts due from you to the judgment debtor not exceeding the Total
Amount Unpaid as appears on page 1 of this form plus interest and the Application Fee for Financial Institution Execution and other court
ordered postjudgment costs or fees and the serving officer's fee, before your midnight deadline, as defined in section 42a-4-104 of the
General Statutes. If an electronic direct deposit is 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 section 52-352b of the Connecticut General Statutes, or child support payments processed and received pursuant to Title IV-D of
the Social Security Act were made to the judgment debtor's account during the look-back period of either the sixty-day period preceding
the date that the execution was served on you, or, with regard to federal benefits, such greater period as required by federal law then you
shall leave the lesser of the account balance or one thousand dollars in the judgment debtor's account, provided nothing in this
subsection 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 such funds left in the judgment
debtor's account. You may notify the judgment creditor that funds have been left in the judgment debtor's account pursuant to this
provision. Nothing herein shall alter the exempt status of funds which are exempt from execution under subsection (a) of section 52-367b
of the General Statutes or under any other provision of state or federal law, or the right of a judgment debtor to claim such exemption,
Nothing herein 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
You must hold the amount removed from the judgment debtor's account pursuant to this execution for fifteen days from the date you mail
the copies of this form and the Exemption Claim Form to the judgment debtor and any secured party. During such fifteen day period you
must not pay the officer serving this execution.
B
If the judgment debtor returns the Exemption Claim Form or other written notice that an exemption is being claimed, and if any secured
party delivers to you written notice of such secured party's claim of a prior perfected security interest in such deposit account, you must,
within two business days of receipt of such notice, send a copy of such notice to the clerk of the court which issued the execution. You
must continue to hold the amount removed from the judgment debtor's account for forty-five days or until a court order is received
regarding disposition of the funds, whichever occurs earlier. If no order is received within forty-five days of the date you send a copy of
the Exemption Claim Form or notice of exemption or a secured party claim notice to the clerk of the court, you must return the funds to
the judgment debtor's account.
a
If you do not receive a claim of exemption or secured party claim notice within fifteen days of the mailing to the judgment debtor and any
secured party of the execution and Exemption Claim Form you must, upon demand, forthwith pay the serving officer the amount
removed from the judgment debtor's account.
@
If no exemption claim 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 therefor to the judgement creditor(s) named in the execution for the amount of nonexempt monies which you fail or refuse to pay
over. If no exemption claim 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 therefor to the
judgment creditor(s) name in the execution for the amount of nonexempt monies which you fail or refuse to pay over, excluding funds of
up to one thousand dollars which you in good faith allowed the judgment debtor to access pursuant to subsection (c) of section 52-367b
of the General Statutes.
~
If you pay exempt monies from the account of the judgment debtor contrary to these instructions, or the provisions of section 52-367b of
the General Statutes, you shall be liable in an action therefor to the judgment debtor for any exempt monies so paid. If you pay exempt
monies from the account of the judgment debtor contrary to these instructions, or the provisions of section 52-367b of the General
Statutes, you shall be liable in an action therefor to the judgment debtor for any exempt monies so paid and you shall refund or waive
any charges of fees by you, including, but not limited to, dishonored check fees, overdraft fees or minimum balance service charges and
legal process fees, which were assessed as a result of such payment of exempt monies.
ADA NOTICE
The Judicial Branch of the State of Connecticut complies with the Americans with
Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the
‘ADA, contact a court clerk or an ADA contact person listed at www jud.ct.gov/ADA
JD-CV-24 (back/page 2) Rev. 2-15 Page 2 of 2
Preview
FINANCIAL INSTITUTION EXECUTION STATE OF CONNECTICUT M aa i] PROCEEDINGS - JUDGMENT DEBTOR SUPERIOR COURT "APFEABA® WHO IS A NATURAL PERSON, www. jud.ct.gov APPLICATION AND EXECUTION tor neee (See page 2 for instructions to financial institution | CGS. §§ 52-356b, 52-367b and ADA Notice) EXISSUE PA 147, 14-9 Instructions - Judgment Creditor Or Attorney Instructions - Clerk 1. Type or print legibly. 1. Check the file fo ensure that the information provided 2. Complete the application section: prepare original and 2 copies. Con the application is correct 3. Complete section 1 of the Exemption Claim Form, JD-CV-24a and attach to this form. 2, Sign onginal execution 4. Present original and 1 copy to clerk of court. Retain a copy. 3. Retum orginal to applicant, retain a copy for fle. ‘Address of court Te] Judicial astict Geographic | Docket number 123 Hoyt Street, Stamford, CT 06905 Ir] ws seu ea FST CV 16 6028559 Name and mailing address of Judgment Creditor or Attorney (To be completed by Judgment Creditor) Nicholas J. Adamucci, Esq. 7 Adamucci, LLC. 270 Greenwich Avenue Greenwich, CT 06830 =e ba a Name(s) and address(es) of Judgment Creditor(s) Finocchio Brothers Carting of Greenwich Inc. - 49 Liberty Place, Stamford, CT | Name(s) and address(es) of Judgment Debtor(s) 3 Janet Lee- 255 Greenwich Avenue, Greenwich, Connecticut 06830 3S 2 & | Date of judgment 7. Amount of jadgment (include, where applicable, | 2. Amount of costs %, Amount of judgment, costs and fees (Add 7 and 2) & | 1n7n016 2960.80 prequdoment interest ond’ | 429.70 3340.50 “Total amount paid (if any) > & Total amount unpaid (Subtract 4 from 3) | 6. Application fee for financial institution execution (if nol waived by the court) 0 3370. so 105 7. Application fees paid for prior executions on this judgment > ] 8 Other court ordered postjudgment costs and fees > B Total of tems 5,6, 7 and 0 203.43 349%, 13 [Check appicable 7 pial? [No] Yes [ie] postjudgment interest was ordered by the court If this is a judgment arising out of services rendered at a hospital, has a stay of a financial institution execution been [i] No Cres entered pursuant to an installment payment order? If stay of a financial institution execution has been entered, has the Judgment Debtor defaulted on an installment payment order?” [No [1 Yes (Specify Signed (Judgment Creditor prAttorfiey), Date signed ‘Telephone number OT a-98-1F RO3- P5970 7 Financial Instipowregiation 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 branch office having been designated by the financial institution in accordance with regulations adopted by the commissioner of banking, for payment to you pursuant 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 postjudgment 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 one For Court Use Only financial institution, you shall not serve the same execution or a copy thereof upon another financial institution until receiving confirmation from the preceding financial institution that the 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 from the receipt by you of such execution. After service of an execution, you shall not serve the same execution or a copy thereof upon such financial institution if an electronic direct deposit from a readily identifiable source described in section 52 -376b (c) of the General Statutes was made to the judgment debtor's account within the look-back period described in section 52 -376b (c) of the General Statues (sixty days 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 or a copy thereof upon such institution, provided 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 Page 1 of 2 FINANCIAL INSTITUTION EXECUTION PROCEEDINGS Reset FormNOTE: The provisions of section 52-367b, as amended from time to time, 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 subsection (c) of section 52-367b of the General Statutes, complete section Il of the accompanying Exemption Claim Form (JD-CV-24a) and (1) send, forthwith, 2 copies of both this form and the Exemption Claim Form to the judgment debtor and to any secured party that is a party to a control agreement between you and such secured party under article 9 of title 42a of the General Statutes, postage pre-paid, at the last known address of the judgment debtor and of any such secured party with respect to the affected accounts on the records of your institution and (2) mail notice to the judgment debtor as required by 31CFR212.6 and 212.7. N Remove from the judgment debtor's account the amount of any debts due from you to the judgment debtor not exceeding the Total Amount Unpaid as appears on page 1 of this form plus interest and the Application Fee for Financial Institution Execution and other court ordered postjudgment costs or fees and the serving officer's fee, before your midnight deadline, as defined in section 42a-4-104 of the General Statutes. If an electronic direct deposit is 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 section 52-352b of the Connecticut General Statutes, or child support payments processed and received pursuant to Title IV-D of the Social Security Act were made to the judgment debtor's account during the look-back period of either the sixty-day period preceding the date that the execution was served on you, or, with regard to federal benefits, such greater period as required by federal law then you shall leave the lesser of the account balance or one thousand dollars in the judgment debtor's account, provided nothing in this subsection 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 such funds left in the judgment debtor's account. You may notify the judgment creditor that funds have been left in the judgment debtor's account pursuant to this provision. Nothing herein shall alter the exempt status of funds which are exempt from execution under subsection (a) of section 52-367b of the General Statutes or under any other provision of state or federal law, or the right of a judgment debtor to claim such exemption, Nothing herein 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 You must hold the amount removed from the judgment debtor's account pursuant to this execution for fifteen days from the date you mail the copies of this form and the Exemption Claim Form to the judgment debtor and any secured party. During such fifteen day period you must not pay the officer serving this execution. B If the judgment debtor returns the Exemption Claim Form or other written notice that an exemption is being claimed, and if any secured party delivers to you written notice of such secured party's claim of a prior perfected security interest in such deposit account, you must, within two business days of receipt of such notice, send a copy of such notice to the clerk of the court which issued the execution. You must continue to hold the amount removed from the judgment debtor's account for forty-five days or until a court order is received regarding disposition of the funds, whichever occurs earlier. If no order is received within forty-five days of the date you send a copy of the Exemption Claim Form or notice of exemption or a secured party claim notice to the clerk of the court, you must return the funds to the judgment debtor's account. a If you do not receive a claim of exemption or secured party claim notice within fifteen days of the mailing to the judgment debtor and any secured party of the execution and Exemption Claim Form you must, upon demand, forthwith pay the serving officer the amount removed from the judgment debtor's account. @ If no exemption claim 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 therefor to the judgement creditor(s) named in the execution for the amount of nonexempt monies which you fail or refuse to pay over. If no exemption claim 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 therefor to the judgment creditor(s) name in the execution for the amount of nonexempt monies which you fail or refuse to pay over, excluding funds of up to one thousand dollars which you in good faith allowed the judgment debtor to access pursuant to subsection (c) of section 52-367b of the General Statutes. ~ If you pay exempt monies from the account of the judgment debtor contrary to these instructions, or the provisions of section 52-367b of the General Statutes, you shall be liable in an action therefor to the judgment debtor for any exempt monies so paid. If you pay exempt monies from the account of the judgment debtor contrary to these instructions, or the provisions of section 52-367b of the General Statutes, you shall be liable in an action therefor to the judgment debtor for any exempt monies so paid and you shall refund or waive any charges of fees by you, including, but not limited to, dishonored check fees, overdraft fees or minimum balance service charges and legal process fees, which were assessed as a result of such payment of exempt monies. ADA NOTICE The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ‘ADA, contact a court clerk or an ADA contact person listed at www jud.ct.gov/ADA JD-CV-24 (back/page 2) Rev. 2-15 Page 2 of 2