Fill and Sign the Financial Institution Execution Proceedingsjudgment Form

FINANCIAL INSTITUTION EXECUTION PROCEEDINGS - JUDGMENT DEBTORWHO IS NOT A NATURAL PERSON, APPLICATION AND EXECUTION (See page 2 for instructions to financial institution) Address of court JD-CV-24N Rev. 10-09 C.G.S. 52-367a 5. Total amount unpaid (Subtract 4 from 3) Date of judgment Docket number Financial Institution Execution Signed (Assistant Clerk) 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 of any debt due said Judgment Debtor(s), which sum shall not exceed the total unpai d judgment, costs and fees as stated above, plus post judgment interest as ordered by the court, if applicable, plus the applicat ion fee and other court ordered postjudgment costs and fees, and your own fees. Said sum shall be received by you and applied on this execu tion. After having made such demand you are directed to serve a true and attested copy hereof, with your doings thereon endorsed, wit h the financial institution officer upon whom such demand was made. 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 financial institution, you shall not serve the same execution or a copy thereof upon another financial institution until receiving confirmation from the preceding financial instit ution that the judgment debtor had insufficient funds at the preceding financial institution available for collection to satisfy the execution . If you do not receive within twenty-five days of the service of the demand a response from the financial institution that was served indicati ng whether or not the judgment debtor has funds at the financial institution available for collection, you may assume that sufficient funds are not available for collection and you may proceed to serve another financial institution in accordance with section 52-367a of the General Statutes. Housing Session 1. Amount of judgment 2. Amount of costs 3. Amount of judgment, costs and fees 4. Total amount paid (If any) Signed (Judgment Creditor or Attorney) Telephone number Geographical areanumber Judicial District Hereof fail not, and make due return of this writ with your doings thereon, according to law. Application 1. Type or print legibly. 2. Complete the application section; prepare original and 2 copies. 3. Present original and all copies to clerk of court. 1. Check the file to ensure that the information provided on the application is correct. 2. Sign original execution. 3. Return original and 1 copy to applicant, retain a copy for file. Instructions - Judgment Creditor or Attorney Instructions - Clerk Name and mailing address of Judgment Creditor or Attorney (To be completed by Judgment Creditor) Fold Page 1 of 2 Date signed Date signed STATE OF CONNECTICUT SUPERIOR COURT * A P F E A B B * * E X I S S U E * FINANCIAL INSTITUTION EXECUTION PROCEEDINGS 6. Application fee for financial institution execution 7. Other court ordered postjudgment costs and fees (Include, where applicable, prejudgment interest andattorney's fees) (Add 1 and 2) 8. Total of items 5, 6 and 7 Name(s) and address(es) of Judgment Creditor(s) Name(s) and address(es) of Judgment Debtor(s) (If not waived by the court) 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: For Court Use Only Check if applicable Post judgment interest was ordered by the court Instructions To Financial Institution Upon Receipt Of A Financial Institution Execution When Judgment Debtor is Not A Natural Person You must remove from the judgment debtor's account the amount of any debts due from you to the judgment debtor not exceeding th e Total Amount Unpaid as appears on page 1 of this form, plus interest and the Application Fee for Financial Institution Executio n and court ordered postjudgment costs or fees and the serving officer's fee. Page 2 of 2 JD-CV-24N (back/page 2) Rev. 10-09 Note: The provisions of section 52-367a, as amended from time to time, take precedence over these instructions. 3. Except as provided in #4 below, you must immediately pay to the serving officer the amount removed from the judgment debtor's account. Nothing herein shall be construed to affect any other rights or obligations of the financial institution with regard t o the funds in the judgment debtor's account. You must act on this execution according to section 42a-4-303 of the general statutes, before your midnight deadline. If the deposit account is subject to a security interest of a secured party, other than you, pursuant to a control agreement be tween you and such secured party under article 9 of title 42a, and if any funds removed from the judgment debtor's account pursuant to subsection (c) of section 52-367a of the general statutes you shall forthwith mail a copy of the execution when received from t he serving officer, postage prepaid, to the judgment debtor and to such other secured party at the last known address of such part ies with respect to the affected accounts on your records. You shall hold the amount removed from the judgment debtor's account for twen ty days from the date of the mailing to the judgment debtor and such other secured party, and during such period you shall not pay the serving officer. Such other secured party shall give notice of its prior perfected security interest in such deposit account, b y delivering to the clerk of the court that issued the execution a written claim for determination of interests in property pursuant to section 52-365c and by delivering a copy of such claim to the financial institution upon which such execution is served. If a written claim for determination of interests in property is made pursuant to subsection (e) of section 52-367a of the gene ral statutes, you shall continue to hold the amount removed from the judgment debtor's account until a court order is received regarding disp osition of the funds. If no written claim for determination of interests in property is made you shall, upon demand, forthwith pay the serving officer the amount removed from the judgment debtor's account, and the serving officer shall thereupon pay such sum, less such serving officer's fees, to the judgment creditor, except to the extent otherwise ordered by a court. 1. 2. 4. 5.