PETITION FOR EXAMINATION OF JUDGMENT DEBTOR AND NOTICE OF HEARING
JD-CV-54 Rev. 3-05 C.G.S. § 52-397
STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov
INSTRUCTIONS TO JUDGMENT CREDITOR
COURT USE ONLY
TO: The Superior Court
Judicial District Housing Session
1. Prepare and present original and two copies to the clerk for review and signature. 2. Attach completed "Subpoena" form JD-CL-43, if applicable. 3. Present original and one copy of signed petition to proper officer for service. 4. Make copy for your file. 5. Original petition must be returned to court after service at least six days prior to the court hearing. 6. Attend court hearing and be prepared to examine the judgment debtor on the debtor's property and the means of paying the judgment. DOCKET NO.
COURT USE ONLY
Small Claims Area At
ADDRESS OF COURT (No., street, town and zip code) NAME(S) OF JUDGMENT CREDITOR(S) ADDRESS(ES) (No., street, town, state and zip code)
NAME OF JUDGMENT DEBTOR DATE OF JUDGMENT AMOUNT OF DAMAGES AWARDED
ADDRESS (No., street, town, state and zip code) AMOUNT OF COSTS AWARDED TOTAL DAMAGES AND COSTS AWARDED
NAME AND ADDRESS OF JUDGMENT CREDITOR'S ATTORNEY (If applicable)
PETITION FOR EXAMINATION OF JUDGMENT DEBTOR A judgment was recovered against the above-named judgment debtor 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 has failed to respond within thirty days of the date of service. The judgment creditor(s) requests that the judgment debtor be ordered to appear before 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 NO.
ORDER FOR EXAMINATION AND NOTICE OF HEARING The Petition for Examination of Judgment Debtor having been presented to the court, IT IS ORDERED THAT THE ABOVE-NAMED JUDGMENT DEBTOR APPEAR before 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 Petiton 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 Petition 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 Petition and of this order at least twelve days prior to the hearing date shown above. Make service and return this Petition to the court at least six days prior to the hearing date shown above. SIGNED (Judge/Clerk)