COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.UNITED STATES BANKRUPTCY COURT DISTRICT OF CONNECTICUT ATJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)::: Docket No. ::APPLICATION FOR WAGE EXECUTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOPursuant to Rule 69 of the Federal Rules of Civil Procedure and section 52-361a of the Connecticut General Statutes, , here by applies for the issuance of a wage execution and in support thereof makes the following representations:1. On judgement entered in this action against for $ plus cost of $and interest at the rate of pursuant to 28 U.S.C. Section 1961. 2. (Name of Judgement Debtor) has made payments and (insert name of party making application) has received(enter amount) pursuant to the Courts judgement. 3. As of , the total amount of the unpaid judgement, including interest and costs, is $ . Interest continues to accrue on the principle amount of the judgement at the rate of per annum.4. The last known employer of the Judgement Debtor, (insert name) is: (indicate name and address of employer)GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,Dated this day of , 20.(Attorney must sign above and type name below)Attorney(s) forRespectfully submitted,Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com