COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.UNITED STATES BANKRUPTCY COURT DISTRICT OF CONNECTICUT ATJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)::: Docket No. ::WAGE EXECUTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOTo the marshal of the District of Connecticut or to any person authorized to serve process under the Federal rules of Civil Procedure -Greetings: WHEREAS the (insert the name and address of party making application) On the day of , recovered judgment against the Judgment Debtor (insert name) Whose last known address is before the United States Bankruptcy Court of the District of Connecticut for the sum of $ plus cost of $ An interest as appears of record; AND WHEREAS, the said Judgment debtor ( insert name) failed to comply with said judgment, as appears of record by the application of (insert name) moving that this execution issue; AND WHEREAS, execution remains to be done on the total unpaid judgment, including cost and interests, in the amount of $. These are, therefore, by the authority of the United States of America, to command you, that of any amount of debt accruing by reason of personal services due said (insert name of party making application) as may not exceed the amount of execution as calculated in the attached Wage Execution Notice to Employer , within your precinct or jurisdiction, you cause to be levied, paid, and satisfied unto the said (insert name of party making application) , with interest from the said date of judgment on the total unpaid judgment to the date when this execution is satisfied and your own fees . You are further commanded to serve with this execution two copies of the Wage Execution Notice to Employer and Wage Execution Exemption and Modification Claim form , that are accompanied herewith. (Insert name of Judgment Debtor) last known employer is (insert name and address) Make service hereof within one year of this date, and due return hereof with your doings thereon, within thirty days from satisfaction hereof. Dated at, Connecticut, this day of , 20.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,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:By Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com