Application For Hearing On Exempt Status Of Funds
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Application For Hearing On Exempt Status Of Funds Form. This is a Connecticut form and can be use in Civil Statewide.
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Tags: Application For Hearing On Exempt Status Of Funds, JD-CV-72, Connecticut Statewide, Civil
CONNECTICUT JUDICIAL BRANCH
APPLICATION FOR HEARING
ON EXEMPT STATUS OF FUNDS
COURT USE ONLY
SUPERIOR COURT
APPEXE
www.jud.ct.gov
JD-CV-72 New 2-02
C.G.S §52-367b, P.A. 01-196
INSTRUCTIONS
Attach a copy of form JD-CV-73, "Affidavit Re: Exempt Funds"
authorizing this application. Complete the following application
and present to the clerk of the court where the action is pending.
DOCKET NO.
NAME OF CASE (FIRST-NAMED PLAINTIFF V. FIRST-NAMED DEFENDANT)
NAME OF JUDGMENT CREDITOR
NAME OF JUDGMENT DEBTOR
AMOUNT OF FUNDS CLAIMED AS NOT EXEMPT
Judicial District
at:
TYPE OF FUNDS
Housing Session
at:
Small Claims Area
at:
G.A.
at:
APPLICATION FOR HEARING ON EXEMPT STATUS OF FUNDS
Pursuant to the attached order of the court (form JD-CV-73), the above-named judgment creditor submits this application for a
hearing on the exempt status of the funds identified above that were left in the judgment debtor's account pursuant to
subsection (c) of C.G.S. § 52-367b, as amended by section 1 of Public Act 01-196.
SIGNED (Individual attorney or pro se party)
DATE
X
I hereby certify that a copy was mailed/delivered
to all counsel and pro se parties of record on:
CERTIFICATE OF SERVICE
DATE
SIGNED (Individual attorney or pro se party)
PHONE NO. (area code first)
X
NAME OF EACH PARTY SERVED *
ADDRESS AT WHICH SERVICE WAS MADE*
* If necessary, attach additional sheet with names of each party served and the address at which service was made.
COURT ORDER (For Court Use Only)
The court having heard the above application finds:
Judge/Magistrate
Date
FOR COURT USE ONLY
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