STATE OF INDIANA ) IN THE SUPERIOR COURT NO. 5 ) SS: COUNTY OF HAMILTON ) OF HAMILTON COUNTY Judgment Creditor v. CAUSE NO. 29D05- Judgment Debtor Judgment Debtor222s address for service: SERVICE REQUESTED BY: Certified Mail (judgment creditor must provide Street address pre-addressed postage paid envelope) or Sheriff of Co. (judgment creditor must pay one-time $28 fee for this City, State, Zip service) VERIFIED MOTION FOR PROCEEDINGS SUPPLEMENTAL Judgment Creditor appears and states that, to the best of its/his/her knowledge: 1. Judgment Creditor owns the judgment rendered in this cause against the Judgment Debtor; 2. Judgment Creditor222s judgment is unsatisfied; and 3. Judgment Creditor has no cause to believe that levy of execution against the Judgment Debtor will satisfy the judgment. Judgment Creditor therefore moves the Court to issue an order to requiring the Judgment Debtor to appear and testify concerning all income and assets. I swear or affirm, under the penalties for perjury, that the foregoing representations are true. Date: Signature of Judgment Creditor/attorney Address of Judgment Creditor/attorney: Telephone: Attorney number: Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF INDIANA ) IN THE SUPERIOR COURT NO. 5 ) SS: COUNTY OF HAMILTON ) OF HAMILTON COUNTY Judgment Creditor v. CAUSE NO. 29D05- Judgment Debtor Street address City, State, Zip ORDER TO JUDGMENT DEBTOR(S) Judgment Creditor files verified motion (H.I.). Motion granted. Judgment Debtor(s) is/are ordered to appear in this Court in the Hamilton County Government and Judicial Center, One Hamilton County Square, Noblesville, Indiana, on , 20, at.m. YOU ARE HEREBY NOTIFIED THAT FAILURE TO APPEAR IN COURT MAY RESULT IN YOUR BEING HELD IN CONTEMPT OF COURT AND BEING PUNISHED BY INCARCERTION IN THE COUNTY JAIL FOR A PERIOD NOT TO EXCEED 180 DAYS. Ordered on: Judge, Hamilton Superior Court No. 5 Distribution: Judgment Creditor Judgment Debtor Co. Sheriff Order page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com SHERIFF222S RETURN OF ORDER TO APPEAR I hereby certify that on the below date: I served this Order to Appear by delivering a copy to the Judgment Debtor. I served this Order to Appear by leaving a copy: at the dwelling or usual place of abode of Judgment Debtor; with a person of suitable age and discretion residing therein; namely: and by mailing a copy of the Order to Appear to the Judgment Debtor, by first class mail, to the address listed on the Order to Appear (date copy mailed if different from below: ) I was unable to serve this Order to Appear because Date: Sheriff of County, Indiana By Order page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com