Form No. 508 Trustee Disclosure of Earnings STATE OF VERMONT Docket No. County SUPERIOR COURT OF VERMONT Trustee's Name Plaintiffs Name Trustee's Mailing Address V. Defendant's Name City, State, Zip Trustee's Disclosure of Earnings 1. Definitions: (a) ''Earnings'' means compensation paid or payable for personal services, whether denominated as wages, salary, commission, bonus or otherwise, and includes periodic payments pursuant to a pension or a retirement program and proceeds from the sale of milk with respect to an individual engaged in the occupation of dairy farming, but does not include payments from sources which by law are exempt from attachment. (b) ''Disposable Earnings'' means that part of the earnings of any individual remaining after the deduction from those earnings of any amounts required by law to be withheld. 2. (a) Do you have a business relationship with the defendant such that the defendant receives earnings from you? No Yes (b) If the answer to 2 (a) is ''Yes'': . The defendant did receive earnings from me until The defendant will be receiving earnings from me beginning . $ 3. (a) Defendant's average disposable earnings are per (b) Defendant's earnings are: wages or salary commission and/or bonus payments pursuant to a pension or retirement program other (explain): Time Period (week, month, year) (c) If the period of payments or the amount in any time period varies, indicate below how payments are made: (d) If you believe the amount of earnings will change in the future, indicate below: 4. Do you want to appear? Yes No If no, is there any other information relative to whether trustee process should issue? I state under oath that the statements made in this disclosure are true. Name (Print) Title Signature Subscribed and sworn to before me: Signature of Notary Date Date Expiration Date NOTE: To satisfy statutory requirements, this disclosure must be signed and notarized. NOTICE: If you fail to appear in person at the hearing or to make a disclosure before the hearing, you shall be defaulted and adjudged a trustee. This means the plaintiff would be entitled to collect the entire amount of the judgment from you. Rev. 8/04 SML Original ~ Plaintiff/Plaintiff's Attorney 1 copy ~ Court 1 copy ~ Trustee American LegalNet, Inc. www.FormsWorkflow.com