FINANCIAL INSTITUTION EXECUTION PROCEEDINGS
`JUDGMENT DEBTOR WHO IS AN INDIVIDUAL,
`APPLICATION AND EXECUTION
`JD-CV-24 Rev. 10-23
`C G S SS 52-3s6b, 52-367b: PA 23-23
`lnstructions - Judgment Creditor or Attorney
`1. Complete this form, an Exemption Claim form, and a Financial lnstitution Execution (form JD-CV-|4A).lf.filing electronically. combine into one pDF document. tf filing on paper, prepare oiginal attach formJD-CV-24A and flle the oiginat with the clerk. Keep 1 copy fo,-r your records.
`2. Appllcations must be accompanied by the statutory fee set in Generar statutes s s2-g6rb
`STATE OF CONNECTICUT
`JUDICIAL BRANCH
`SUPERIOR COURT
`www jud ct.gov
`lnstructions - Clerk
`1. Check the file to ensure the information on the application is conect.
`2. Sign oiginal execution.
`3. Upload and scan the oiginal to the file.
`COURT USE ONLY
`APFEABA EXISSUE
`lllilil ililr uil iiililil tiltilil ll lt] I lillliii liil llillfl ltilillt ]] il
`To any proper officer,
`By authority of the State of Connecticut, and pursuant to General Statutes S 52-367b you are ordered as follows: Within 7 days, make demand forpayment 19 You of anY nonexempt debt owed by the Judgment Debto(s) Make this d'emand upon the main office of any financial institution havingits main. office within your county. lf the main office is not within your county, but a branch office of the institution ls withii your county, makedemand on an employee of such branch office as long the empl-oyee and tire branch office have been designated by the flnancial insiltution inaccordance with regulations adopted by the commissioner of 6aniing. Ont ,po; demand of a financial insiitution which does not have any marnoffice or branch office in this state, demand may be made by certified mail, return receipt requested.Afterhavingmadedemandyouaredirectedtoserveatrue-andattestedcopyof thisexecutron,togetherwiththeattachedaffidavit andExemptionClaim form, Financial Execution.(form JD_-CV-24A), with your doings endorsed thereon, upon the flnancial institution officer upon whom the demandwas made. Receive the sum paid by the financial institutron and a[ply it on this execution in accordance with the provisions of General Statutes g
`52-367b For any service made by certified mail pursuant to these 6riers, you may collect, in addition to your fee, the actual postage costs incurredfrom the amount removed from the Judgment Debtor's account.
`Do not serve more than one financial institution execution per Judgment Debtor at a time, including copies. After service of an executron on onefinancial institution, do not serve the same execution o-r a copy oninother financial institution until-receiving confirmation from the precedingfinancial institution that the Judgment Debtor had insufficieni funds available for collection to satisfy the exjcution.However, any additional service of an execution must not be made later than 45 days from your initial receipt of theexecution. The financial institution shall also provide you with a response to the execution within seven business days
`of service pursuant to General Statutes 552-367b. Also, after service of an execution, do not serve the same executionor a copy_on the financial institution if an electronic direct deposit from a readily identifiable source described in
`General Statutes S 52-376b (c) was made to the Judgment Debtor's account wrthin the look-back period described in
`Gener-al Statutes S 52-376b (c) (2 months or, with regard to federal benefits, such greater period as required by federallaw). lf no such deposit was made, you may subsequently serve the same executidn if the execution has not eipired orotherwise become u nenforceable.
`Hereof fail not, and make due return of this writ with your doings thereon, according to law.
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`(!
`o
`Address of court
`123 HOYT STREET, STAMFORD, CT 06905
`I
`Housrns Sessron I FST-CV17-6032437-5
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`rrar I ry dr ru r I rdilt, tg aqqress oI J uogment uredttor or Attorney
`(Number' street, town, state, zip code) (To be compreted by Judgment creditol eraintitf)
`f sogoro p. FrANo
`_l
`ZELDES, NEEDLE & COOPER, PC
`lOOO LAFAYETTE BOULEVARD
`7th FLOOR
`BRIDGEPORT, CT 06604
`L
`-.1
`PARK MEAD CONDOMINIUM ASSOCIATION
`228 PARK STREET, NEW CANAAN, CT 06840
`MANIK ADVANI
`236 PARK STREET, UNIT #20, NEW CANAAN, CONNECTICUT 06840
`Date of ludgment
`07110t2025
`1. Amount ofjudgment (nclude appticabte,
`$ 88,545.58 ,:;!;:?,!,:,!i'ffJ::i
`2. Amount of costs and fees 3. Total amount ofjudgment, costs and lees (Add t aid )
`$ 88,54s.s8
`4. Total amount paid (lf any)
`$ 0.00
`4a. Total Crcdits (if any) 5 Total amount unpaid (Subtract 4 and 4a from 3)
`$ 88,545.s8
`6. Application fee for execution (lf not waived by the couft)
`/. Applcatton tees patd for prior executions on this judgment 8. Other court ordered postjudgment costs and fees g.Total of itents 5, 6, 7 and I
`$ 88,54s.58
`ls this judgment arising out of services rendered at a hospital? ...
`lf yes above, has a stay of a financial institution execution been
`entered pursuant to an installment payment order? .
`lf a stay of a financial institution execution has been entered. has
`the Judgment Debtor on an itstallment payment order?
`tr
`tr
`trENo
`No
`No
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`tr
`Yes
`Yes
`Yes (Specify)
`l;-1 Postjudgment ,nterest waTl
`I
`u ordered by the Court ]
`Date signed
`0911012025
`Telephone number
`(203) 332-5791
`ncial Institu on
`Page 1 of 2
`Signed
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`$""fiffi'Jl; tSSirlSXSial lnstitution Upon Receipt of a Financiat lnstitution Execution when Judsment
`I Not later than the seventh business day after the service of an execution upon you, you shall send to the serving officer by first classmai.l poslage prepaid, (A) if you have iemoved funds from the Judgment oeotdrs ,6cJrnt prisr"nt to 1,i, execution and GeneratStatutes S 52-367b, a notice stating the amount of funds reroreo irom tire Judgmenroeoioii-iccount and referencing the docketnumber,.if provided by the Judgment Creditor on this execution, o_r (B) if the Jud'gment oJoioilinot indebted to yoiLoiiryou have notremoved funds from the Judgment Debtor's account pursuant to the execution a-nd General Statutes S 52-C67r, i Corpi&" set of all thedocuments served on you by.the serving officer, including the cover pJge of the serving;fficei, witn endorsements from otherfinancialinstitutions, as the case ma.Y^be, the o-riginal true.and attisted copy drt6e exec^ution served on you, and the affidavit and exemption clarmform pres-cribed by General Statutes 552-367b(k) Your response fursuJnt to Generaistitui"rtiz-soz shail inctude a notation on theserving officer's cover page' or at your option on a separate document prepared by you, to tne eltrect that the LuogmJni oettor ooes nothave an accountwith you orthat no funds were removed from the accouni, provid6d that such separate document shall be affixed to, orenclosedcontiguoustoyourreturnof aparticularexecutiontotheservingohicer youJnari.a'nlSinreasonableprocedurestoprevent
`the resubmission of a response provided to the :erving officer pursuant t6 General Statutei g si-iozo As used herein ,,business day,'has the same meaning as provided in General Statute! $ 36a_330.
`2 lf any fu n{s are removed from the
`-Judgment Debtor's accou nt pursuant to General Statutes g 52-367b(c), complete section ll of theattached Exemption Claim Form, Financial lnstitution Execution (form JD-CV-24A) and tal<e [nelottowing actions: (1) Send 2 copies ofboth this form and lhe Exemption Claim Form, Financial lnstitution Execution forqtg tn" JuOgr"nt Debtor and any secured party that isa party to a control agreement between you and the secured party under article g of tifle 42a;f the General SGtrt6.. Copids must besent postage pre-paid, to the last known address in your records ilf the recipient; and 1i; rssue noiice to tne actouni norjei o1. to afiduciary who administers the account and receives iommunications on behalf of the account holder, in the time and manner stated inFederal Regulations 31 CFR 212 6 and 212.7.
`3 Remove from.the Judgment Debtor's account the amount of any debts due from you to the Judgment Debtor not exceeding the totalamount included in box 9 of the application on page 1 of this_foim plus postjudgrient interest, iiordered by the cou11, and the servrngoffrcer's fee plus any costs. applicable- postage coJts for certifled miit pursuant io General Statutes S52-367b you must tike this actionbefore your midnight deadline, as defined in General Statutes g 42a_a_fi4
`Leave in the Ju-dgm-ent Debtor's account (A) the full amount of electronic direct deposits that are readily identifiable as exempt federalveterans' benefits, Social Security benefits, including, but not limited to, retirement, survivors'and disability benefits, suppiJmentalsecurity income benefits, exempt benefits paid by the federal Railroad Retirement Board or the federal Office of person'n'el Management,unemployment compensation benefits exempt under G_eneral Statutes S 52-352b child support payments processed and receivedpursuanttoTitlelV-D oftheSocial SecurityAct,and(B) theamountof-theelectronicoire'ci Oeiosis,notioexceedgj,Ooo,thatarereadily identifiable as wages provided such deposits were made to the account during the looklback period of two ,onih. pre""ding thedate that the execution was served on the financial.institution, or with regard to fedeial benefits, such greater time as requ'treO by dderallaw.lf no such depo-sils have been made to the Judgment Debtor's accoint during the look-baci< jerioi, or if such readili identifnblefunds are less than $1 000 leave in the account as exempt pursuant to General Siatutes g sz-islotr al, the lesser of th6 accountbalance or $1,000 in the aggregate. To the extent that such funds are left rn the account ai exempt pursuant to General Statutes $52-352b( 1 8) the provisions of that section shall not be the basis for a claim of exemption prr.r"nt tb this section , Liponi" to flevy ofexecution. However, nothing- in this paragraph shall be construed to limit your right or oblgation to remove such funds from theJudgment Debtor's account if required by any other provision of law or Oy a couri order. Th"e Judgment Debtor shall have full andcustomary access to any funds left in the account. You may notify the Judgment Creditorthat furids have been left in the JudgmentDebtor's acco.untpursuant to this provision Also, nothing in this [aragraph-shall alterthe er"rptit"trs of funds which are eiempt fromexecution underGeneral Statutes $ 52-367b(a) or undeiany otherpr-ovision of state orfederal la*, orthe right of a LuOgment Debtortoclaim such exemption. Further, nothing in thrs paragrapn shilt be construed to affect any other rights or oblilations of th-e financialinstitution with regard to the funds in the Judgmentbebtor,s account.
`4. Hold the amount removed from the Judgment Debtor's account pursuant to this execution for 15 days from the date you mail the copiesof this form and the Exemption Claim Form, Financial tnstitution Execution form to the Judgment O6Otor and any seiured pirty Oriingthe 15 day period you must not pay the officer serving this execution
`5 lf the Judgment Debtor returns the Exemption Claim Form, Financial tnstitution Execution form or other written notice that an exemptionis being claimed or if any secured party delivers to you written notice of their claim of a prior perfected security interest in the account,you must, within 2 business days of receipt of such notice, send a copy of such notice to the clerk of the coui that issued the executtonand send a copy of such no_tice, or a separate notice prepared by you,'indicating that the Judgment Debtor has submitted a claim ofexemption, to the serving officer. Continue to hold the amount removed from th5 Judgment D-ebtor's account for45 days or until youreceive a court order regarding disposition of the funds, whichever occurs first. lf no irder is received within 45 days of the date you senda copy -of the Exemption Claim Form, Financial lnstitution Execution form or notice of exemption or a secu red party claim notice io theclerk of the court, return the funds to the Judgment Debtois account.
`6 lf you do not receive the Exemption Ctaim Form, Financial tnstitution Execution form or secured party claim notice within 15 days ofmailing the required documents to the Judgment Debtor and any secured party, you must, upon'demand, pay the serving officer theamount removed from the Judgment Debtor's account. You shall also receive'a tbe of eight dollars from the serving offic6r (as arepresentative of the judgment credito-r) for your compliance with the provisrons of Geneial Statutes S 52-367b; yoi shall deduct this feefrom the amount paid to the serving officer
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`7 lf no Exemption Claim Form, Financial lnstitution Execution form or secured party claim notice is filed or if the court orders you to pay theserving officer an amount removed from the Judgment Debtois account not exceeding the amount due on the execution and you'fai1 orrefuse to d9 so, yoy shall be liable in an action to the Judgement Creditor(s) named irithe execution for the amount of nonexemptmonies which you fail or refuse to- p-ay, excluding funds oiup to $1,OOO which you in good faith allowed the Judgment Debtor to accesspursuant to General Statutes g 52-367b(c)
`8 [yo-qpay exempt monies from the account of the Judgment Debtor contrary to these instructions, or the provisions of General Statutes $52-367b, you shall be liable in an action to the Judgment Debtor for any exempt monies paid and you shall refund or warve any charges-of fees by you, including, but not limited to, dishonored check fees, overdraft or minimum balanceiervice charges and legal process
`fees, which were assessed as a result of such payment of exempt monies.
`For information on ADA
`accommodations, contact the
`Centralized ADA Office at 860-706-5310
`or go to: i!w!!{U{J.c!,.govlAD4l
`Page 2 ol 2JD-CV-Z4 Rev.10-23
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`Page 1 of 2
`EXEMPTION CLAIM FORM
`FINANCIAL INSTITUTION EXECUTION
`JD-CV-24A Rev. 10-21
`C.G.S. §§ 31-58(i), 52-321a, 52-350a, 52-352b, 52-361a,
`52-367b; 29 U.S.C. 206(a)(1)
`Signed
`Section 1 - (To be completed by judgment creditor)
`Section 2 - (To be completed by financial institution - see instructions on back/page 2)
`As a result of a judgment entered against you, the attached execution has been issued against funds deposited by you in the
`financial institution named above. To comply with this execution, the financial institution has removed the amount of money indicated
`above from the account(s) listed above.
`THE MONEY IN YOUR ACCOUNT(S) MAY BE EXEMPT FROM EXECUTION - The money in your account(s) may be protected from
`execution by state statutes or by other laws or regulations of Connecticut or of the United States. A checklist and a description of the most
`common exemptions established by law are set forth below.
`HOW TO CLAIM AN EXEMPTION ESTABLISHED BY LAW. If you wish to claim that the money removed from your account(s) pursuant
`to this execution is exempt by law from execution, you must fill out and sign before a proper official the Affidavit of Claim of Exemption
`below and mail or deliver this exemption claim form to the financial institution at the above address. This form must be received by the
`financial institution no later than 15 days from the DATE OF MAILING TO THE JUDGMENT DEBTOR indicated above.
`Upon receipt of this form the financial institution will send it to the Superior Court and the court clerk will notify you and the judgment
`creditor of the date on which a hearing will be held by the court to determine the issues raised by your claim.
`I, the judgment debtor named above, claim and certify under the penalty of false statement that the money in the above account is
`exempt by law from execution as follows: (select all that apply to the funds contained in this account)
`Signed (Notary Public, Commissioner of Superior Court)
`Name and address of Judgment Debtor or Attorney
`(To be completed by judgment creditor or attorney)
`To:
`SECTION 4 - AFFIDAVIT OF CLAIM OF EXEMPTION ESTABLISHED BY LAW
`Section 3 - Notice to Judgment Debtor
`Housing
`Session
`Judicial
`District
`SEE INSTRUCTIONS ON BACK/PAGE 2
`*See Note Regarding Exemption for Alimony and Support on back/page 2.
`payments (sections 52-321a, 52-352b(13))
`incentive earnings or similar program (section 52-352b(4))
`Subscribed and sworn
`to before me on :
`Amount claimed to be exempt
`if less than the entire amount:
`Name and address of Court (Number, Street, Town and Zip Code)
`Name of case Name of Judgment Debtor Docket number
`Name and address of financial institution to which exemption claim (if any) is to be returned Date of mailing to Judgment Debtor
`Last 4 Digits of the Account Number(s) Amount removed pursuant to execution Amount and type of exempt funds not removed
`Additional sheet(s) attached hereto and made a part hereof (if necessary).
`Social Security benefits (section 52-352b(7)) Private pension, trust, retirement, or medical savings account
`Unemployment benefits (section 52-352b(7))
`Worker's Compensation benefits (section 52-352b(7)) Health or disability insurance payments (section 52-352b(5))
`Veteran's benefits (section 52-352b(7))
`Public Assistance payments (section 52-352b(4))
`Other claim of exempt funds (Explain basis for claim of exemption):
`Wages earned by a public assistance recipient under an
`Court-ordered child support payments (section 52-352b(8))
`Alimony and support other than child support* (section 52-352b(14))
`Date signed Telephone number
`Complete mailing address of Judgment Debtor
`Date At (Town)
`STATE OF CONNECTICUT
`SUPERIOR COURT
`www.jud.ct.gov
`*MXMPEX*
`MXMPEX
`COURT USE ONLY
`MANIK ADVANI
`236 Park Street
`Unit 20
`New Canaan, Connecticut 06840
`✖
`123 HOYT STREET, STAMFORD, CT 06905
`ADVANI, MANIK v. PARK MEAD
`CONDOMINIUM ASSOCIATION
`MANIK ADVANI
`FST-CV17-6032437-S
`Print Form
`Reset Form
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`JD-CV-24A (page 2) Rev. 10-21 Page 2 of 2
`Note Regarding Exemption for Alimony and Support
`Alimony and Support, other than child support, are exempt only to the following extent:
`Instructions
`Section 6 - (To be completed by financial institution upon return of exemption claim form)
`Signed (Assistant Clerk)
`The money removed from your account(s) pursuant to this execution is being held for (1) forty-five days from the date the
`exemption claim form was received by the financial institution designated on the front of this form or (2) until disposition is
`ordered by the court at a hearing to be held at on the date set forth below, whichever occurs earlier.
`The amount of alimony and support, other than child support, that may be subject to levy or other withholding for payment of a judgment is
`the lesser of (1) twenty-five percent of the individual's disposable earnings for that week, or (2) the amount by which the individual's
`disposable earnings for that week exceed forty times the higher of (A) the federal minimum hourly wage under Section 6(a)(1) of the Fair
`Labor Standards Act of 1938, U.S.C. Title 29, Section 206(a)(1), or (B), the state minimum hourly wage under subsection (i) of Section
`31-58, in effect at the time the earnings are payable.
`General Statutes § 52-350a(4) defines "disposable earnings" as that part of the earnings of an individual remaining after the deduction from
`those earnings of amounts required to be withheld for payment of federal income and employment taxes, normal retirement contributions,
`union dues and initiation fees, group life insurance premiums, health insurance premiums and federal tax levies.
`1. Complete section 2 of this form and (1) send 2 copies
`of this form and the financial institution execution form
`to the judgment debtor and to any secured party that is
`party to a control agreement between the financial
`institution and such secured party under article 9 of
`title 42a pursuant to General Statutes § 52-367b and
`(2) mail notice to judgment debtor as required by
`31CFR212.6 and 212.7.
`2. If this claim of exemption is returned completed, fill out
`Section 6 of this form and mail, within two business
`days, to the issuing clerk's office at the address of
`court indicated on the front side. See additional
`instructions on the financial institution execution form.
`To Financial Institution To Clerk
`1. Attach this form to each financial institution execution issued in a civil or
`family matter against a judgment debtor that is a natural person.
`2. Deliver the execution along with this form to the judgment creditor
`requesting the execution.
`3. If judgment debtor completes and returns this form claiming an exemption,
`enter the appearance of the judgment debtor with address set forth on
`page 1.
`4. Set matter down for hearing.
`5. Complete Section 7 below.
`6. Send file-stamped copy of this form to judgment debtor and judgment
`creditor.
`7. After hearing, send copy of any order entered to the financial institution.
`Section 7 - Notice to Judgment Debtor and Judgment Creditor
`Order
`The Court/Magistrate, having held a hearing to determine the issues raised by this claim, hereby orders that:
`Signed (Judge/Family Support Magistrate/Magistrate/Assistant Clerk)
`Section 5 - Proper Officer Must Complete this Section
`Name and title of proper officer Date of service on financial institution Telephone number
`Date claim received Date mailed to court Name of financial institution Telephone number
`Date of hearing Time of hearing a.m.
`p.m.
`Courtroom
`Date signed
`By the Court (Name of Judge/Family Support Magistrate/Magistrate)
`Judge FSM Magistrate
`Date signed
`ADA NOTICE
`The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable
`accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA.
`Print Form
`Reset Form
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