2. Enter any court orderedIImitation at the bottom of
`2. Attach form JD-CV-3ato this form, or include with execution
`section Il on page 2.
`as ane PDFelectronic form,
`3. Return original and 2 coplesif on paper.
`3. Present original and 3 coplesto clerk of court.
`4. Retain/scan copy for court file.
`4. Keap one copy for yourfila,
`Nameand mailing address of Judgment Creditor or Attorney
`(To be completed by Judgment Creditor orAttomey)
`
`‘Afford-A-Bail, Bail Bonds
`450 Church Street
`Hartford, Connecticut 06103
`
`L
`
`teas)
`
`T
`
`’
`
`|
`
`2. Make retum onsignedoriginal.
`3. Leave one copyof Modification and Exemption
`Claim form (JD-CV-3a)with employer andfill in
`“Date of Service® on form.
`
`ADA NOTICE
`The Judicial Branch ofthe 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 personlisted at www,jud.ct.gav/ADA.
`
`
`
`State of Connecticut
`Post Bates
`11/28/0017
`Payfiler ASANG%
`STATE OF CONNECTICUT
`WAGEEXECUTION PROCEEDINGS
`;
`Ina
`SUPERIOR COURT
`APPLICATION, ORDER, EXECUTION °
`C.G.S.§§31-58(),52-3504,a,S286,52-356d,
`Receint Nbr:
`ae.
`;
`www.jud.ct.gov
`JD-CV-3 Rev.2-15
`-
`fiocket: SEUage
`
`
`
`29 U.S.C, 206(8)(1)Employer,SeePage2forinstructionsAnotnt GERI
`
`Lagtdabahs wificopytth:diffployer.
`1. Unlessfiling eléctronically, prepare original and fourcoples.
`1, [Issue executlon bysigningoriginal.
`
`Judgment Creditor or Attorney
`
`Instructions
`Clerk
`
`.
`
`.
`
`per Officer
`
`
`Addressofcourt [-_] HousingSession|Dateteofjudgment(Number, street,andtown) [ G.ry VM J.D. Docketnumber — ~
`
`
`
`
`
`
`235 Chhuch Street Naw Hole CT 0bSl0 19-24-/5|<f—iiaeiis
`
`eaeandaddress(es)ofJudgmentCreditor(s)
`Name(s)andaddress(es)ofJudgmentDebtor(s)
`
`Afford-A-Bail, Bail Bonds
`
`
`450 ChurchStreet
`
`
`
`Hartford, Connecticut 06103
`_Application
`
`Melissa Fragola
`64 Alstrom Street
`Hamden, Connecticut 06514
`
`
`Name and address ofemployerofJudgment Debtor (ifknown)©
`AE Nett kak ua [fe ES, VEER Laie bt ke gb Ew EDN a adh i
`
`
`
`
`12 Amount of costs and fees
`3Toulamountofjudgment,castsandaaaand=
`$10450°. 3. Total amount unpald (Subtract 4 from 3)
`
`
`Fh 343. 50:
`$1,32&-s0
`
`
`
`$0.00
`sso
`ix] Postudgment interestwas
`8. OtherCourtordered postjudgmentcostsandfees #%
`9.$1 of43535,6,7and6 ti
`24) ordered by
`the Court
`$0.00
`433.50
`Theabove-namedJudgmentCreditor(s)recoveredaaagainsttheabove-namedJudgmentDebtor(s). TheJudgmentDebtor(s)has/have
`
`
`Telephone numberof employer (ifknown)
`
`failed to pay the total amount due on that judgment.
`Pursuantto the Connecticut General Statutes, the Court listed above entered an orderthat the judgment be paid by the above-named
`Judgment Debtor(s)in the following installment payments:
`(weekly, monthly, or other) Installment payments. *See Note below
`The amount of$35.00
`was ordered to be pald in Weekly
`(Note: This is not the amount the employer must pay. Employer must pay the amountof execution calculated on page 2 of this form.
`—
`
`The court ordered thatInstallment payments begin on 10/22/2015
`The Judgment Debtor(s)failed to comply with the Installment Payment Order
`
`(commencementdate)
`
`-
`
`
`
`
`Execution
`
`Therefore, yearndgment Creditor(s) applies/applyfor this execution upon the wagesofthe JudgmentDebtor(s) forthe remaining amount
`
`due on thejudgmehdgme! t shown in\ine 9 above
`>(Judg
`Q ON On (Date)
`] TelephoneNumber
`
`
`WaA
`1116/2017
`(860) 244-0373
`ee
`Ngiie,
`2 Oi
`To:AnyProbe eh er * ArptLESirk Collection :Mandgti-
`
`Bythe authority ofthe State of
`nnecticut,
`yowvare ordered to cause anywagesduetd the Judgment
`Debtor(s),.not exceeding thaAmount.of Execution.calculated on page 2,.to bepaid.to the Judgment __
`‘Creditor(s) untilthe judgmentIs satisfied, including postjudgimentinterest as orderedbythe court, if
`applicable,’‘plus the application fee(s) and otherCourt ordered|postjudgmentcosts and fees, andyour.¢own
`‘feesoruntil the execution Is modified tr Set asides. ""-
`Servethisexecutionwithin oneyearofthisdate, and makeetum ofservicetothiscourtwithin‘thirtydays
`>(AssistantClerkofsaid,court) Z=(ESOn(Date)L/S?|
`
`
`from satisfaction of the exacution.
`
`..-
`
`.
`
`
`
`
`
`
`