Request For Order To Appear Form - Proceeding Supplemental
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2STATE OF INDIANA
)
SHELBY SUPERIOR COURT II
)
COUNTY OF SHELBY
)
CAUSE NO. 73D02_______________________________
__________________________________________
v.
___________________________________________ (et al)
Proceeding Supplemental--Request for Order to Appear
The plaintiff owns a judgment rendered in this case against the below named judgment defendant and
the judgment has not been satisfied. The plaintiff has cause to believe that levy of execution against the
defendant(s) will not satisfy the judgment and the judgment will remain unsatisfied. I am requesting the court
order the judgment defendant to appear at the Shelby Superior Court 2 to answer as to income, wages, and
other assets that may become subject to execution.
This is the _________ time the plaintiff has requested the judgment defendant to appear in a Proceeding
Supplemental hearing. (If this is a subsequent request, state what circumstances have changed since the last
time this judgment defendant was in court.)_____________________________________________________________________________
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
Please order the following person to appear at the Shelby Superior Court 2, 407 S. Harrison
Street, Shelbyville, IN 46176:
Judgment Defendant to Appear
Name_____________________________________________________
City State Zip_____________________________________________
Address__________________________________________________
Telephone _______________________________________________
Address__________________________________________________
Email______________________________________________________
Plaintiff requests service by:
Certified Mail.
Sheriff of __________________________ County
I hereby affirm the above is true and accurate under the pains and penalties of perjury
and that I have served a copy of the forgoing via United States Mail to the Defendant.
Date:
_______________________________________________________
Plaintiff Phone ___________________________________
Signature
_______________________________________________________
Plaintiff email_____________________________________
Name Printed
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