New York City marshal

henry daley

Badge #39

RETURN THIS SHEET TO THE MARSHALíS OFFICE

INCLUDE A COPY OF THE JUDGMENT

PLEASE PRINT

DEFENDANTíS NAME AND FULL ADDRESS: _________________________________

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DEFENDANTíS BANK NAME, ADDRESS, AND ACCOUNT #: _____________________

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DEFENDANTíS EMPLOYER, EXACT NAME, AND ADDRESS: _____________________

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DEFENDANTíS SOCIAL SECURITY NUMBER: ________________________________

IN ORDER TO ATTACH PROPERTY OF THE DEBTOR, YOU MUST SEND TWENTY FIVE DOLLARS ($30.00) MILEAGE FEE. TO PROCEED AGAINST DEBTORíS WAGES, YOU MUST SEND SEVENTY-ONE DOLLARS AND NINETY FOUR CENTS ($73.91). CITY AND MUNICIPAL AGENCY GARNISHEES REQUIRE AN ADDITIONAL $2.00 FILING FEE. ALL FEES AND EXPENSES MUST BE PAID PRIOR TO THE MARSHAL TAKING ANY ACTION.

YOUR NAME, ADDRESS, AND TELEPHONE #:________________________________

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COURT LOCATION (COUNTY): ___________INDEX#: ____________YEAR: ______

JUDGMENT DATE: ____________________JUDGMENT AMOUNT: ________________

REASON FOR LAWSUIT: ________________________________________________

I HEREBY AUTHORIZE THE MARSHAL TO LEVY AGAINST THE DEBTORíS BANK ACCOUNTS, BUSINESS, WAGES AND PERSONAL PROPERTY. I HEREBY AGREE THAT I WILL BE RESPONSIBLE FOR THE MARSHALíS STATUTORY FEES AND POUNDAGE (5%) ON ALL MONIES THAT ARE COLLECTED SHOULD I ACCEPT MONEY DIRECTLY FROM THE DEBTOR.

SIGNATURE: ________________________________DATE:____________________

PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO:

NEW YORK CITY MARSHAL HENRY DALEY

1 CROSS ISLAND PLAZA

ROSEDALE, NY 11422

Small claims information sheet