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Clear Form STATE OF INDIANA ) HAMILTON SUPERIOR COURT NO. 4 ) SS: COUNTY OF HAMILTON ) CAUSE NO. 29D04-___-SC-____ Plaintiff( s) vs. Defendant( s VERIFIED MOTION FOR PROCEEDINGS SUPPLEMENT AL AND ORDER TO APPEAR Plaintiff states the following: that Plaintiff owns the judgment rendered in this cause against the Defendant(s); Plaintiff's judgment is unsatisfied; and Plaintiff has no cause to believe that levy ofexecution against the Defendant(s) will satisfy the judgment. Plaintiff therefore moves the Court to issue an order to Defendant(s) requiring the Defendant(s) to appear to testify concerning his/her/their property. I swear or affirm under the penalties for perjury that the foregoing representations are true. Dated: Signature ofPlaintiff or Attorney ORDER TO APPEAR IN COURT The Court grants the Plaintiff's motion. The Court ORDERS the Defendant(s) to appear in this Court on at __:__am/pm and to bring evidence of income and assets. YOU ARE HEREBY NOTIFIED THAT FAIL URE TO APPEAR IN COURT MAY RESULT IN YOUR BEING HELD IN CONTEMPT OF COURT AND BEING PUNISHED BY INCARCERATION IN THE COUNTY JAIL FOR A PERIOD NOT TO EXCEED 180 DAYS. Dated: Judge, Hamilton Superior Court 4 Service requested: □ Certified Mail □ Sheriff County Address(es) ofDefendant(s): Distribution: 8 Plaintiff( s) Defendant( s) (Sheriff's Return of Service on reverse side) ---PAGE BREAK--- SHERIFF'S RETURN OF SERVICE I hereby certify that on the below date: I served this Order to Appear by delivering a copy to the Defendant. I served this Order to Appear by leaving a copy: at the dwelling or usual place of abode of Defendant; with a person ofsuitable age and discretion residing therein, namely and by mailing a copy of the Order to Appear to the Defendant, by first class mail, to the address listed on the Order to Appear ( date copy mailed ifdifferent from below: I was unable to serve this Order to Appear because Dated: Sheriff of Hamilton/_______ County By: sc4form.085 (revised March 1. 2010)