APPENDIX XI-P — CERTIFICATION IN SUPPORT OF
APPLICATION FOR ARREST WARRANT
Name:
Address:
Phone No.:
) SUPERIOR COURT OF NEW JERSEY
) LAW DIVISION, COUNTY
Plaintiff, ) SPECIAL CIVIL PART
)
) DOCKET NO.
vs. )
) CIVIL ACTION
Defendant. )
) CERTIFICATION IN SUPPORT OF
) APPLICATION FOR ARREST WARRANT
The following certification is made in support of plaintiff's application for an arrest
warrant:
1. I am the plaintiff or plaintiff's attorney in this matter.
2. On , 20 , plaintiff obtained a judgment against the defendant, , for $
damages plus costs.
3. (Check all applicable boxes below)
[ ] a. On , 20 , an Order was entered by this Court ordering defendant,
_____________, to appear at on , 20 _ , at .m. and make
discovery on oath as to the defendant's property, and on , 20 _ , a copy of the
Order was served upon (check one) [ ] personally, [ ] by sending it
simultaneously by ordinary and certified mail, return receipt requested to 's
last known address as shown on the discovery Order referenced above.
[ ] b. On , 20 _ , I served an information subpoena and attached
questions as permitted by Court Rules on the defendant, , (check one) [ ]
personally, [ ] by sending it simultaneously by regular and certified mail, return
receipt requested, to defendant's last known address, as shown on the accompanying
notice of motion.
[ ] c. The regular mail has not been returned by the U.S. Postal Service.
[ ] d. The regular mail has been returned by the U.S. Postal Service with the
following notation: .
[ ] e. The certified mail return receipt card has been signed for and returned to
me.
[ ] f. Though the certified mailing has been returned by the U.S. Postal Service,
it was not returned in a manner that would indicate that the defendant's address is not
valid. It was not returned with any of the following markings by the U.S. Postal
Service: "Moved, unable to forward," "Addressee not known," "No such
number/street," "Insufficient address," "Forwarding time expired," or in any other
manner that would indicate that service was not effected.
4. The defendant, , has failed to comply with (check one) [ ] the Order, [ ] the
information subpoena.
5. On , 20 , I served a true copy of my notice of motion for an order to enforce
litigant’s rights on defendant (check one) [ ] personally, [ ] by sending it simultaneously
by regular and certified mail, return receipt requested, at the address shown on the proof of
service at the conclusion of the Order to Enforce Litigant’s Rights.
6. Neither the regular mail nor the certified mail containing the notice of motion has
been returned by the U.S. Postal Service in a manner that would indicate that the defendant's
address is not valid. Neither the regular nor certified mail was returned marked "Moved,
unable to forward," "Addressee not known," "No such number/street," "Insufficient
address," "Forwarding time expired," or in any other manner that would indicate that service
was not effected.
7. On , 20 _ , the Court entered an Order to Enforce Litigant’s Rights when
defendant failed to appear on the return day of my motion for an order enforcing litigant's
rights.
8. On , 20 _ , I served a true copy of the Order to Enforce Litigant’s Rights on
defendant (check one) [ ] personally, [ ] by sending it simultaneously by regular and
certified mail, return receipt requested, at the address shown on the Proof of Service at the
conclusion of the Order to Enforce Litigant’s Rights.
9. Neither the regular mail nor the certified mail has been returned by the U.S. Postal
Service in a manner that would indicate that the defendant's address is not valid. Neither the
regular nor certified mail was returned marked "Moved, unable to forward," "Addressee not
known," "No such number/street," "Insufficient address," "Forwarding time expired," or in
any other manner that would indicate that service was not effected.
10. Ten days have passed since I served a copy of the Order to Enforce Litigant’s Rights
on defendant, and defendant has not complied with the (check one) [ ] information
subpoena, [ ] Order for Discovery.
11. I request that the Court issue a warrant for the arrest of the defendant.
I certify that the foregoing statements made by me are true. I am aware that if any of
the foregoing statements made by me are willfully false, I am subject to punishment.
DATE: ___________________________________
[Note: Former Appendix XI-O adopted July 14, 1992, effective September 1, 1992; redesignated as
Appendix XI-P July 13, 1994, effective September 1, 1994; amended July 10, 1998, to be effective
September 1, 1998; amended July 28, 2004 to be effective September 1, 2004.]
