INFORMATION SUBPOENA AND WRITTEN QUESTIONS TO NON-PARTIES
IMPORTANT NOTICE -- PLEASE READ CAREFULLY FAILURE TO COMPLY WITH THIS
INFORMATION SUBPOENA MAY RESULT IN YOU BEING PUNISHED BY THE COURT
Name: SUPERIOR COURT OF NEW JERSEY
Address: LAW DIVISION, SPECIAL CIVIL PART
Telephone No.: ___________ COUNTY
DOCKET NO ________________
Plaintiff, CIVIL ACTION
v.
Defendant. INFORMATION SUBPOENA
Social Security Number (If known) ______________
THE STATE OF NEW JERSEY, TO:
Judgment has been entered against ____________________ (the name of defendant) whose last know address is
in the Superior Court of New Jersey, Law Division, Special Civil Part, ____________County.
Attached to this Information Subpoena is a list of questions that the Court Rules of New Jersey require you to
answer within 14 days from the date you receive this subpoena. You must answer the questions in section ____ A,
B, or _____ C. If you do not answer the attached questions within the time required, the judgment creditor or
judgment creditor's attorney may ask the Court to conduct a hearing in order to determine if you should be held in
contempt. You will be compelled to appear at the hearing and explain your reasons for your failure to answer.
You must answer each question giving complete answers, attaching additional pages if necessary. False or
misleading answers may subject you to punishment by the Court. Be sure to sign and date your answers and return
them to the address in the upper left hand corner within 14 days.
TAKE NOTICE THAT SINCE THIS IS AN OFFICIAL FORM OF THE COURTS OF THE STATE OF
NEW JERSEY, YOU CANNOT REFUSE TO ANSWER ANY OF THE QUESTIONS ON THE GROUNDS
THAT THE INFORMATION IS PRIVILEGED.
DATED:____________________
______________________________ _________________________________________
Attorney For Clerk
SECTION A TO BE ANSWERED BY BANKING INSTITUTIONS
1. Does the named defendant have any checking, savings or other accounts at your bank? Yes ___ No ___
2. If yes, for all such accounts set forth the type of account, the account number and the current balance in the
account.
I hereby 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.
DATED:____________________ ________________
Signature
_______________________________
Print your name and title
SECTION B TO BE ANSWERED BY EMPLOYERS
1. Does the named defendant work for your business at the present time? Yes ___ No ___
2. If yes, set forth the named defendant's gross and net weekly salary, including any overtime if applicable.
3. If the named defendant is no longer employed by your business, and if you know, state the name and address
of the named defendant's current employer.
I hereby 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.
DATED:____________________ ________________________________________________
Signature
_______________________________________________________________
Print your name and title
SECTION C TO BE ANSWERED BY THOSE CONDUCTING BUSINESS WITH THE NAMED
DEFENDANT
1. Has your business ever purchased goods and/or services from the named defendant? Yes ___ No ___
2. Does your business presently purchase goods and/or services from the named defendant? YES ___ NO ___
3. In the future, will your business purchase goods and/or services from the named defendant? YES ___ NO ___
4. Does your business owe any money to the named defendant? YES _____ NO _____ If yes, state the amount
currently owed.
I hereby 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.
DATED:____________________ ________________________________________________
Signature
_______________________________________________________________
Print your name and title
