INFORMATION SUBPOENA PAGE 1 OF 7 1111.315.201117/
Hub City Law Group
96 Paterson Street
New Brunswick NJ 08901
732 733 2385
www.hubcitylawgroup.com
Hub City Law Group
Joseph A. Bahgat
96 Paterson Street
New Brunswick NJ 08901
732-733-2385 732-733-2386 fax
joe@hubcitylawgroup.com
Attorney for Plaintiffs
Jack Hansen
, et al.,
Plaintiffs;
vs.
Anthony V. Zisa
, et al.,
Defendants.
SUPERIOR COURT of NEW JERSEY
LAW DIVISION
MIDDLESEX COUNTY
Docket No. L–4274-12
Civil Action
INFORMATION SUBPOENA
THE STATE OF NEW JERSEY, to: Anthony V. Zisa
94 Viola Avenue
Clifton, New Jersey 07011
Judgment has been entered against you in the Superior Court of New Jersey, Law Division
for Passaic County, on July 25, 2012, in the amount of $29,950.00 plus costs and attorneys’ fees,
of which $49,247.00 remains unpaid.
Attached to this Information Subpoena is a list of questions that court rules require you to
answer within fourteen (14) days from the date you receive this subpoena. If you do not answer
the attached questions within the time required, the plaintiff(s) may ask the court to conduct a
hearing to determine whether you should be held in contempt. You will be compelled to appear at
the hearing and explain your reasons for any failure to answer.
INFORMATION SUBPOENA PAGE 2 OF 7 MID L – 4274– 12
Hub City Law Group
96 Paterson Street
New Brunswick NJ 08901
732 733 2385
www.hubcitylawgroup.com
If this judgment has resulted from a default, you may have the right to have this default
judgment vacated by making an appropriate motion to the court. Contact an attorney or the clerk
of the court for information on making such a motion. Even if you dispute the judgment, you
must answer all of the attached questions.
You must answer each question by providing complete answers (attaching additional pag-
es if necessary). Providing false or misleading answers may subject you to punishment by the
court. You are not required to provide information concerning the income and assets of others
living in your household unless you have a financial interest in the assets or income. Be sure to
sign and date your answers, and return them to the address in the upper left-hand corner of this
notice within fourteen (14) days.
Dated:
BAHGAT & BAHGAT LLC
Attorneys for Plaintiffs
By: __________________________
Joseph A. Bahgat
s/Jennifer Perez
_____________________________
Clerk of the Superior Court of New Jersey
INFORMATION SUBPOENA PAGE 3 OF 7 MID L – 4274– 12
Hub City Law Group
96 Paterson Street
New Brunswick NJ 08901
732 733 2385
www.hubcitylawgroup.com
QUESTIONS FOR INDIVIDUAL DEBTORS
1) Full name:
2) Address:
3) Birth Date:
4) Social Security No:
5) Driver’s license no. & expiration date:
6) Te lepho ne No: Fax No:
7) Full name & address of your employer:
a) Your weekly salary? Gross: $ Net: $
b) If not presently employed, name and address of last employer:
8) Is there currently a wage execution on your salary? ____ Yes ____ No
9) List names, addresses, and account numbers of all bank accounts on which your name appears:
10) If you receive money from any of the following sources, list the amount, frequency, and the name
and address of the source:
TYPE AMOUNT & FREQUENCY NAME & ADDRESS OF SOURCE
Alimony
Loan Payments
Rental Income
Pensions
Bank Interest
Stock Dividends
INFORMATION SUBPOENA PAGE 4 OF 7 MID L – 4274– 12
Hub City Law Group
96 Paterson Street
New Brunswick NJ 08901
732 733 2385
www.hubcitylawgroup.com
11) Do you receive any of the following benefits (which are exempt from levy)? Any levy on disclosed
exempt funds may result in monetary penalties including reimbursement of the debtor’s out-of-
pocket expenses.
Social Security ___ Yes Amount per month $__________ ___ No
SSI ___ Yes Amount per month $__________ ___ No
Welfare ___ Yes Amount per month $__________ ___ No
VA ___ Yes Amount per month $__________ ___ No
Unemployment ___ Yes Amount per month $__________ ___ No
Workers’ Compensation ___ Yes Amount per month $__________ ___ No
Child Support payments ___ Yes Amount per month $__________ ___ No
Attach copies of the three most recent bank statements for each account listed in Question 9 that
contain funds from these sources.
12) Do you own the property where you reside? ___ Yes ___ No
If yes, state the following:
a) Name of owner or owners:
b) Date property was purchased:
c) Purchase Price: $
d) Name and address of mortgage holder:
e) Balance owed on mortgage: $
13) Do you own any other real estate: ___ Yes ___ No
If yes, state the following for each property:
1
a) Address of property:
b) Date property was purchased:
1
Attach additional sheets if necessary.
INFORMATION SUBPOENA PAGE 5 OF 7 MID L – 4274– 12
Hub City Law Group
96 Paterson Street
New Brunswick NJ 08901
732 733 2385
www.hubcitylawgroup.com
c) Purchase Price: $
d) Names and addresses of all owners:
e) Name & address of mortgage holder, if any:
f) Balance owed on mortgage: $
g) Names & addresses of all tenants, and monthly rental amount(s) paid by each tenant:
14) Does the present value of your personal property, which includes automobiles, furniture, appli-
ances, stocks, bonds and cash on hand, exceed $1,000? ___ Yes ___ No
If the answer is yes, you must itemize all personal property owned by you:
a) Cash on hand: $
b) Other personal property (set forth make, model & serial no. If financed, give name and
address of party to whom payments are made):
ITEM
PURCHASE
PRICE
BALANCE
OWED
PRESENT
VALUE
15) Do you own a motor vehicle? ___ Yes ___ No
If yes, state the following for each vehicle owned:
a) Year, Make & Model of motor vehicle(s):
INFORMATION SUBPOENA PAGE 6 OF 7 MID L – 4274– 12
Hub City Law Group
96 Paterson Street
New Brunswick NJ 08901
732 733 2385
www.hubcitylawgroup.com
b) If there is a lien on the vehicle, sate the name and address of the lien holder and the
amount due to the lien holder:
c) License plate No( s):
d) Vehicle Identification No(s). (VIN):
16) Do you own a business? ___ Yes ___ No
If yes, state the following:
a) Name and address of the business:
b) Is the business a ___ Corporation ___ Sole Proprietorship ___ Partnership
c) Names & addresses of all stockholders, officers, and/or partners:
d) The amount of gross income received by you from the business during the last twelve
(12) months:
INFORMATION SUBPOENA PAGE 7 OF 7 MID L – 4274– 12
Hub City Law Group
96 Paterson Street
New Brunswick NJ 08901
732 733 2385
www.hubcitylawgroup.com
17) Set forth all other judgments that you are aware of that have been entered against you and
include:
CREDITOR’S
NAME
CREDITOR’S ATTORNEY
AMOUNT
DUE
NAME OF COURT
DOCKET NO.
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:
Anthony V. Zisa
Judgment Debtor