The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

 

 
Name 
 
Address 
 
City, State, Zip 
 
Phone 

 
Email 

 

 
 
 
 
 
 

 
Check your email. You will receive information and 
documents at this email address.  

I am   [  ]  Plaintiff/Petitioner 

[  ]  Defendant/Respondent 

[  ]  Plaintiff/Petitioner’s Attorney  [  ]  Defendant/Respondent’s Attorney  (Utah Bar #:__________) 
[  ]  Plaintiff/Petitioner’s Licensed Paralegal Practitioner 
[  ]  Defendant/Respondent’s Licensed Paralegal Practitioner   

(Utah Bar #:__________) 

In the [  ] District   [  ] Justice Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

_____________________________________ 
Plaintiff/Petitioner 

v. 

_____________________________________ 
Defendant/Respondent 

Answers to Questions About 
Judgment Debtor’s Property 
(Utah Rule of Civil Procedure 64) 

Do not file this form with the court 

_______________________________ 
Case Number 

_______________________________ 
Judge 

_______________________________ 
Commissioner (domestic cases) 

Instructions:  
  The court has scheduled a hearing at which you must appear and answer under oath questions about 
your property. If you fail to appear, you might be held in contempt of court and the court might enter a 
warrant for your arrest. 
If you answer the following questions in writing and serve the completed form on the judgment 
creditor at least 3 business days before the hearing as described on the last page of this form, the 
creditor might cancel the hearing and notify you.  

 

  The hearing is canceled only if the creditor is satisfied that you have answered the questions fully and 
truthfully and notifies you that you do not have to appear. Otherwise, you must appear at the hearing. 

1303DCJ Approved April 16, 2018 / 
Revised September 9, 2020 
 

Answers to Questions about Judgment Debtor’s Property 

Page 1 of 7 

 

 

  Attach additional pages to complete paragraphs that don’t have enough space. Write the paragraph 

number on the additional page. 

1. 

Identifying information 

My full name 
Address 
city, state, zip 

Phone number  
Social security 
number 

 

 

Date of birth 
Driver’s license 
number 

2. 

 

Income from employment 

[  ]  I am employed. (List all employers.) 

Name of employer (legal name and doing 
business as (dba)) 

Address of employer 

 

 

 

 

Name of person issuing paycheck 

Phone number of person issuing paycheck 

Gross salary (before taxes and deductions) $_______________ 

[  ] Hourly    [  ] Weekly    [  ] Bi-weekly    [  ] Semi-monthly    [  ] Monthly 

Name of Employer (legal name and doing 
business as (dba)) 

Address of employer 

Name of person issuing paycheck 

Phone number of person issuing paycheck 

Gross salary (before taxes and deductions) $_______________ 

[  ] Hourly    [  ] Weekly    [  ] Bi-weekly    [  ] Semi-monthly    [  ] Monthly 

[  ] I am self-employed. 

1303DCJ Approved April 16, 2018 / 
Revised September 9, 2020 
 

Answers to Questions about Judgment Debtor’s Property 

Page 2 of 7 

 

 

 

Business name (legal name and doing business 
as (dba)) 

Business address 

Name of person issuing paycheck 

Phone number of person issuing paycheck 

Gross salary (before taxes and deductions) $_______________ 

[  ] Hourly    [  ] Weekly    [  ] Bi-weekly    [  ] Semi-monthly    [  ] Monthly 

[  ] I am unemployed. 

3. 

Other income  

I have the following income other than salary and wages. (Include periodic payments 
of non-exempt money, such as rental income, trust payments, etc.) 

Describe 

Annual amount 

Source 

4. 

Financial assets  

I have an ownership interest in the following financial assets. 

Holder 
(Name & address) 

Co-owner 
(Name & address) 

Current value 

$ 

$ 

 

 

 

 

Asset 

Bank, credit union or 
savings and loan 
account 
Account number: 
__________________ 

Bank, credit union or 
savings and loan 
account 
Account number: 
__________________ 

 

 

$ 

$ 

1303DCJ Approved April 16, 2018 / 
Revised September 9, 2020 
 

Answers to Questions about Judgment Debtor’s Property 

Page 3 of 7 

 

Asset 

Stocks, bonds, 
securities, money 
market fund 
Account number: 
__________________ 

Stocks, bonds, 
securities, money 
market fund 
Account number: 
__________________ 

Profit sharing plan 
Account number: 
__________________ 

Profit sharing plan 
Account number: 
__________________ 

Money owed to me 

Cash 

Other (Describe.) 

Other (Describe.) 

 

 

 

 

 

 

 

 

Holder 
(Name & address) 

Co-owner 
(Name & address) 

Current value 

 

 

 

 

 

 

 

 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

5. 

Business interests 

I have an ownership interest in the following businesses. 

Name (legal name and doing business as (dba)) 

Federal Employer Identification Number (FEIN) 

Address of main office 

Mailing address, if different 

1303DCJ Approved April 16, 2018 / 
Revised September 9, 2020 
 

Answers to Questions about Judgment Debtor’s Property 

Page 4 of 7 

Kind of business (Check one.):  
[  ] Proprietorship   [  ] Corporation   [  ] Partnership  [  ] Limited Liability Company   [  ] Other (describe) 

ame (legal name and doing business as (dba)) 

Federal Employer Identification Number (FEIN) 

Address of main office 

Mailing address, if different 

Kind of business (Check one.):  
[  ] Proprietorship   [  ] Corporation   [  ] Partnership  [  ] Limited Liability Company   [  ] Other (describe) 

Real property 

I have an ownership interest in the following real property. (Include your home, 
vacation home and investment property.) 

Mortgage or lien holder 
(Name & address) 

Co-owner 
(Name & address) 

Current value  Amount owed 

Property 

Home 
(Address) 

Other real 
property 
(Address) 

Other real 
property 
(Address) 

 

 

 

 

 

 

$ 

$ 

$ 

$ 

$ 

$ 

 

    N

. 

  6

 

1303DCJ Approved April 16, 2018 / 
Revised September 9, 2020 
 

Answers to Questions about Judgment Debtor’s Property 

Page 5 of 7 

7. 

Personal property 

I have an ownership interest in the following property. (Includes vehicles, boats, 
trailers, equipment, etc.) 

Lien holder 
(Name & address) 

Co-owner 
(Name & address) 

Current value  Amount owed 

 

 

 

 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

8. 

Other property  

I have an ownership interest in the following property not identified above. (List 
any non-exempt property not identified above. For a list of exempt property, see Utah Exemptions 
Act, Utah Code 78B-5-501 to 513). 

Plaintiff/Petitioner or Defendant/Respondent  

I declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

 
Date 

Signature ► 

Printed Name 

 

 

1303DCJ Approved April 16, 2018 / 
Revised September 9, 2020 
 

Answers to Questions about Judgment Debtor’s Property 

Page 6 of 7 

Property  

Vehicle  
(Year, make, 
model, license 
number) 

Vehicle  
(Year, make, 
model, license 
number) 
 

Other 
(Describe) 

Other 
(Describe) 

 

 

 

 

   

 

   

 

Attorney or Licensed Paralegal Practitioner of record (if applicable) 

Signature ► 

Printed Name 

 

 

If you serve the creditor with the completed form at least 3 business days before the 
hearing and if they are satisfied that you have answered the questions fully and 
truthfully, they will notify you and the court to cancel the hearing. Otherwise, you must 
appear at the hearing. 

File and Serve:  

1. 

Send this completed form and a copy of the Certificate of Service of Answers to 
Questions About Judgment Debtor’s Property to: 

Creditor Name 
(Or, if they have one, their Attorney or 
Licensed Paralegal Practitioner) 

Mailing Address 

City, State, Zip 

 

 

 

File with the court a copy of the Certificate of Service of Answers to Questions 
About Judgment Debtor’s Property showing when and how you served this 
completed form on the creditor.  

3. 

Do not send this completed form to the court. 

2. 

 

 

    N

 
Date 

otice:  

1303DCJ Approved April 16, 2018 / 
Revised September 9, 2020 
 

Answers to Questions about Judgment Debtor’s Property 

Page 7 of 7

Answers to Questions About Judgment Debtor’s Property

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from legacy.utcourts.gov (2023-03)
Page(s): 7
Fields(s): 136
Average fields per page: 19
Reading Level: Grade 10
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

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We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Answers to Questions About Judgment Debtor’s Property

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02