Beruflich Dokumente
Kultur Dokumente
Plaintiff:
______________________________________________
Name
Plaintiffs Attorney:
Bar No.____________
______________________________________________
Street Address
_______________________________________
______________________________________________
Name
City
State
Zip Code
___________________________________________
Street Address
___________________________________________
City
State
Zip Code
Vs.
SSN: xxx-xx-
Defendant:
______________________________________________
Name
______________________________________________
Street Address
______________________________________________
City
State
Zip Code
Garnishee:
______________________________________________
Name
______________________________________________
Street Address
______________________________________________
City
State
Zip Code
Personally appeared the undersigned affiant who on oath says that he is the above plaintiff, his agent, or his attorney at
law and that he has personal knowledge that the above defendant is indebted to said plaintiff on a judgment as described
as follows:
1. $_________________ is the balance due, plus $_________________ garnishment cost (Total $_________________).
2. Judgment was obtained in the ____________________ Court of ____________________ County.
3. ____________________ is the case number.
Affiant further states that affiant believes that garnishee is or may be an employer of the defendant and subject to
continuing garnishment.
Sworn to and subscribed before me this ___________ day
of _____________________________, 20____________.
____________________________________________________
Notary Public or Deputy Clerk
___________________________________________
Affiant
Form 2