Earnings Garnishment Kansas Court Forms Page 4
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19Prepared by:
Filer’s Name: _____________________
Filer’s Address: ___________________
_____________________
Filer’s phone number: ______________
(Filer’s fax phone number: ___________
(Filer’s e-mail address:_______________________
Attorney for Judgment Creditor/Pro se Judgment Creditor
In the District Court of
County, Kansas
_________________________, Judgment Creditor
vs.
Case No. _____________
_________________________, Judgment Debtor
Address: _________________________
_________________________
Social Security No./TIN______________
Garnishee’s Name: __________________
Garnishee’s Address: ________________
________________
Garnishee’s County: _________________
Fax number (if known) _______________
e-mail address (if known) _____________
Pursuant to Chapter 61 of
Kansas Statutes Annotated
Type of Service Requested: __________________by ______________________
ORDER OF GARNISHMENT
(To Attach Earnings)
To the above-named Garnishee:
The attached Instructions to Garnishee are incorporated by reference. You are ordered as a garnishee to
follow the attached instructions as if they were set forth in this Order.
If you are indebted to the judgment debtor, complete the attached Answer under penalty of perjury as set
forth in the instructions.
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