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Form #5DC27B
udgment
ebtor
s
s
otion
eturn
elease of
W
e
f
g
;
ages
xempt
rom
arnishment
n
m
; c
s
;
otice of
otion
ertificate of
ervice
g
c
W
; e
“a”
arnishment
alculation
orksheet
xhibit
i
t
d
c
f
c
n
he
istrict
ourt of the
ifth
ircuit
s
h
‘
tate of
aWai
i
Plaintiff(s)
Reserved for Court Use
Civil No.
Filing Party(ies)/Filing Party(ies)’ Attorney (Name, Attorney
Number, Firm Name (if applicable), Address, Telephone and
Defendant(s)
Facsimile Numbers)
Judgment debtor(s)’s motion
For return/release oF Wages exempt From garnishment
Filing Party(ies) moves this Court for an Order returning or releasing to the filing party all or a portion of wages which have been
garnished because:
1.
The amount garnished or withheld was excessive as the
Federal Law
State Law was more favorable to the filing party.
■
■
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2.
The Garnishee should have deducted $____________ , rather than $____________ according to the Garnishment Calculation
■
Worksheet, and a copy of applicable pay stub attached as Exhibit “A”.
3.
Duplicate receipts were not provided to the employer/garnishee as required by Hawai‘i Revised Statues Section 652-14/
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4.
Other (specify) ______________________________________________________________________________________
■
Signature of Judgment Debtor(s)’/Declarant:
Print/Type Name:
Date:
notice oF hearing
TO: _________________________________________________________________________________________________________
Please take notice that this Motion will be heard before the Presiding Judge of this Court in his/her Courtroom, at the address on the
next page on _____________. _____________________. 20 ____, at _______ a.m. or as soon thereafter as parties may be heard.
In accordance with the americans with disabilities act if you require an accommodation for your disability, please contact the
District Court Administration Office at PHONE NO. 482-2347, FAX 482-2509, OR TTY 482-2533 at least (10) working days in
advance of your hearing or appointment date.
RepRogRaphics (05/08)
gaRnRet 5d-p-200
RevaComm 508 Certified