Affidavit For Garnishment - State Court Of Cobb County
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1STATE COURT OF COBB COUNTY
A
G
FFIDAVIT FOR
ARNISHMENT
G
, C
C
EORGIA
OBB
OUNTY
Check this box if the Garnishee is a financial institution
Check this box if garnishment is for the collection of child support or alimony. See O.C.G.A § 18-4-50, et seq.
________________________________________
Case Number ______________________________
________________________________________
________________________________________
Plaintiff (Name & Address)
Plaintiff’s Attorney (Name, Address, Phone & Email)
VS
__________________________________________
________________________________________
__________________________________________
________________________________________
__________________________________________
________________________________________
__________________________________________
Defendant (Name & Address)
Bar Number ________________________________
________________________________________
________________________________________
_______________________________________
Garnishee (Name & Address)
1.
Personally appeared ___________________________________________________, who on oath says that I am (Plaintiff) (Attorney at Law for Plaintiff)
(Agent for Plaintiff) [Circle one] herein, and that the above named Defendant, is indebted to said plaintiff in the sum of and no agreement requires
forbearance from the garnishment which is applied for currently.
2.
$__________________ Principal
3.
$__________________ Interest
4.
$__________________ Attorney’s Fees
5.
$__________________ All Costs [exclusive of the cost of this action]
6.
$__________________ Total [balance due]
7.
Judgment was obtained in the __________________Court of ___________________ County.
8.
_________________________ is the case number
9.
Pursuant to O.C.G.A. 18-4-89, Plaintiff/Plaintiff’s Attorney makes application for condemnation of any funds delivered to this Court by the Garnishee upon
certification being filed with said clerk their proof of service to defendant of this proceeding.
Affiant further states that no agreement has been made with the Defendant for payment of the Judgment, or if an agreement was made, the defendant is in default and
that Affiant has reason to apprehend the loss of said sum or some part thereof unless process of garnishment issues. Upon the Affiant’s personal knowledge or belief,
the sum stated herein is unpaid.
This __________ day of _____________________ 20_______.
_____________________________________________
Affiant
_____________________________________________
Print Name of Affiant
Sworn to and subscribed before me,
This ______day of __________________, 20______.
Approved this ______day of ____________________, 20______.
__________________________________________
Notary Public or Deputy Clerk of Court
____________________________________________________
Commission Expires__________________________
Deputy Clerk, State Court of Cobb County
G:/Affidavit of Regular Garnishment
Revised 5/16
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