Affidavit For Continuing Garnishment For Support - State Court Of Cobb County
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1STATE COURT OF COBB COUNTY
A
FFIDAVIT FOR CONTINUING GARNISHMENT FOR SUPPORT
G
, C
C
EORGIA
OBB
OUNTY
________________________________________
Case Number ______________________________
________________________________________
________________________________________
Plaintiff (Name & Address)
Plaintiff’s Attorney (Name, Address, Phone & Email)
VS
__________________________________________
________________________________________
__________________________________________
________________________________________
__________________________________________
________________________________________
__________________________________________
Defendant (Name & Address)
Bar Number ________________________________
________________________________________
________________________________________
________________________________________
Garnishee (Name & Address)
Personally appeared _____________________________ who on oath says I am the (Plaintiff) (Attorney for Plaintiff) (Agent for Plaintiff) [Circle
one] and the defendant is in arrears on the obligation of support in an amount equal to or in excess of one month’s obligation as decreed on a
judgment as described and no agreement requires forbearance from the garnishment which is applied for currently. (Certified copy attached)
1.
$ ___________________________ is the amount of arrearage due as of the date of this affidavit.
2.
Judgment was obtained in the ______________ Court of _________________ County.
3.
_____________________________ is the case number.
4.
The periodic amount of support due under the judgment for each obligee is:
PERIODIC AMOUNT DUE
OBLIGEE
TERMINATION DATE
OF OBLIGATION
$ ______________________
_____________________________________
________________________
$ ______________________
_____________________________________
________________________
$ ______________________
_____________________________________
________________________
5.
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.
Upon the Affiant’s personal knowledge or belief, the sum stated herein is unpaid. Affiant further states that affiant believes that garnishee is an
employer of the defendant.
__________________________________________
Affiant
__________________________________________________
Print name of Affiant
Sworn to and subscribed to before me.
Approved this _____ day of ____________________, 20____
This _____ day of _____________, 20___
__________________________________________________
Deputy Clerk, State Court of Cobb County
__________________________________
Notary Pubic
: ________________
My Commission Expires
G:/Affidavit for Continuing Garnishment of Support
Revised 5/16
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