STATE COURT OF COBB COUNTY
A
FFIDAVIT OF CONTINUING GARNISHMENT
G
, C
C
EORGIA
OBB
OUNTY
SEE O.C.G.A. § 18-4-73.
DO NOT USE THIS FORM FOR A CONTINUING GARNISHMENT FOR CHILD SUPPORT OR ALIMONY.
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Case Number ______________________________
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Plaintiff (Name & Address)
Plaintiff’s Attorney (Name, Address, Phone & Email)
VS
__________________________________________
________________________________________
__________________________________________
________________________________________
__________________________________________
________________________________________
__________________________________________
Defendant (Name & Address)
Bar Number ________________________________
________________________________________
________________________________________
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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 currently.
2.
$__________________ Principle
3.
$__________________ Other [Prejudgment Interest, Attorney’s Fees]
4.
$__________________ Cost of this action [exclusive of the cost of this action]
5.
$__________________ Total [Balance due]
6.
Judgment was obtained in the _____________________Court of ___________________ County.
7.
_______________________ is the case number.
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
8.
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 or may be an
employer of the defendant and subject to continuing garnishment.
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
Deputy Clerk, State Court of Cobb County
Commission Expires: __________________
G:/Affidavit of Affidavit of Continuing Garnishment.doc
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Revised 5/16