Interim Report & Answer Of Garnishee Form

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INTERIM REPORT & ANSWER OF GARNISHEE
ST
CUYAHOGA COUNTY CLERK OF COURTS OFFICE, CIVIL DIVISION, 1
FLOOR, JUSTICE CENTER, 1200 ONTARIO STREET, CLEVELAND, OH 44113, (216) 443‐7951,
_______________________
CASE NO.
CREDITOR
_____________________
DOCKET NO.
V.
GR
(CLERK’S USE ONLY)
DEBTOR
IMAGING LABEL
(CLERK’S USE ONLY)
CLERK’S FILE STAMP
PLEASE NOTE: You must make multiple copies of this form, as a newly completed copy must be sent with each payment.
The garnishee, ______________, in the above case states as follows:
1.
The date that the garnishee received the order of garnishment of the judgment debtor's personal earnings was ______________
2.
The total probable amount due on the judgment, including court costs, judgment interest, and, if applicable, prejudgment interest, as stated in either section A of the
order of garnishment of the judgment debtor's personal earnings or in the affidavit of current balance due on garnishment order if that affidavit has been received
subsequent to the order of garnishment, is $______________.
3.
The pay period of the judgment debtor is
Weekly
Biweekly
Semimonthly
Monthly
4.
The disposable earnings of the judgment debtor earned during the judgment debtor's present pay period is ("disposable earnings" means earnings after deductions
required by law. "Present pay period" means the pay period for which you are completing this INTERIM REPORT AND ANSWER OF GARNISHEE.) $ _____________
5.
The amount equal to twenty-five per cent (25%) of the judgment debtor's disposable earnings set forth in section 4 of this form is $ ______________
6.
imes the current federal minimum hourly wage is (if the judgment debtor is paid weekly, enter thirty above, if paid biweekly, enter sixty, if paid semimonthly, en
sixty-five, if paid monthly, enter one hundred thirty, then calculate the amount.) $ ______________
7.
The amount by which the amount in section 4 of this form exceeds the amount in section 6 of this form is $ ______________
8.
The smallest of either the amount entered in section 5 of this form, the amount entered in section 7 of this form, or the amount entered in section 2 of this form, is
$______________
9.
The amount entered in section 8 of this form, plus or minus (as appropriate) the garnishee's processing fee is $ ______________ (if the amount entered in section 8 of
this form equals the amount entered in section 2 of this form, then add up to three dollars ($3); otherwise subtract up to three dollars ($3))
10.
Other deductions $ ___________________
11.
The calculated amount that has been withheld from the judgment debtor's personal earnings during the judgment debtor's present pay period and that is submitted with
this "INTERIM REPORT AND ANSWER OF GARNISHEE" is $ ______________
I certify that the statements above are true.
__________________________________
Date: ______________________________
(Print Name of Employer)
__________________________________
__________________________________
(Print Name and Title of Person who Completed Form)
(Signature of Person Who Completed Form)
REVISED 02/2014
PAGE 1

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