Garnishment / Execution Form - Personal Statistics
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1
2THIS FORM MUST BE PRINTED ON A SINGLE SHEET FRONT AND BACK
Justice Court, Las Vegas Township
CLARK COUNTY, NEVADA
CASE NO. ___________________
Name:
_______________________________________________
DEPT. NO. ____________
Address:____________________________________________________
WRIT OF EXECUTION
_____________________________________________________
Plaintiff,
--vs--
EARNINGS
Name: ____________________________________________________
BANK ACCOUNTS
Address:____________________________________________________
OTHER PROPERTY
____________________________________________________
Defendant.
THE PEOPLE OF THE STATE OF NEVADA, TO THE CONSTABLE/SHERIFF, LAS VEGAS
TOWNSHIP, CLARK COUNTY, GREETINGS:
On _______________________________, 20_____________, a judgment was entered by the
above-entitled court in the above-entitled action in favor of
_______________________________________________, as Judgment Creditor, and against
_______________________________________________, as Judgment Debtor, for:
$_____________________________________________ Principal,
$_____________________________________________ Pre-Judgment Interest,
$_____________________________________________ Attorney’s Fees, and
$_____________________________________________ Costs, making a total amount of
$______________________________________________ The judgment as entered, and
WHEREAS, according to an affidavit or a memorandum of costs after judgment, or both, filed herein, it appears that
further sums have accrued since the entry of judgment, to wit:
$______________________ Accrued Interest, and
$______________________ Accrued Costs, together with
$______________________ fee, for the issuance of this writ, making a total of
$______________________ as accrued costs, accrued interest and fees.
Credit must be given for payments and partial satisfactions in the amount of
$________________________
which is to be first credited against the total accrued costs and accrued interest,
with any excess credited against the judgment as entered, leaving a net balance of
$________________________
actually due on the date of the issuance of this writ, of which
$___________________
bears interest at _________ percent per annum, in the amount of $_________ per day,
from the date of judgment to the date of levy, to which must be added the commissions and costs of the officer executing
this writ.
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