UNITED STATES DISTRICT COURT
DISTRICT OF COLORADO
(C.R.C.P. No. 29: Rev 10/12)
Case Number: _____________________________
WRIT OF GARNISHMENT WITH NOTICE OF EXEMPTION AND PENDING LEVY
Plaintiff(s)
vs.
Defendant(s)
Judgment Debtor’s name, last known address, other identifying information:
1. Original Amount of Judgment Entered
$
(Date)
2. Plus any interest Due on Judgment
(
% per annum)
+ $
3. Taxable Costs (including estimated cost of service of this Writ)
+ $
4. Less any Amount Paid
- $
5. Principal Balance/Total Amount Due and Owing
= $
I affirm that I am authorized to act for the Judgment Creditor and this is a correct statement as of
(Date)
Subscribed under oath before me on
(Date)
Print Judgment Creditor's Name
Notary Public or Deputy Clerk
Address:
My Commission Expires:
By:
Signature (Type Name, Title, Address and Phone)
WRIT OF GARNISHMENT WITH NOTICE OF EXEMPTION AND PENDING LEVY
To the United States Marshal or to the Sheriff of any Colorado County, or to any person over the age of 18 years who is not a party to this
action:
You are directed to serve a copy of the Writ of Garnishment upon
,
Garnishee, with proper return of service to be made to the Court.
TO THE GARNISHEE:
YOU ARE HEREBY SUMMONED AS GARNISHEE IN THIS ACTION AND ORDERED:
a.
To answer the following questions under oath and file your answers with the Clerk of Court (AND to mail a completed copy with your answers to the
Judgment Creditor or attorney when a stamped envelope is attached) within 10 days following service of this Writ upon you. YOUR FAILURE TO
ANSWER THIS WRIT WITH NOTICE MAY RESULT IN THE ENTRY OF DEFAULT AGAINST YOU.
b.
To hold pending court order any personal property (other than earnings) owed to or owned by the Judgment Debtor and in your possession or control on
the date and time this Writ was served upon you.
YOU ARE NOTIFIED:
a.
This Writ with Notice applies to all personal property (other than earnings) owed to or owned by the Judgment Debtor and in your possession or control
as of the date and time this Writ was served upon you.
b.
In no case may you withhold any personal property greater than the amount on Line 5 on the front of this Writ unless the personal property is incapable of
being divided.
c.
If you are ordered to pay funds to the Court, tender your check for the amount PAYABLE TO:
Clerk of the United States District Court at 901 19th Street, Room A-105, Denver Colorado 80294-3589
CLERK OF THE COURT:
Jeffrey P. Colwell
By: _________________________________________
901 19th Street, Room A-105
Deputy Clerk
Denver, Colorado 80294-3589
Date: ________________________________________
(303) 844-3433