Fillable Writ Of Continuing Garnishment Form (Page 2 of 3) in pdf

NOTICE TO GARNISHEE

This Writ applies to all nonexempt earnings owed or owing during the Effective Garnishment Period shown on Line 1a on the front of this Writ or

until you have paid to the party, designated in paragraph “e” on the front of this Writ, the amount shown on Line 5 on the front of this Writ,

whichever occurs first. However, if you have already been served with a Writ of Continuing Garnishment for Child Support, this new Writ is

effective for the Effective Garnishment Period after any prior Writ terminates.

“EARNINGS” INCLUDES ALL FORMS OF COMPENSATION for personal services. Also read “Notice to Judgment Debtor” below.

In no case may you withhold any amount greater than the amount on Line 5 on the front of this Writ.

QUESTIONS TO BE ANSWERED BY GARNISHEE

The following questions MUST be answered by you under oath:

On the date and time this Writ of Continuing Garnishment was served upon you, did you owe or do you anticipate owing any of the following to the

Judgment debtor within the Effective Garnishment Period shown on Line 1a on the front of this Writ? (Mark appropriate box(es)):

1. G WAGES/SALARY/COMMISSIONS/BONUS/OTHER COMPENSATION FOR PERSONAL SERVICES (Earnings)

2. G Health, Accident or Disability Insurance Funds or Payments

3. G Pension or Retirement Benefits (for suites commenced prior to 5/1/91 ONLY - check front of Writ for date)

If you marked any box above, indicate how the Judgment debtor is paid: G weekly G bi-weekly G semi-monthly G monthly G other

The Judgment Debtor will be paid on the following dates during the Effective Garnishment Period shown on Line 1a (front of this Writ):

____________________________________________________________________________________________________________

Are you under one or more of the following writs of garnishment? (Mark appropriate box(es)):

4. G Writ of Continuing Garnishment (Expected Termination Date: ______________________________________________________)

5. G Writ of Garnishment for Support (Expected Termination Date: _____________________________________________________)

If you marked Box 1 and you did NOT mark either Box 4 or 5, complete the Calculation below for the “First Pay Period” following receipt of this

Writ. If you marked either Box 4 or 5, you must complete Calculations beginning with the first pay period following termination of the prior

writ(s).

If you marked Box 2 or 3 and you did NOT mark either Box 4 or 5, complete the Calculation below for the “First Pay Period” following receipt of

this Writ. If you marked either box 4 or 5, you must complete Calculations beginning with the first pay period following termination of the prior

writ(s). However, there are a number of total exemptions, and you should seek legal advice about such exemptions. IF THE EARNINGS ARE

TOTALLY EXEMPT, PLEASE MARK BOX 6 BELOW:

G THE EARNINGS ARE TOTALLY EXEMPT BECAUSE: ____________________________________________________________

CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS (First Pay Period)

Gross Earnings for the First Pay Period from _____________________ thru _____________________

Less Deductions Required by Law (For Example, Withholding Taxes, FICA)

- $

Disposable Earnings (Gross Earnings less Deductions)

= $

Less Statutory Exemption (Use Exemption Chart Below)

- $

Net Amount Subject to Garnishment

= $

Less Wage/Income Assignment(s) During Pay Period (If Any)

- $

AMOUNT TO BE WITHHELD AND PAID

= $

EXEMPTION

PAY PERIOD AMOUNT EXEMPT IS GREATER OF

Amounts is

CHART

Weekly

30 x Federal Minimum Hourly Wage ($154.50) or 75% of Disposable Earnings

parentheses based

Bi-weekly

60 x Federal Minimum Hourly Wage ($309.00) or 75% of Disposable Earnings

upon Federal

Semi-monthly

65 x Federal Minimum Hourly Wage ($334.75) or 75% of Disposable Earnings

Minimum Hourly

Monthly

130 x Federal Minimum Hourly Wage ($669.50) or 75% of Disposable Earnings

Wage of $5.15.

I affirm that I am authorized to act for the Garnishee, the above answers are true and correct, and I have delivered a copy of this Writ, together

with the Calculation of the Amount of Exempt Earnings and a blank Objection to Calculation of the Amount of Exempt Earnings form to the

Judgment Debtor at the time earnings were paid for the “First Pay Period” (if earnings were paid).

Subscribed under oath before me on

_______________________________________________________

Name of Garnishee (Print)

Notary Public or Deputy Clerk

Address:

My Commission Expires:

Name of Person Answering (Print)

Signature of Person Answering (Print)

Page 2 of 3

Writ Of Continuing Garnishment Form Page 2

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