Order And Notice Of Garnishment And Answer Of Employer Form Section B Page 2
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23 (C) Did you receive prior to the date that you received this order of garnishment of personal earnings one or more other
orders of garnishment of personal earnings that are not described in question 3 (B), and are you currently processing
one or more of those orders for the statutorily required 182-day period or holding one or more of those orders for
processing for a 182-day period in the sequence of their receipt by you? . 3(C). Yes ___________ No
_____________.
If the answer to this question is “YES”, give the name of the court that issued each of those orders and the balance due
to the relevant judgment creditor under each of those orders. List first the previously received order(s) that you are
currently processing, and list each of the other previously received orders in the sequence that you are required to
process them. (Attach additional paper if needed).
Name of Court __________________________________________________________________
Associated Case Number
_______________________________________________________________
Date Received ____________________________________ Balance Due___________________
I certify that the statements above are true.
_____________________________________________
(PRINT the name of EMPLOYER)
Signed: ___________________________________________
_____________________________________________
(Signature of Person Completing Form)
(PRINT Name and Title of Person Completing Form)
Date:
___________________________________________ _____________________________________________
(Date this form was completed)
(area code)
(phone number)
Return one COMPLETED and SIGNED copy of this form to the clerk of this court with or without
five (5) business days
payment within
after you receive this order of garnishment.
(Rev 2008 10 01)
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