Appendix Xi-J - Wage Execution - Superior Court Of New Jersey
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2APPENDIX XI-J. WAGE EXECUTION
SUPERIOR COURT OF NEW JERSEY
ORDER AND EXECUTION AGAINST EARNINGS
LAW DIVISION, SPECIAL CIVIL PART
PURSUANT TO 15 U.S.C. 1673 and N.J.S.A. 2A:17-56
_________ County Tel. ______________
Docket No.:_________
Judgment No.: ______________________
Writ Number : ___ Issued _____________
Name and Address of Employer Ordered to Make Deductions:
________________________________________________
________________________________________________
Plaintiff
________________________________________________
vs.
Designated Defendant
(Address)
Unless the designated defendant is currently subject to withholding under another wage execution, the
employer is ordered to deduct from the earnings which the designated defendant receives and to pay over to the court
officer named below, the lesser of the following: (a) 10% of the gross weekly pay; or (b) 25% of disposable earnings
for that week; or (c) the amount, if any, by which the designated defendant's disposable weekly earnings exceed
$217.50 per week, until the total amount due has been deducted or the complete termination of employment. Upon
either of these events, an immediate accounting is to be made to the court officer. Disposable earnings are defined as
that portion of the earnings remaining after the deduction from gross earnings of any amounts required by law to be
withheld. In the event the disposable earnings so defined are $217.50 or less, no amount shall be withheld under this
execution. In no event shall more than 10% of gross salary be withheld and only one execution against the wages of
the designated defendant shall be satisfied at a time.
The employer shall immediately give the designated defendant a copy of this order. The designated
defendant may object to the wage execution or apply for a reduction in the amount withheld at any time. To object
or apply for a reduction, a written statement of the objection or reasons for a reduction must be filed with the Clerk
of the Court and a copy must be sent to the creditor’s attorney or directly to the creditor if there is no attorney. A
hearing will be held within 7 days after filing the objection or application for a reduction. According to law, no
employer may terminate an employee because of a garnishment.
Judgment Date ..............................____
Date_______________________________________
Judgment Award....................... $ ____
Court Costs & Stat Atty. Fees ...$ ____
Total Judgment Amount. ...........$ ____
___________________________________________
Interest From Prior Writs…. .....$ ____
Judge
Costs From Prior Writs.............. $ ____
Subtotal A ................................. $ ____
___________________________________________
Credits From Prior Writs ……. $ ____
Jane B. Doe
Subtotal B ………………...…. $ ____
Clerk of the Special Civil Part
New Miscellaneous Costs...........$ ____
New Interest On This Writ.. ...... $ ____
Make payments at least monthly to Court Officer as
New Credits On This Writ……..$ ____
set forth:
Execution Fees & Mileage....... ..$ ____
Subtotal C ……………………..$ ____
Court Officer Fee……………... $ ____
____________________________________
Total due this date ..................... $ ____
Court Officer
Plaintiff’s Attorney and Address:
__________________________
I RETURN this execution to the Court
__________________________
( ) Unsatisfied ( ) Satisfied ( ) Partly Satisfied
__________________________
Amount Collected ...................$ ____
__________________________
Fee Deducted ...........................$ ____
Amount Due to Atty ................$ ____
Date: __________________________
______________________________
Court Officer
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