4. What is the judgment debtor’s last known address?
Answer:
5. If the judgment debtor’s wages have been attached by more than one writ of garnishment, please list the case
number of all senior garnishments.
Answer:
6. Will you or have you since become or are you now bound in any contract to pay the judgment debtor money not
yet due?
Yes
No If yes, state the amount to be paid out and when due and payable.
Answer:
7. Do you know of any person or entity, other than the judgment debtor, who claims an ownership interest in any
property, money or effects of the judgment debtor or any amounts owed to the judgment debtor as disclosed by
you in answer to interrogatories 1, 2, and 6? If yes, please provide the name and address of each such person
or entity and identify the property, money or effects of the judgment debtor in which each such person or entity
claims an interest?
Answer:
8. If garnishee is a bank or other financial institution, state whether at the time the writ of garnishment was served
or at any subsequent time did the debtor have funds on deposit in an account in which all funds are deposited
electronically on a recurring basis and reasonably identified as being funds on deposit that are exempt from
garnishment pursuant to section 513.430.1(10)(a), (b), or (c), RSMo, or subject to the exemptions under Title 31
C.F.R. Part 12.
Yes
No If yes, identify each account, state the reason for the believed exemption, and identify the
entity electronically depositing those funds which are not attachable pursuant to section 513.430.1(10)(a), (b),
or (c), RSMo, or subject to the exemptions under Title 31 C.F.R. Part 12.
Answer:
I swear/affirm under the penalty of perjury that I have read the foregoing interrogatories and the answers given are
true to the best of my knowledge and belief, and that no exempt funds have been or will be attached.
Signature of Garnishee
Attorney for Judgment Creditor:
Name
Address
City, State, Zip Code
OSCA (04-16) CV110
2 of 2
Rules 90.07, 90.13; Sections 525.130, 525.140 RSMo
CCCDT67-WS
Rev. 12/15