Calculation Of The Amount Of Exempt Earnings Worksheet

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_______________________________COURT, _________________________COUNTY _________________________, COLORADO
CASE NO. ____________________ DIV./CT.RM. __________ JUDGMENT DEBTOR’S NAME _______________________________
CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS WORKSHEET
PLAINTIFF(S):
DEFENDANT(S):
Gross Pay for _______________ thru _______________
$_________________
Less Deductions Required by Law
-
$_________________
Disposable Earnings
=
$_________________
Less Statutory Exemption
-
$_________________
Net Amount Subject to Garnishment
=
$_________________
Less Wage/Income Assignment (If Any)
-
$_________________
AMOUNT PAID
=
$_________________
I affirm that I am authorized to act for the Garnishee, the above Calculation is true and correct, and I have delivered a copy of this
Calculation to the Judgment Debtor at the time earnings were paid for the above period.
Date: _________________________
Signature: _____________________________________________
CUT ALONG THE DOTTED LINE AND MAIL WITH EACH CHECK TO THE PARTY DESIGNATED IN PARAGRPH “e” ON FRONT OF
WRIT OF CONTINUING GARNISHMENT.
_______________________________COURT, _________________________COUNTY _________________________, COLORADO
CASE NO. ____________________ DIV./CT.RM. __________ JUDGMENT DEBTOR’S NAME _______________________________
CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS WORKSHEET
PLAINTIFF(S):
DEFENDANT(S):
Gross Pay for _______________ thru _______________
$_________________
Less Deductions Required by Law
-
$_________________
Disposable Earnings
=
$_________________
Less Statutory Exemption
-
$_________________
Net Amount Subject to Garnishment
=
$_________________
Less Wage/Income Assignment (If Any)
-
$_________________
AMOUNT PAID
=
$_________________
I affirm that I am authorized to act for the Garnishee, the above Calculation is true and correct, and I have delivered a copy of this
Calculation to the Judgment Debtor at the time earnings were paid for the above period.
Date: _________________________
Signature: _____________________________________________
CUT ALONG THE DOTTED LINE AND MAIL WITH EACH CHECK TO THE PARTY DESIGNATED IN PARAGRPH “e” ON FRONT OF
WRIT OF CONTINUING GARNISHMENT.
_______________________________COURT, _________________________COUNTY _________________________, COLORADO
CASE NO. ____________________ DIV./CT.RM. __________ JUDGMENT DEBTOR’S NAME _______________________________
CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS WORKSHEET
PLAINTIFF(S):
DEFENDANT(S):
Gross Pay for _______________ thru _______________
$_________________
Less Deductions Required by Law
-
$_________________
Disposable Earnings
=
$_________________
Less Statutory Exemption
-
$_________________
Net Amount Subject to Garnishment
=
$_________________
Less Wage/Income Assignment (If Any)
-
$_________________
AMOUNT PAID
=
$_________________
I affirm that I am authorized to act for the Garnishee, the above Calculation is true and correct, and I have delivered a copy of this
Calculation to the Judgment Debtor at the time earnings were paid for the above period.
Date: _________________________
Signature: _____________________________________________
CUT ALONG THE DOTTED LINE AND MAIL WITH EACH CHECK TO THE PARTY DESIGNATED IN PARAGRPH “e” ON FRONT OF
WRIT OF CONTINUING GARNISHMENT.
CRCP NO. 27 6/00
CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS

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