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Garnishee'S Statement

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ONTARIO

Garnishee’s Statement

Superior Court of Justice

Form 20F Ont. Reg. No.: 258/98

Small Claims Court

Claim No.

Address

Phone Number

BETWEEN

Creditor(s)

and

Debtor(s)

Name of Garnishee

(Full legal name of garnishee)

A Notice of Garnishment was issued on

, 20

, naming me/us as garnishee in relation to the debtor

(Name of debtor)

I/WE DO NOT OWE and do not expect to owe to the debtor the amount set out in the Notice of Garnishment for the following

reason(s):

I/WE OWE OR WILL OWE the debtor (or the debtor and one or more co-owners), wages or periodic payments based on the

terms explained below:

(State the amount(s) and how often the debtor is paid. If the debtor is paid wages, state the gross amount of the debtor's wages before any

deductions required by law and the net amount after those deductions, and attach a copy of a pay slip. If you owe or will owe the debtor a

lump sum, state when and how much will be paid.)

Les formules des tribunaux sont affichées en anglais et en français sur le site

Visitez ce site pour des renseignements sur des formats

accessibles.

RSCC-20F-E (2014/01)

Continued on next page

Garnishee'S Statement

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