18-4-71. Affidavit of garnishment.

“IN THE COURT OF COUNTY

STATE OF GEORGIA

)

Plaintiff: )

)

)

Name )

)

Plaintiff’s contact information: )

)

)

Name )

) Civil Action File No.

Street Address )

)

City State ZIP Code )

)

E-mail Address )

)

Phone Number )

)

Bar Number )

)

v. )

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Defendant: )

)

)

Name )

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Street Address )

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City State ZIP Code )

)

Garnishee: )

)

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Name )

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Street Address )

)

City State ZIP Code )

AFFIDAVIT OF GARNISHMENT

□ Check this box if the Garnishee is a financial institution.

□ Check this box if garnishment is for the collection of child

support or alimony. See O.C.G.A. § 18-4-50, et seq.

Personally appeared , who on oath says:

(Print name)

1. I am the (Plaintiff) (Attorney at Law for Plaintiff) (Agent for Plaintiff). [Circle one]

2. The Plaintiff obtained a judgment against the Defendant in Case Number in the

Court of County, , and State

no agreement requires forbearance from the garnishment which is applied for currently.

3. $ is the balance due, which consists of the sum of $ Principal, $ Postjudgment interest, and $ Other (e.g., prejudgment interest, attorney’s fees, costs [exclusive of the cost of this action]).

4. Upon the Affiant’s personal knowledge or belief, the sum stated herein is unpaid.

This day of , 20 .

Affiant Print name of Affiant Sworn to and subscribed before me this day

of , 20 .

Notary Public or Deputy Clerk of Court”