STATE OF INDIANA COUNTY OF HENRY _______________________________, Plaintiff(s) _______________________________, Defendant(s) IN THE HENRY CIRCUIT COURT NO. 3 Henry Circuit Court No. 3 1215 Race St. New Castle, IN 47362 CAUSE NO. 33C03- SUMMONS TO GARNISHEE DEFENDANT The State of Indiana to Garnishee Defendant(s),__________________________________ __________________________________ __________________________________ You have been named by the person named "Plaintiff(s)", stated above as Garnishee Defendant(s). The nature of the proceedings against you appears in the motion and order of the Court attached to this summons. Failure to Comply with the order of the Court, attached hereto, may result in contempt. You have been ordered by the Court to answer interrogatories as to whether or not Defendant,__________________________,is employed by you. Failure to do so may result in a default judgment against with respect thereto. Any claim or defense you may have in response to the Plaintiff's motion and the Court's order may be raised without answer. You are to return the interrogatories by___________________________. Dated:___________________________ _________________________________ Clerk, Henry Circuit Court No. 3 American LegalNet, Inc. www.FormsWorkFlow.com