COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . .FOR . . . . . . . . . INSTUCTIONS . . . . . GARNISHMENT OF : Index No. WAGES Complete Section “A” by following the numbers accordingly on the form. : Calendar No. 1. Berea Court Case Number : JUDICIAL SUBPOENA Plaintiff(s) 2. Judgment Creditor Name (Plaintiff’s Name) 3. Judgment Debtor Name (Defendant’s Name) -against4. I.D. for Judgment Debtor (the Defendant’s Social: Security Number) 5. Judgment Creditor or Attorney (if any) Name, Address and Telephone Number : 6. Judgment Creditor/Plaintiff Name 7. Date of Judgment : 8. Amount of Judgment 9. Interest Rate of Judgment Defendant(s) 10. Interest Amount Due : . . . . . . . . . . . . . . . . . .Total. Court .Costs. Due . . . . . . . . . . . . . . . . . . . . 11. . . . . . . . . . . . . . 12. Amount Received on Judgment to Date 13. Total Amount Currently Due 14. Signature of Judgment Creditor/Plaintiff; signature must be witnessed by Notary or Deputy Clerk THE PEOPLE OF THE the Berea OF NEW Court of STATE Municipal YORK 15. Notary/Deputy Clerk Signature 16. Complete Name and Address of Judgment Debtor/Defendant Employer TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY . ORDER . . . . . . . . . . . . . . . GARNISHMENT . . . . . . . . . .OF. . . . . . . .AND .NOTICE.OF . . . . . . . . . . . . . . . . . . AND ANSWER OF EMPLOYER – SECTION : BEREA MUNICIPAL COURT RAYMOND J. WOHL, CLERK OF COURTS Plaintiff(s) 11 BEREA COMMONS -againstBEREA, OHIO 44017 : Calendar No. : JUDICIAL SUBPOENA : : The State of Ohio Index No. A Clerk’s Filed Date Stamp CASE NO. ____________________ : ___________________________vs. ___________________________________ Judgment Creditor Judgment Debtor Defendant(s) : . . . . . . . . . . . County of Cuyahoga .SS. . . . . . . . . . . . . . . . . . . . . . . . . ................ .. ______________________________________________________________ I.D. for Judgment Debtor Judgment Creditor or Attorney for Judgment Creditor: Name:_________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK _ Address:________________________________________________________________________ TO City, State & Zip Code:____________________________________________________________ Telephone:______________________________________________________________________ Before me, the undersigned Notary Public or Deputy Clerk of the Berea Municipal Court, personally appeared __________________ Who being first duly sworn according to law, says that he is the JUDGMENT CREDITOR or ATTORNEY for JUDGMENT GREETINGS: CREDITOR herein and that said Judgment Creditor heretofore, on the __________(date) duly recovered judgment before the Berea Municipal Court against said Judgment Debtor which remains unsatisfied. WE COMMAND YOU, that all business and excusesOF JUDGMENT $__________________________ attend before being laid aside, you and each of you AMOUNT , the Honorable at the Court Including INTEREST TO DATE (interest rat=_______%) + $__________________________ located at County of Plus UNPAID COURT COSTS TO DATE including the cost of this processing + $__________________________ Minus AMOUNT RECEIVED on Judgment - $__________________________ in room , on the day of , 20 , at o'clock in the noon, and at AMOUNT NOW DUE = $__________________________ any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the The affiant has good reason to believe and does believe that the Garnishee named in Section A of this form is an employer of the Judgment Debtor who has personal earnings of the Judgment Debtor that are not exempt under section 2329.66 of the Ohio Revised Code. And that a true copy of the Demand required by Sec. 2716.02 O.R.C. has been made and a true copy of said Demand which was made is attached hereto; the payment demanded in said Demand has not been made, nor has a sufficient portion been made to prevent the to comply personal earnings as described in section 2716.02 contempt of court The will has no Your failure garnishment of with this subpoena is punishable as aof the Ohio Revised Code. and affiantmake you liable to knowledge of any application by the Judgment Debtor for the appointment of a trustee so as to preclude the garnishment of the the party on whose behalf this subpoenaand hasissued for a maximumwhich this affidavit pertains is subject to a debt Judgment Debtor’s personal earnings was no knowledge that the debt to penalty of $50 and all damages sustained as a result of yourschedulingto comply.such a nature that is precludes the garnishment of the personal earnings of the Judgment Debtor under section failure agreement of 2716.03(B) of the Ohio Revised Code. Sworn Honorable Witness,to and subscribed before me _________________________ (date) Court in County, day of , 20 ________________________________________________ , one of the Justices of the Affiant’s Signature _____________________________________________ Notary Public or Deputy Clerk SECTION A: COURT ORDER AND NOTICE OF GARNISHMENT TO: GARNISHEE (employer) (Attorney must sign above and type name below) Employer Name _________________________________________________________________ Address:________________________________________________________________________ Attorney(s) for City, State & Zip Code ____________________________________________________________ The Judgment Creditor in the above case has filed an affidavit, satisfactory to the undersigned, in this court stating that you owe the Judgment Debtor money for personal earnings and that some of that money may not be exempt from garnishment under the laws of the State of OhioP.O. Address the United States. Office and or the Laws of You are therefore ordered to complete the ‘ANSWER OF EMPLOYER (GARNISHEE)” in Section B of the attached form. Return one COMPLETED and SIGNED copy of this form to the Clerk of this Court within five (5) business days after you received this Order of Garnishment. Deliver one completed and signed copy of Section B and the accompanying documents Telephone No.: entitled “NOTICE TO THE JUDGMENT DEBTOR” and “REQUEST FOR HEARING” to the Judgment Debtor. Keep the other completed and signed copy of this form for your files. Facsimile No.: E-Mail Address: The original and two copies to be filed with the Court. Original for the Court – 2 copies mailed to Employer. Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. The total probable amount now due on this judgment is $___________. The total probable amount now due includes the unpaid portion of the judgment in favor of the Judgment Creditor, which is $________________; interest on that judgment and, if : applicable, prejudgment interest relative to that judgment at the rate of _________% per annum payable until that judgment is satisfied Calendar No. In full; and the court costs in the amount of $ ________________. : This Order of Garnishment of Personal Earnings is a continuous order that generally requires you to withhold a specified Plaintiff(s) amount, calculated each pay period at the statutory percentage, of the Judgment Debtor’s personal disposable earnings during each pay period, as determined in accordance with the “INTERIM REPORT AND ANSWER OF GARNISHEE” from the Judgment -against: Debtor’s personal order until the judgment in favor of the Judgment Debtor commencing with the first full pay period beginning after you receive the interest awarded to the Judgment Creditor as described above have been paid in full. You generally must pay that specified amount, calculated each pay period at the statutory percentage, : the Clerk of this Court within thirty (30) days after the end to of each pay period of the Judgment Debtor and must include with that specified amount calculated each pay period at the statutory percentage an “INTERIM REPORT AND ANSWER OF GARNISHEE” substantially in the form set forth in section 2716.07 of : the Ohio Revised Code. A copy of the “INTERIM REPORT AND ANSWER OF GARNISHEE” is attached to this Order of Garnishment of Personal Earnings, and you may photocopy it to use each time you pay the specified amount to the clerk of this court. You are permitted to deduct a processing feeDefendant(s) of up to three dollars ($3.00) from the Judgment Debtors personal disposable earnings : . for any.pay. period of.the.Judgment.Debtor that.an .amount was.withheld for that order (the processing fee is not a part of the court .... . ..... . ..... ...... . ...... ...... costs). You are not required to file with the court the “INTERIM REPORT AND ANSWER OF GARNISHEE” for any pay period of the judgment debtor for which an amount from the Judgment Debtor’s personal disposable earnings during that pay period was not withheld for that order. JUDICIAL SUBPOENA .......... This Order of Garnishment of Personal Earnings generally will remain in effect until one of the following occurs: THE PEOPLE OF THE STATE OF NEW YORK TO (1). The total probably amount due on the judgment as described above is paid in full as a result of your withholding of the specified amount, calculated each pay period at the statutory percentage, from the Judgment Debtor’s personal disposable during each pay period of the Judgment Debtor that commenced with the first full pay period beginning after you received the order. (2). The Judgment Creditor or the Judgment Creditor’s Attorney files with this Court a written notice that the total probable amount due to the judgment as described above has been satisfied or the Judgment Creditor or the Judgment Creditor’s Attorney files a written request to terminate this Order of Garnishment and release you from the mandate of this Order of Garnishment. GREETINGS: (3). A Municipal or County Court appoints a trustee for the Judgment Debtor and issues to you an order that stays this Order of Garnishment of Personal Earnings. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before (4). Garnishment of Personal Earnings. , the Honorable A Federal Bankruptcy Court issues to you an orderthe stays this Order ofCourt at that County of (5). A Municipal or County locateda at of Common Pleas issues to you another Order of Garnishment of Personal Earnings that Court or Court in room , the Judgment Debtor and a different Judgment Creditor,at Ohio or Federal Law provides the noon, and ataany recessed day of , 20 , and o'clock in the relates toon the other order with higher priorityto testify and give evidence as a witness in this action on the part of the than this order. or adjourned date, (6). A Municipal or County Court or a Court of Common Pleas issues to you another Order or Garnishment of Personal Earnings that relates to the Judgment Debtor and a different Judgment Creditor and that does not have a higher priority than this order. (7). The Judgment Creditor or the Judgment Creditor’s Attorney request Your failure to comply with Order of Garnishment will ceasefiles a writtencontempt of court and will Order of you liable to this subpoena is punishable as a effect. to terminate and release the make Garnishment, and as a result, the to remain in the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Under any of result of your failure to comply.the circumstances listed above, you are required to file with this court a “FINAL REPORT AND ANSWER OF THE GARNISHEE” substantially in the form set forth in section 2716.08 of the Ohio revised code. A copy of the “FINAL REPORT AND ANSWER OF GARNISHEE” is attached to this order of garnishment of personal earnings. Under the circumstances listed in Witness,within which the(5) and (6) above, you must cease processingyou began processing it falls. the Justices of the full pay Honorable one hundreds eighty-second (182) day after this Order of Garnishmentof the expiration of the , one after period Court in County, day of , 20 Special stacking, priority of payment, and manner of payment rules to apply when a garnishee receives multiple Orders of Garnishment with respect to the same Judgment Debtor. These rules are set for in section 2716.041 of the Ohio revised code. An EMPLOYER GUIDE TO PROCESSING CONTINUOUS ORDERS OF GARNISHMENT is included with this Order of Garnishment. You should become familiar with these rules. (Attorney must sign above and type name below) Witness my hand and the seal of this court on this date of _____________________________________________. Attorney(s) for _______________________________________________________________________ Office and P.O. Address JUDGE MARK A. COMSTOCK, BEREA MUNICIPAL COURT Garnishment Form Section A: 08/2000 (O.R.C. 2716.05) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com