(1) Person Filing: Mailing Address: City, State, Zip Code: Daytime Phone:_________________ Alternate Phone:_____________________ Representing: [ ] Self [ ] Attorney [ ] Other State Bar No. (if applicable): (2) [ ] JUSTICE COURT __________________________, COUNTY OF ______________________________________ (3) [ ] MUNICIPAL COURT________________________, COUNTY OF ______________________________________ (4) [ ] ARIZONA SUPERIOR COURT, COUNTY OF ______________________________________________________ (5) Petitioner/Plaintiff [ ] Judgment Creditor [ ] Judgment Debtor Name: Address: City, State, Zip Code: (8) Case No.:___________________________ Phone(s): (6) Respondent/Defendant [ ] Judgment Debtor [ ] Judgment Creditor Name: ________________________________________________ Address:_______________________________________________ City, State, Zip Code: ____________________________________ Phone(s): ______________________________________________ APPLICATION FOR ORDER OF CONTINUING LIEN (EARNINGS) (A.R.S. §§ 12-1598.10) (7) Garnishee: Name: Address: City, State, Zip Code: Phone(s): Attorney: 1. I am the judgment creditor, and I request that the Court issue an Order of Continuing Lien directing the garnishee to pay me all the judgment debtor’s nonexempt earnings beginning on the pay period in which the Writ was served and continuing as a lien on the judgment debtor’s nonexempt earnings until further order of the Court. 2. The Writ was served on the garnishee on (9) _________________________________________, and the Garnishee’s Answer was filed on (10) _______________________________________________. FORM 3 APP FOR CONT LIEN - EARNINGS Page 1 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com Case No. (8) _______________________________ 3. It appears from Garnishee’s Answer that: (11) (Check all boxes that apply and fill in blanks for each box checked) [ ] Judgment debtor is or was an employee of garnishee. [ ] Garnishee owed earnings to judgment debtor when the Writ was served. [ ] Earnings would be owed within 60 days after the Writ was served. 4. I am entitled to (12) $ _____________________ for the cost of issuing the Writ as stated on the affidavit of service. 5. No timely written objections have been filed or any objections have been overruled. (13) (14) Copy provided to judgment debtor on: Copy provided to garnishee on: Date: Date: By: [ ] Mail [ ] Hand delivery (15) __________________________ Date FORM 3 APP FOR CONT LIEN - EARNINGS By: [ ] Mail [ ] Hand delivery ________________________________________________ Judgment Creditor or Authorized Agent Page 2 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com