(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: ____________________________________ APPLICATION FOR WRIT OF GARNISHMENT (EARNINGS) (A.R.S. §§ 12-1598 through -1598.17) Phone(s): ______________________________________________ (7) Garnishee: Name: Address: City, State, Zip Code: Phone(s): Attorney: 1. I am the judgment creditor. I was awarded a money judgment or order against the judgment debtor. 2. I have asked the judgment debtor to pay, and the judgment debtor has not paid. FORM 1 APP WRIT GARN Page 1 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com Case No. (8) _______________________________ 3. The amount of the outstanding balance on the judgment or order, including accrued interest and allowable costs, is (9) $______________________________. Interest accrues at the rate of (10) ______% per (11) __________________. The cost of serving the Writ of Garnishment will be shown on the Affidavit of Service and may be added to the Judgment along with allowable costs. 4. I believe garnishee employs judgment debtor or owes or will owe judgment debtor disposable earnings within 60 days. 5. I have provided garnishee name and address in (7). 6. The statement checked below is true: (12) (check one) [ ] I have not been notified that judgment debtor intends to sign an agreement for debt scheduling. [ ] I was notified that judgment debtor intends to sign an agreement for debt scheduling, but I objected timely in writing, therefore I am not subject to the debt scheduling. [ ] Judgment debtor signed an agreement for debt scheduling, but I was notified that the agreement is not good anymore. 7. I have attached a completed Writ of Garnishment and Summons form and ask that the Writ be issued. (13) __________________________ Date FORM 1 APP WRIT GARN ________________________________________________ Signature of Judgment Creditor or Authorized Agent Page 2 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com