Arizona Supreme Court Page 1 of 2 AOC CVGE15F-100518 (1) [ ] JUSTICE COURT , COUNTY OF (2) [ ] MUNICIPAL COURT , COUNTY OF (3) [ ] ARIZONA SUPERIOR COURT, COUNTY OF (4) Petitioner/Plaintiff [ ] Judgment Creditor [ ] Judgment Debtor Name: Address: City, State, Zip Code: Email Address: Phone(s): (5) Respondent/Defendant [ ] Judgment Debtor [ ] Judgment Creditor Name: Address: City, State, Zip Code: Email Address: Phone(s): (6) Garnishee: Name: Address: City, State, Zip Code: Email Address: Phone(s): Attorney: (7) Case Number: CREDITOR222S GARNISHMENT REPORT (A.R.S. 247 12-1598.12) This report covers the period from (8) to . American LegalNet, Inc. www.FormsWorkFlow.com Case Number: (7) Arizona Supreme Court Page 2 of 2 AOC CVGE15F-100518 I received these payments during this period (9) (attach list if necessary) Date Amount Judgment balance at beginning of period (10) $ Total credited to the judgment balance this period (11) $ Interest accrued during this period (12) $ Total outstanding balance at end of period (13) $ The following statements apply: (14) (Check all that apply.) [ ] Balance due is $500 or less. [ ] Balance due is less than double the amount received in the last two pay periods. [ ] Garnishee should stop withholding earnings. (15) (16) (17) Date Judgment Creditor or Authorized Agent Copy provided to judgment debtor on: Date: By: [ ] Mail [ ] Hand delivery Copy provided to garnishee on: Date: By: [ ] Mail [ ] Hand delivery American LegalNet, Inc. www.FormsWorkFlow.com