(1) [ ] JUSTICE COURT (2) [ ] MUNICIPAL COURT , COUNTY OF ______________________________________ , COUNTY OF ______________________________________ (3) [ ] ARIZONA SUPERIOR COURT, COUNTY OF _______________________________________________________ (4) Petitioner/Plaintiff [ ] Judgment Creditor [ ] Judgment Debtor Name: Address: City, State, Zip Code: Phone(s): (5) Respondent/Defendant [ ] Judgment Debtor [ ] Judgment Creditor Name: ________________________________________________ Address:_______________________________________________ City, State, Zip Code: ____________________________________ Phone(s): ______________________________________________ (7) Case No.:___________________________ CREDITOR'S GARNISHMENT REPORT (A.R.S. § 12-1598.12) (6) Garnishee: Name: Address: City, State, Zip Code: Phone(s): Attorney: This report covers the period from (8) _______________________ to ________________________. I received these payments during this period (9) (attach list if necessary) Date ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ Amount ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ FORM 15 CREDITOR GARN RPT Page 1 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com Case No. (7)_______________________________ Judgment balance at beginning of period . . . . . . . Total credited to the judgment balance this period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest accrued during this period . . . . . . . . . . . . . Total outstanding balance at end of period. . . . . . . (10) $___________________ (11) $___________________ (12) $___________________ (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) Copy provided to judgment debtor on: Date: By: [ ] Mail [ ] Hand delivery (16) Copy provided to garnishee on: Date: By: [ ] Mail [ ] Hand delivery (17)________________________ Date ________________________________________________ Judgment Creditor or Authorized Agent FORM 15 CREDITOR GARN RPT Page 2 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com