Arizona Supreme Court Page 1 of 2 AOC CVGE13F-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 N umber: GARNISHEE222S NONEXEMPT EARNINGS STATEMENT (Support Judgment) (A.R.S. 247 12-1598.16(K)) 1. This non-exempt earnings statement covers the following pay period: (8) to . 2. Do you currently employ the judgment debtor? (9) [ ] Yes [ ] No American LegalNet, Inc. www.FormsWorkFlow.com Case Number: (7) Arizona Supreme Court Page 2 of 2 AOC CVGE13F-100518 3. If no, what was the last date on which the judgment debtor worked for you? (10) . 4. Do you owe the judgment debtor any earnings for this pay period? (11) [ ] Yes [ ] No WITHHOLDING WORKSHEET Judgment debtor222s gross earnings (pre - tax) for this pay period (12) $ Judgment debtor222s deductions required by law (13) $ Judgment debtor222s disposable income: line (12) minus line (13) (14) $ Enter 50 % of line (14) (15) $ Enter amounts withheld pursuant to a garnishment or levy served before this garnishment that was for support of a person (16) $ Enter amounts withheld pursuant to a garnishment or levy served before this garnishment that was not for support of a person (17) $ Line (16) plus line (17) (18) $ Line (15) minus line (18) (19) $ Line (19) minus $5 (20) $ The amount shown on line (19) is the amount you should withhold for this pay period. The amount shown on line (20) is the amount you deliver to the judgment creditor. (21) (22) Copy provided to judgment debtor on: Date: By: [ ] Mail [ ] Hand delivery Copy provided to judgment creditor on: Date: By: [ ] Mail [ ] Hand delivery (23) Date Garnishee or Authorized Agent American LegalNet, Inc. www.FormsWorkFlow.com