(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:_______________________________________________ PETITION FOR ORDER DISCHARGING GARNISHEE (EARNINGS) City, State, Zip Code: ____________________________________ Phone(s): ______________________________________________ (7) Garnishee: Name: Address: City, State, Zip Code: Phone(s): Attorney: I am the judgment creditor or authorized agent of the judgment creditor in this action. The garnishee should be discharged. (9) (Check the box that applies) [ ] The Garnishment Judgment has been satisfied. [ ] The Garnishment Judgment has not been satisfied. (10) (11) Copy provided to judgment debtor on: Copy provided to garnishee on: Date: Date: By: [ ] Mail [ ] Hand delivery (12)_________________________ Date By: [ ] Mail [ ] Hand delivery _________________________________________________________ Judgment Creditor or Authorized Agent FORM 19 PETITION FOR ORDER DISCHARGING GARNISHEE - EARNINGS 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com