(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: ____________________________________ Phone(s): ______________________________________________ REQUEST FOR HEARING ON GARNISHMENT (EARNINGS) (A.R.S. § 12-1598.16(C)) (7) Garnishee: Name: Address: City, State, Zip Code: Phone(s): Attorney: I am the judgment debtor or I represent the judgment debtor in this action. I want a hearing on the garnishment of earnings from this garnishee because: (9) Check all that apply [ ] The judgment creditor does not have a valid judgment against me because (10)___________________ __________________________________________________________________________________ __________________________________________________________________________________. FORM 8 HEAR REQ 12-1598.16 (C) - EARNINGS Page 1 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com Case No. (8)_______________________________ [ ] The judgment has been paid in full. [ ] On my normal payday, I received no earnings (paycheck). [ ] I did not get a copy of the nonexempt earnings statement with my paycheck. [ ] My employer did not deliver to me, within 15 days of when my employer was served with the Writ of Garnishment, one or more of the following documents: Notice to Judgment Debtor Garnishee’s Answer Request for Hearing [ ] My debt to this judgment creditor is subject to a qualified debt scheduling agreement with (11) _____________________________________________________________________________. (12) (13) Copy provided to judgment creditor on: Copy provided to garnishee on: Date: Date: By: [ ] Mail By: [ ] Hand delivery [ ] Mail [ ] Hand delivery The Court can call me at (14) ___________________________________ between 8 a.m. and 5 p.m. regarding the hearing, if necessary. (phone) (15)_________________________ (Date) _________________________________________________________________ Judgment Debtor or Authorized Agent WARNING TO JUDGMENT DEBTOR: To request a hearing, this document, or one similar, must be received by the Court within 10 business days after you receive Garnishee’s Answer, unless you show good reason for the delay. FORM 8 HEAR REQ 12-1598.16 (C) - EARNINGS Page 2 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com