(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(F)) (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 11 HEAR REQ 12-1598.16(F) Page 1 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com Case No. (8)_____________________________________ [ ] The judgment has been paid in full. [ ] Garnishee’s Answer is incorrect. [ ] My earnings are already subject to a Writ of Garnishment or court-ordered assignment for payment of support. [ ] Other: (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 11 HEAR REQ 12-1598.16(F) Page 2 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com