(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 NONEXEMPT EARNINGS STATEMENT (A.R.S. § 12-1598.16(J)&(K)) (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 attached Garnishee’s Nonexempt Earnings Statement because: (9) (Check all that apply) [ ] The Nonexempt Earnings Statement is incorrectly filled out. FORM 14 REQ HEARING EARN STMT Page 1 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com Case No. (8)_______________________________ [ ] Other: (10) ______________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ (11) (12) 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 (13) ___________________________________ between 8 a.m. and 5 p.m. regarding the hearing, if necessary. (phone) (14) __________________________ (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 the Garnishee’s Nonexempt Earning Statement, unless you show good reason for the delay. FORM 14 REQ HEARING EARN STMT Page 2 of 2 5/17/07 American LegalNet, Inc. www.FormsWorkflow.com