Arizona Supreme Court Page 1 of 2 AOC CVGE14F-100518 (1) Person Filing: Mailing Address: City, State, Zip Code: Email Address: Telephone Number(s): 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: Email Address: Phone(s): (6) Respondent/Defendant [ ] Judgment Debtor [ ] Judgment Creditor Name: Address: City, State, Zip Code: Email Address: Phone(s): (7) Garnishee: Name: Address: City, State, Zip Code: Email Address: Phone(s): Attorney: Case Number: (8) REQUEST FOR HEARING ON NONEXEMPT EARNINGS STATEMENT (A.R.S. 247 12-1598.16(J)&(K)) I am the judgment debtor or I represent the judgment debtor in this action. I want a hearing on the attached Garnishee222s Nonexempt Earnings Statement because: American LegalNet, Inc. www.FormsWorkFlow.com Case Number: (8) Arizona Supreme Court Page 2 of 2 AOC CVGE14F-100518 (9) (Check all that apply) [ ] The Nonexempt Earnings Statement is incorrectly filled out. [ ] Other: (10) (11) (12) Copy provided to judgment creditor on: Date: By: [ ] Mail [ ] Hand delivery Copy provided to garnishee on: Date: By: [ ] Mail [ ] Hand delivery The Court can call me at (13) between 8 a.m. and 5 p.m. regarding the hearing, if necessary. (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 Garnishee222s Nonexempt Earning Statement, unless you show good reason for the delay. American LegalNet, Inc. www.FormsWorkFlow.com