FORM 31 SC R 8 /1 8 WRIT OF GARNISHMENT FOR SUPPORT Page 1 of 3 District Court Denver Juvenile Court County, Colorado Court Address: In re The Marriage of: Parental responsibilities concerning: Petitioner: and Co - Petitioner/Respondent: COURT USE ONLY Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Cou rtroom WRIT OF GARNISHMENT FOR SUPPORT 1. Original Amount of Judgment Entered (date) $ JUDGMENT FOR: (Mark Appropriate Box es ) 2. Plus any I nterest Due on Judgment ( currently % per annum) + $ Child Support ONLY (Date of Order ) 3. Taxable Costs (including estimated cost of service of this Writ) + $ Maintenance ONLY 4. Less any Amount Paid - $ Child Support and Maintenance 5. Principal Balance/Total Amount Due and Owing $ Case commenced after 4/30/91 Mark the Appropriate Box Below to Determine the Amount of the Statutory Exemption (MARK ONLY ONE B OX) The Judgment Debtor is supporting a spouse or a dependent child, and the judgment is for a period which is 12 weeks or older The Judgment Debtor is supporting a spouse or dependent child, and the judg ment is for a period which is less than 12 weeks The Judgment Debtor is not supporting a spouse or dependent child, and the judgment is for a period which is 12 weeks or older space on Line c, below). The Judgment Debtor is not supporting a spouse or dependent child, and the judgment is for a period which is less than 12 we I do not know whether the Judgment Debtor is su pporting a spouse or dependent child, but the judgment is for a period which I do not know whether the Judgment Debtor is supporting a spouse or dependent child, but the judgment is fo r a period which VERIFICATION I declare under penalty of perjury under the law of Colorado that I am authorized to act for the Judgment Creditor and the foregoing is true and corr ect . Address City State Zip Code Executed on the day of , , at (date) (m onth) (year) (city or other location, and state OR country Printed name of Authorized Party Signature of Authorized Party (Title, a nd Phone No.) Address City State Zip Code American LegalNet, Inc. www.FormsWorkFlow.com FORM 31 SC R 8 /1 8 WRIT OF GARNISHMENT FOR SUPPORT Page 2 of 3 WRIT OF GARNISHMENT FOR SUPPORT TH E PEOPLE OF THE STATE OF COLORADO to the Sheriff of any Colorado County, or to any person 18 years or older and who is not a party to this action: You are directed to serve A COPY of this Writ of Garnishment for Support upon Garn ishee , with proper return of service to be made to the Court. TO THE GARNISHEE: YOU ARE HEREBY SUMMONED AS GARNISHEE IN THIS ACTION AND ORDERED: a. To answer the following questions under oath and file your answers with the Clerk of the Court (AND to mail a c ompleted copy with your answers to the Judgment Creditor or attorney when a stamped envelope is attached) no less than 7 nor more than 14 days following the time you pay the Judgment Debtor for the first time following service of this Writ or 4 2 days follo wing service of this Writ upon you, whichever is less. YOUR FAILURE TO ANSWER THIS WRIT OF GARNISHMENT FOR SUPPORT MAY RESULT IN THE ENTRY OF A DEFAULT AGAINST YOU. b. To pay any nonexempt earnings to the payee as indicated in section d below no less than 7 n or more than 14 days following each time you pay the Judgment Debtor during the effective period of this Writ and attach a copy of the Calculation of the Amount o f e used for the first pay period, and one of the multiple Calculation forms included with this Writ should be used for all subsequent pay periods). c. The amount of the exemption is % of disposable earnings. d. Payments shall be mailed to the: Family Support Registry Judgment Creditor P. O. Box 2171 Denver, CO 80201 - 2171 Acct #: CLERK OF THE COURT By Deputy C lerk: DATE: NOTICE TO GARNISHEE a. This Writ applies to all nonexempt earnings owed or owing until the Principal Balance/Total Amount Due and Owing (Line 5 on the front of this Writ) has been withheld or the garnishment is released by the court or in writing by the Judgment Creditor. If you are presently under a Writ of Continuing Garnishment or served with such Writ while this Writ of Garnishment for Supp ort is in effect, this Writ takes priority over the other Writs, and this is the only one in force and effect. b. c. The percentage of disposable earnings shown on Line c above is exempt from t his Writ of Garnishment for Support. d. In no case may you withhold any amount greater than the amount on Line 5 on the front of this Writ. QUESTIONS TO BE ANSWERED BY GARNISHEE The following questions MUST be answered by you under oath: a. On the date and time this Writ of Garnishment for Support was served upon you, did you owe or do you anticipate owing any of the following to the Judgment Debtor? (Mark appropriat e box(es)). 1 . WAGES/SALARY/COMMISSIONS/BONUS/OTHER COMPENSATION FOR PERSONAL SERVICES (Earnings) 2. Pension or Retirement Benefits or Health/Accident/Disability/Casualty Insurance Funds or Payments. 3. Workers Compensation Benefits or Payments (For child support in c ases filed after 4/30/91 ONLY) 4. Payments to an Independent Contractor for Labor or Services, Dividends, Severance Pay, Royalties, Monetary Gifts/Prizes, Interest, Trust Income, Annuities, Capital Gains, Rents, or Taxable Distributions from Certain Busines s Entities (For child support orders entered after 6/30/96 ONLY) If you marked any box above, indicate how the Judgment Debtor is paid: WEEKLY BI - WEEKLY SEMI - MONTHLY MONTHLY OTHER b. c. r, if the judgment includes maintenance (as indicated on the front of this Writ) the earnings may be totally exempt, and you should seek legal advice about such exemption. IF THE EARNINGS ARE TOTALLY EXEMPT, PLEASE MARK BOX 5 BELOW: 5. THE EARNINGS ARE TOTALLY EXEMPT BECAUSE . American LegalNet, Inc. www.FormsWorkFlow.com FORM 31 SC R 8 /1 8 WRIT OF GARNISHMENT FOR SUPPORT Page 3 of 3 CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS (First Pay Period) Gross Earnings for the First Pay Period from through $ Plus Tips Reported or Imputed by Federal Law (Child Support Orders after 6/30/96) + $ Less Deductions Required by Law (e.g., Withholding Taxes, FICA) - $ Disposable Earnings (Gross Ea rnings Plus Tips (where applicable) Less Deductions) = $ Less Statutory Exemption (Use percentage shown on Line c in the Wirt portion above ) - $ Net Amount Subject to Garnishment = $ Less Wage/Income Assignment(s) During Pay Period (If Any) - $ Amount to be withheld = $ VERIFICATION I declare under penalty of perjury under the l aw of Colorado that I am authorized to act for the Garnishee and the foregoing is true and correct. Print name of Garnishee Executed on the day of , , at (date) (month) (year) (city or other location, and state OR country Printed name of Person Answering Signature of Person Answering American LegalNet, Inc. www.FormsWorkFlow.com