CIRCUIT/COUNTY COURT, PINELLAS COUNTY, FLORIDA CIVIL DIVISION UCN: ___________________________________ Reference No.: ___________________________________ ______________________________________________________________ ______________________________________________________________ Plaintiff(s) vs. ______________________________________________________________ ______________________________________________________________ Defendant(s) PREJUDGMENT WRIT OF GARNISHMENT THE STATE OF FLORIDA: To each Sheriff of the State: YOU ARE COMMANDED to summon garnishee, ___________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ to serve an answer to this writ on __________________________________________________________________ ______________________________________________________________________________________________ plaintiff’s attorney(s) whose address is ________________________________________________________________________________ ______________________________________________________________________________________________ within 20 days after service on the garnishee, exclusive of the day of service, and to file the original with the Clerk of the Court either before service on the attorney(s) or immediately thereafter, stating whether the garnishee is indebted to defendant, _____________________________________________________________ ______________________________________________________________________________________________ at the time of the answer or was indebted at the time of service of the writ, or at any time between such times, and in what sum and what tangible and intangible personal property of the defendant the garnishee has in his possession or control at the time of the answer or had at the time of service of this writ, or at any time between such times, and whether the garnishee knows of any other person indebted to the defendant or who may have any of the property of the defendant in his possession or control. The amount set in the plaintiff’s motion is $ ___________________________________ plus interest and costs of this proceeding. Dated on ___________________________ , 20 ____ . KEN BURKE Clerk of the Circuit Court (seal) By: ___________________________________________ Deputy Clerk NOTE: In Pinellas County information regarding the Federal Wage Garnishment Law can be obtained from: U. S. Department of Labor Wage and Hour Division 1211 North Westshore Blvd., Room 402 Tampa, Florida 33607 (727) 228-2751 NOTICE TO DEFENDANT: The defendant has a right to an immediate hearing for dissolution of this writ, which has been issued by the Clerk on Order of the Court pursuant to Florida Statute 77.07. I hereby certify that I have mailed a copy of this writ to the defendant(s) at the address listed in the complaint by regular U.S. Mail this date, from the Courthouse at Clearwater, Florida. Dated on _________________________ 20 ____ . KEN BURKE Clerk of the Circuit Court (seal) By: ___________________________________ Deputy Clerk CTCIV94/COCIV41/SC93 (Rev. 1/04/05) CTCIV94 1/05 American LegalNet, Inc. www.FormsWorkflow.com