IN THE COUNTY COURT OF POLK COUNTY, FLORIDA CASE NO. ________________ Plaintiff v. Defendant and Garnishee. ____________________/ ANSWER OF GARNISHEE STATE OF FLORIDA COUNTY OF POLK RE: WAGES OF ______________________________________________ The above named Defendant terminated employment on _______________________. The above named Defendant was never employed by Garnishee. If one of the above applies, check the appropriate box and you are not required to complete the remainder of this form, except for signing the form before a notary. The form must be returned within twenty (20) days from the service of the Writ of Garnishment. If the above do not apply, complete this form. ****************************************** ***** This is Garnishee's answer to Writ of Garnishment served on __________________, 20___. Since being served, the Garnishee has delivered to the Defendant, ______________________, only that portion of the Defendant's earnings authorized according to the Court's instructions and the Garnishee further states that the statements in this answer are true and correct. (a) The pay period for the Defendant is: weekly semi-monthly other ________________ bi-weekly monthly Designate one (b) This answer covers earnings for pay period beginning on ____________, 20___, and ending on ___________, 20___, which includes the day on which the Writ of Garnishment was served. 2000 © American LegalNet, Inc. (c) ( ) If requesting $5 employer handling fee for first withholding ( ) If requesting $2 employer handling fee for subsequent withholding (d) Total gross earnings due for the above pay period [less employer's handling fee(c)].................................................................$_____________________ (e) Amounts required by law to be withheld for the above pay period: 1. Federal Social Security Tax...........$________ 2. Federal Income Tax.......................$________ 3. Child support or other deductions required by law..............................$________ Describe ________________ ________________________ ________________________ (Do not include voluntary deductions f or life insurance or credit union payments) TOTAL.................................$________________________ (f) Disposable earnings for the above pay period:.................. [subtract (e) from (d)] (g) In accordance with the Court's instructions, the Garnishee has determined that the amount which must be withheld from the Defendant's period:..................................$_________________________ (h) So long as Defendant is owed wages, Garnishee will continue to withhold such other sums as are required by the Court's instructions. wages for this pay _________________________________ 2000 © American LegalNet, Inc. (Correct Garnishee) legal name of _________________________________ Signature of Garnishee Name:____________________________ Title:_____________________________ Address:__________________________ __________________________________ Subscribed and sworn to before me this _____ day of ___________________, 20___. _________________________________ NOTARY PUBLIC (NOTARIAL SEAL) My Commission Expires: CERTIFICATE OF SERVICE I HEREBY CERTIFY that a copy of this answer has been mailed to the Plaintiff at __________________ (insert address), this ____ day of __________, 20___. _________________________________ Phone _____________________ Rev. 06/90 43.doc (01/97) Number 2000 © American LegalNet, Inc. 2000 © American LegalNet, Inc.