IN THE MAGISTRATE COURT OF BIBB COUNTY STATE OF GEORGIA PLAINTIFF CURRENT CIVIL ACTION FILE NO. ADDRESS ORIGINAL CIVIL ACTION FILE NO. VS. COURT WHERE ORIGINAL JUDGMENT ENTERED: DEFENDANT ADDRESS PLAINTIFF’S AFFIDAVIT State of Georgia County of BIBB . ,being first duly sworn on oath or affirmation, states that interrogatories in the above-styled action are propounded in aid of a judgment or execution issued by a court in this state upon which the unpaid balance does not exceed $15,000.00. PLAINTIFF OR AGENT Sworn and subscribed before me This day of , . NOTARY PUBLIC OR ATTESTING OFFICIAL NOTICE YOU ARE REQUIRED TO PROVIDE COMPLETE ANSWERS TO THE BELOW STATED QUESTIONS TO THE PLAINTIFF WITHIN 30 (THIRTY) DAYS AFTER SERVICE OF THESE INTERROGATORIES UPON YOU. IF YOU DO NOT ANSWER, OR DO NOT ANSWER COMPLETELY YOU MAY BECOME SUBJECT TO THE SANCTIONS PROVIDED BY LAW FOR CONTEMPT OF COURT. IF YOU NEED FURTHER INSTRUCTIONS OR IF YOU NEED ASSISTANCE IN ANSWERING THE QUESTIONS CONTACT THE COURT AT ONCE. Witness the Honorable WILLIAM C. RANDALL , Judge of said Court. DEPUTY CLERK, MAGISTRATE COURT OF BIBB COUNTY INTERROGATORIES The plaintiff in the above styled action requests that you answer the following interrogatories separately, fully, and under oath and serve such answers on said plaintiff at plaintiff’s address shown above by mail or hand delivery within 30 (thirty) days after the service of these interrogatories. OVER American LegalNet, Inc. www.FormsWorkFlow.com (2) MAGISTRATE COURT POST JUDGMENT INTERROGATORIES 1. List the name, address and phone number of your employer(s). 2. Describe and state the location of each piece of real estate in which you own any interest. 3. Give the name, address and a description of the nature of any business venture in which you own any interest. 4. List the names, addresses and phone numbers of all persons who owe money to you and specify the amounts owed. OVER American LegalNet, Inc. www.FormsWorkFlow.com (3) 5. List the names and addresses of all banks or savings institutions where you have any sums of money deposited and identify the accounts by number. 6. List and give the present location of all items of personal property owned by you that have a value of more than $10.00 (ten dollars). If you need more space attach additional page(s). VERIFICATION STATE OF GEORGIA, COUNTY OF: . , being first duly sworn on oath, says that the foregoing are true and complete answers to the interrogatories propounded by the plaintiff to defendant. Sworn and subscribed before me This day of , . NOTARY PUBLIC OR ATTESTING OFFICIAL DEFENDANT CERTIFICATE OF SERVICE This is to certify that I have served the plaintiff with a copy of this Post Judgment Interrogatories by mailing a copy to (him) (her) in a properly addressed envelope with sufficient postage affixed to insure delivery by CERTIFIED MAIL. So certified this day of , AFFIANT American LegalNet, Inc. www.FormsWorkFlow.com .