IN THE STATE COURT OF CHATHAM COUNTY, GEORGIA 133 Montgomery St, Suite 501, Savannah, GA, 31401; P.O. Box 9927, 31412 Plaintiff: Plaintiff Contact Information Name Street City E-Mail Address Phone Number vs. Bar Number State Zip Code Case No. Defendant(s) Name, Address, City State Zip Garnishee Name, Address, City State Zip AFFIDAVIT OF CONTINUING GARNISHMENT DO NOT USE THIS FORM FOR A CONTINUING GARNISHMENT FOR CHILD SUPPORT OR ALIMONY SEE O.C.G.A. 18-4-73 Personally appeared (Print Name) who on oath says: 1. I am the (Plaintiff) (Attorney for Plaintiff) (Agent for Plaintiff). [Check one] 2. The Plaintiff obtained a judgment against the Defendant in Case Number , in the Court of County, (State), and no agreement requires forbearance from garnishment which is applied for currently. 3. $ is the balance due, which consists of the sum of $ Principal, $ Post Judgment interest, and $ Other (e.g., prejudgment interest, attorney's fees, costs (exclusive of the cost of this action) 4. Upon the Affiant's personal knowledge or belief, the sum stated herein is unpaid. 5. The Affiant believes that the Garnishee is an employer of the Defendant. This day of , 20 . Signature of Affiant Print name of Affiant Sworn to and subscribed before me this 20 . Notary Public OR Deputy Clerk day of American LegalNet, Inc. www.FormsWorkFlow.com