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 FOR SUPPORT Personally appeared oath says: 1. I am the (Plaintiff) (Print name), who on (Attorney at Law 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. The Affiant states that the Defendant is in arrears on the obligation for support in an amount equal to or in excess of one month's obligation as decreed in the judgment for support and provides the following information: $ is the amount of arrearage which exists under the judgment as of the execution of this affidavit. Check one of the boxes below and complete the requested information: A. Periodic support is owed for one obligee, or the judgment sets forth a total amount of periodic support for multiple obligees as follows: $ is the total amount of periodic support due for (Name of obligee), and (Name of obligee) (Name of obligee). Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Such periodic support is payable on a The termination date of the obligation for periodic support is basis. (E.g., weekly, monthly). (Date: Month, Day, year). B. Periodic support is owed for multiple obligees, and the judgment sets forth a different amount of periodic support for each obligee as follows: $ is the total amount of periodic support due for _________________ (Name of obligee), payable on a (check one) weekly monthly basis, and the termination date of such obligation is (month day, year) $ is the total amount of periodic support due for _________________ (Name of obligee), payable on a (check one) weekly monthly basis, and the termination date of such obligation is (month day, year) $ is the total amount of periodic support due for _________________ (Name of obligee), payable on a (check one) weekly monthly basis, and the termination date of such obligation is (month day, year) 4. Check this box and attach a certified copy of the judgment for support hereto. 5. Upon the Affiant's personal knowledge or belief, the sum stated herein is unpaid. 6. The Affiant believes that the Garnishee is an employer of the Defendant. This day of , 20 . Sworn to and subscribed before me this 20 . Notary Public OR Deputy Clerk day of Signature of Affiant Print name of Affiant Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com