In The State Court of Chatham County, Georgia 133 MONTGOMERY STREET, SUITE 308, SAVANNAH, GEORGIA 31401 www.statecourt.org PHONE (912) 652-7573 • FACSIMILE : (912) 652-7229 finance@statecourt.org TELEPHONE: (912) 652-7224 ∙ FACSIMILE: (912) 652-7229 clerk@syayecourt.org _____________________________________________ _____________________________________________ Garnishment #____________________ Plaintiff Versus _____________________________________________ _____________________________________________ Defendant/Social Security # ______________________ _____________________________________________ _____________________________________________ Garnishee AFFIDAVIT FOR CONTINUING GARNISHMENT FOR SUPPORT OF A FAMILY MEMBER PERSONALLY APPEARED the undersigned Affiant who upon oath says that he/she is the above Plaintiff, Agent, or his Attorney at Law for the said Plaintiff, and that Affiant has personal knowledge that the above Defendant is in arrears on the obligation of support in an amount equal to or in excess of one month's obligation as decreed on the Judgment described as follows: 1. Case number of said Judgment is _________________. Judgment was obtained in the _________________ Court of ___________________________ County, and is for the periodic support of a family member as defined by O.C.G.A. 18-4-131(5). Plaintiff believes that Garnishee is or may be an employer of Defendant or otherwise subject to a Writ of Continuing Garnishment for Support of a Family Member as defined by O.C.G.A. 18-4-131(3). A certified copy of said Judgment is attached to the original hereof. 2. ________________________ is the amount of arrearage due as of the date of this Affidavit. The periodic amount of support due under said Judgment for each Obligee named therein is as follows: Periodic Amount Due $____________ $____________ $_____________ $____________ Frequency Due ____________ ____________ ___________ ____________ Obligee ______________________________________ ______________________________________ ______________________________________ ______________________________________ Termination Date of Obligation ____________ ____________ ____________ ____________ for a total of ___________ per____________ due under the terms of said Judgment plus Court Costs. Affiant states that the foregoing computations take into account the possible attainment of majority, emancipation or death of each Obligee. APPROVED: This _____ day of __________________ 200__. _______________________________________________ Judge/Deputy Clerk Notary Public CLEAR _______________________________________________ Affiant Sworn to and subscribed before me this _______ day of _______________, 200__. American LegalNet, Inc. www.FormsWorkflow.com My Commission Expires:____________________________ 2 - AFFIDAVIT FOR CONTINUING GARNISHMENT FOR SUPPORT OF A FAMILY MEMBER