IN THE STATE COURT OF CHATHAM COUNTY, GEORGIA 133 Montgomery St, Suite 501, Savannah, GA, 31401; P.O. Box 9927, 31412 Case No: Plaintiff(s) Name, Address, City State Zip vs. Defendant(s) Name, Address, , City State Zip Garnishee Name, Address, , City State Zip ATTACHMENT FOR SUMMONS OF GARNISHMENT ON A FINANCIAL INSTITUTION Other known names of the Defendant: Current and past addresses of the Defendant: Social security number or federal tax identification number of the Defendant: Account or identification numbers of accounts of the Defendant used by the Garnishee: Other allegations pursuant to O.C.G.A. 18-4-23 THIS PLEADING SHALL NOT BE FILED WITH THE COURT American LegalNet, Inc. www.FormsWorkFlow.com