IN THE STATE COURT OF CLAYTON COUNTY, GEORGIA 9151 Tara Blvd., Room 1CL181, Jonesboro, GA 30236 Telephone: (770) 477-3388 * Fax: (770) 472-8159 Tiki Brown, Clerk of Court ___________________________________________ Plaintiff: _____________________________________________________________ Name _____________________________________________ Street _____________________________________________ City State Zip Code _____________________________________________ E-Mail Address _____________________________________________ Phone Number Bar Number vs. ______________________________________________ Civil Action File No.___________ GARNISHMENT Defendant(s) Name, Address Garnishee Name, Address 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). [Circle 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__. ________________________________ Affiant ________________________________ Print Name of Affiant Sworn to and subscribed before me This day of 20__. ________________________________________ Notary Public/Deputy Clerk of Court American LegalNet, Inc. www.FormsWorkFlow.com