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(s) Name, Address vs. Civil Action File No. ________________ GARNISHMENT Defendant(s) Name, Address Garnishee Name, Address THIRD-PARTY CLAIM Personally appeared ______________________________, who on oath says that he or she has a claim superior to that of the Plaintiff to the money or other property in the hands of the Garnishee subject to the process of garnishment. The Affiant further states: (check applicable box and complete the information requested) ( ) The Affiant obtained a judgment against the Defendant in the ___________ Court of ________________ County, _______________(State), in Case Number _________________ on ___________________ (date), and the unpaid balance of such judgment is in the amount of $ ___________________. or ( ) The basis of the Affiant's claim is __________________________________________________ ___________________________________________________________________________________. This _____ day of _______________, 20___. ________________________________ Affiant Sworn to and subscribed before me this _____ day of _________________, 20___. ___________________________________ Notary Public of Deputy Clerk of Court CERTIFICATE OF SERVICE This is to certify that I have this day served the Plaintiff or Plaintiff's Attorney, the Defendant, and the Garnishee in the foregoing matter with a copy of this pleading by depositing it in the United States Main in a properly addressed envelope with adequate postage thereon. This ______ day of _______________, 20___. _____________________________________________ Third-party Claimant or Third-party Claimant's Attorney American LegalNet, Inc. www.FormsWorkFlow.com