IN THE STATE COURT OF COBB COUNTY STATE OF GEORGIA __________________________________________ Case Number: ____________________________ __________________________________________ ____________________________ __________________________________________ Plaintiff’s Attorney (Name, Address & Phone Number) Plaintiff (Name & Address) _________________________________________ VS __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Bar Number________________________________ __________________________________________ Defendant (Name & Address) __________________________________________ __________________________________________ __________________________________________ Garnishee (Name & Address) AFFIDAVIT FOR GARNISHMENT Personally appeared ______________________________________________, who on oath says that he/she is (Attorney at Law for Plaintiff) (Plaintiff) herein, and that the above named Defendant, is indebted to said Plaintiff in the sum of: 1. $_____________________ Principal 2. $_____________________ Interest 3. $_____________________ Attorney’s Fees 4. $_____________________ All Costs 5. $_______________________ Total 6. Judgment was obtained in _________________ Court of ____________________ County. 7. _____________________ is the case number. 8. Pursuant to O.C.G.A. 18-4-89, Plaintiff/Plaintiff’s Attorney makes application for condemnation of any funds delivered to this Court by the Garnishee upon certification being filed with said clerk their proof of service to defendant of this proceeding. Affiant states that no agreement has been made with the Defendant for payment of the Judgment, or if an agreement was made, the defendant is in default and that Affiant has reason to apprehend the loss of said sum or some part thereof unless process of garnishment issues. Affiant has personal knowledge that debt is unpaid. This _______ day of _____________________, 20____. ______________________________________________ Sworn to and subscribed before me, This _____ day of __________20____. _______________________________ Notary Public My Commission Expires: ___________ E:\Civil Forms for website\REGAFF2.doc Affiant Approved this _____ day of ____________________, 20____. __________________________________________________ Deputy Clerk, State Court of Cobb County http:www.cobbstatecourtclerk.com Revised 6/05 American LegalNet, Inc. www.FormsWorkflow.com