STATE COURT OF COBB COUNTY AFFIDAVIT OF GARNISHMENT GEORGIA, COBB COUNTY DO NOT USE THIS FORM FOR A CONTINUING GARNISHMENT FOR CHILD SUPPORT OR ALIMONY. SEE O.C.G.A. 247 18-4-73 . G:/Affidavit of Garnishment www.cobbstatecourtclerk.com Revised 6/18 Check this box if the Garnishee is a financial institution Check this box if garnishment is for the collection of child support or alimony. See O.C.G.A 247 18-4-50, et seq. Case Number Plaintiff (Name & Address) Plaintiff222s Attorney (Name, Address, Phone & Email) VS Defendant (Name & Address) Bar Number Garnishee (Name & Address) 1. Personally appeared , who on oath says that I am (Plaintiff) (Attorney at Law for Plaintiff) (Agent for Plaintiff) [Circle one] herein, and that the above named Defendant, is indebted to said plaintiff in the sum of and no agreement requires forbearance from the garnishment which is applied for currently. 2. $ Principal 3. $ Interest 4. $ Attorney222s Fees 5. $ All Costs [exclusive of the cost of this action] 6. $ Total [balance due] 7. Judgment was obtained in the Court of County. 8. is the case number Affiant further 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. Upon the Affiant222s personal knowledge or belief, the sum stated herein is unpaid. This day of 20. Affiant Print Name of Affiant Sworn to and subscribed before me, This day of , 20. Notary Public Commission Expires: American LegalNet, Inc. www.FormsWorkFlow.com