AFFIDAVIT OF CONTINUING GARNISHMENT IN THE MAGISTRATE COURT OF EFFINGHAM COUNTY, STATE OF GEORGIA 700 N. Pine Street, Suite 250 ­ Springfield, GA 31329 Case No.: (office use only) Date Filed: (office use only) Plaintiff's Name Mailing Address City, State and Zip Code Phone Number Plaintiff Attorney Bar Number Defendant's Name Mailing Address City, State and Zip Code Phone Number Garnishee Physical Address Mailing Address (if different from physical address) City, State and Zip Code CONTINUING GARNISHMENT Do not use this form for a continuing garnishment for child support or alimony. See O.C.G.A. § 18-4-73 AFFIDAVIT Personally appeared who on oath says: 1. I am (plaintiff) (Attorney at Law 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 the garnishment which is applied for currently. 3. $ is the balance due, which consists of $ $ , Post Judgment interest, $ , Attorney Fees, $ Other (e.g. prejudgment interest, costs (exclusive of the costs of this action)). 4. Upon the Affiant's personal knowledge or belief, the sum stated herein is unpaid. 5. The Affiant believes the Garnishee is an employer of the Defendant. This Sworn to and Subscribed Before Me: This day of , 20______ day of ,20______ , Principal, (Deputy) Clerk of Court or Notary Public Affiant __________________________________________________ Print Name of Affiant American LegalNet, Inc. www.FormsWorkFlow.com Notary Public's Expiration Date