STATE COURT OF FULTON COUNTY, GEORGIA AFFIDAVIT OF CONTINUING GARNISHMENT 185 Central Avenue, SW Ground Floor TG400 Atlanta, Georgia 30303 (404) 613-5040 Dated Filed: _______/_______/_______ Case #: ___________________________________________ ___________________________________________________ Plaintiff Name ___________________________________________________ Street ___________________________________________________ City State Zip ___________________________________________________ Phone Number __________________________________________________________ Plaintiff's Attorney __________________________________________________________ Street __________________________________________________________ City State Zip __________________________________________________________ Phone Number Bar Number vs. ___________________________________________________ ___________________________________________________ ___________________________________________________ Defendants Name, Address ALL FUNDS SHOULD BE REMITTED TO: Fulton County State Court Garnishment Division P.O. Box 740093 Atlanta, Georgia 30374-0093 ___________________________________________________ ___________________________________________________ ___________________________________________________ Garnishees Name, Address DO NOT USE THIS FORM FOR A CONTINUING GARNISHMENT FOR CHILD SUPPORT OR ALIMONY. SEE O.C.G.A. § 18-4-73 Personally appeared __________________________________________________________ who on oath says: 1. 2. I am the Plaintiff Attorney for Plaintiff Agent for Plaintiff. The Plaintiff obtained a judgment against the Defendant in case number __________________________, in the ________________________ Court of ___________________________ County, State of __________________________, and no agreement requires forbearance form garnishment which is applied for currently. $ _______________ 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. Upon the Affiant's personal knowledge or belief, the sum stated herein is unpaid. The Affiant believes that the Garnishee is an employer of the Defendant. _______________________________________________ Printed Name of Affiant 3. 4. 5. This the _________ day of ____________________, 2________. ____________________________________________________ Affiant Signature Sworn to and subscribed before me: This the __________ day of _____________________, 2______. _______________________________________________ Notary Public/Deputy Clerk of Court American LegalNet, Inc. www.FormsWorkFlow.com