STATE COURT OF FULTON COUNTY, GEORGIA AFFIDAVIT OF 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 AFFIDAVIT OF GARNISHMENT Check if the Garnishee is a financial institution. Check if garnishment is for the collection of child support or alimony. See O.C.G.A. § 18-4-50. et seq. 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. _________________________________________________ Printed Name of Affiant 3. 4. This the _________ day of ____________________, 2________. ____________________________________________________ Affiant Signature Approved:________________________________________________ Judge, State Court of Fulton County Sworn to and subscribed before me: This the __________ day of _____________________, 2______. _______________________________________________ Notary Public/Deputy Clerk of Court American LegalNet, Inc. www.FormsWorkFlow.com