Garnishment No . DO NOT WRITE IN THIS SPACE STATE COURT OF FULTON COUNTY AFFIDAVIT OF GARNISHMENT FOR SUPPORT GEORGIA, FULTON COUNTY PLAINTIFF VS DEFENDANT'S SOCIAL SECURITY NUMBER DEFENDANT NAME & ADDRESS TO : PLAINTIFF OR ATTORNEY NAME AND ADDRESS GARNISHEE'S NAME AND ADDRESS PHONE NUMBER NOTICE 1. $ is the amount of arrearage due +Garnishment cost of $ 2.$ per due under terms of Judgment/Decree 3 . Judgment was obtained in the Court of County . 4. is the Judgment number. PERSONALLY APPEARED THE undersigned affant who upon oath says he\she is the above Plaintiff, or attorney for Plaintiff, and that affant has personal knowledge that the above Defendant is in arrears on the obligation of support in an amount equal to or in excess of one month's obligation as decreed on the above judgment . Judgment is for the periodic support of a family member as defined by O .C .G.A . § 18-4-131(5) . Plaintiff believes that Garnishee is or may be an employer of Defendant or otherwise subject to a Writ of Garnishment for Support of a family member as defined in O .C .G .A . § 18-4-131(3). A certified copy of the judgmenuDecree is attached hereto . The periodic amount of support due under said JudgmentVDecree for each obligee named therein is as follows: AMOUNT DUE a s s for a total of S FREQUENCY DUE per TERMINATION DATE OBLIGEE due under the terms of said Judgment. Sworn and subscribed before me. Deputy Clerk or Notary Public Affiant Approved State Court of Fulton County JUDGE American LegalNet, Inc. www.USCourtForms.com 14-170-2/00