______________________________________ ______________________________________ Plaintiff(s) v. ______________________________________ ______________________________________ Defendant(s) GWINNETT MAGISTRATE COURT STATE OF GEORGIA AFFIDAVIT FOR JUDGMENT & WRIT OF FI.FA. ON CONSENT JUDGMENT CIVIL ACTION FILE NO: ___________________________ INFO & FORMS ON THE INTERNET www.gwinnettcourts.com E-mail: mag@gwinnettcounty.com AFFIDAVIT FOR JUDGMENT & WRIT OF FIERI FACIAS ON CONSENT JUDGMENT Personally appeared __________________________________________, who being duly sworn, states that he/ she is the (Plaintiff) (Attorney for Plaintiff) (Agent for Plaintiff) in the above-styled case and that a Consent Judgment was entered in this case on the ______ day of __________________, 20_____, requiring the Defendant(s) to pay the Plaintiff the sum(s) of $__________ principal, $_________ interest, $__________ attorney fees and $__________ court costs. The Defendant has defaulted in making these payments. The remaining outstanding balance, after payment(s) if any, have been deducted, for which a Writ of Fi.Fa. should be issued is $___________ principal, $________ interest, $_________ attorney fees and $___________ court costs. Wherefore the Clerk is requested and authorized to issue a Writ of Fieri Facias in favor of the amounts set forth herein above together with the costs of issuance of the Writ of Fieri Facias in this action. [ ] Affiant will submit the fee for the Writ of Fi.Fa. together with this affidavit. ___________________________________ Affiant Sworn to and subscribed before me this ____ day of _______________, 20____. _________________________ (Notary Public) (Deputy Clerk) Q:\Magforms\Forms\MAG 13-02 Affidavit For Writ of FIFA Consent Judgment (Feb 02) American LegalNet, Inc. www.FormsWorkflow.com