MAGISTRATE COURT OF GWINNETT COUNTY P.O. Box 568, Lawrenceville, GA 30046-0568 (770) 822-8100 Plaintiff: O.C.G.A. § 18-4-73 Address: Magistrate Court Garnishment Case No.: _____________________ AFFIDAVIT OF CONTINUING GARNISHMENT FOR SUPPORT OR ALIMONY Phone #: Plaintiff's Attorney: VS Defendant: Address: Garnishee: Address: AFFIDAVIT Personally appeared , who on oath says: 1. I am the (Plaintiff) (Attorney at Law for Plaintiff) (Agent for Plaintiff). [Circle one] 2. The Plaintiff obtained a Judgment against the Defendant in Case Number Court of County, , in the [State], and no agreement requires forbearance from the garnishment which is applied for currently. 3. The Affiant states that the Defendant is in arrears on the obligation for support in an amount equal to or in excess of one month's obligation as decreed in the Judgment for support and provides the following information: $ Affidavit. Check one of the boxes below and complete the requested information: A. ( ) Periodic support is owed for one obligee, or the Judgment sets forth a total amount of periodic support for multiple obligees as follows: $ is the total amount of periodic support due for is the amount of arrearage which exists under the Judgment as of the execution of this (name(s) of obligee(s)). Such periodic support is payable on a monthly). The termination date of the obligation for periodic support is . basis (e.g., weekly, B. ( ) Periodic support is owed for multiple obligees, and the Judgment sets forth a different amount of periodic support for each obligee as follows: $ is the total amount of periodic due for (weekly/monthly) basis, and the termination . American LegalNet, Inc. www.FormsWorkFlow.com (name of obligee), payable on a date of such obligation is $ is the total amount of periodic due for (weekly/monthly) basis, and the termination . (name of obligee), payable on a date of such obligation is $ is the total amount of periodic due for (weekly/monthly) basis, and the termination . (name of obligee), payable on a date of such obligation is 4. ( ) Check this box and attach a certified copy of the Judgment for support hereto. 5. Upon the Affiant's personal knowledge or belief, the sum stated herein is unpaid. 6. The Affiant believes that the Garnishee is an employer of the Defendant. This Sworn to and subscribed before me This day of , 20 day of , 20 . . Notary Public/Deputy Clerk of Court Affiant Print Name of Affiant Richard T. Alexander APPROVED AS TO FORM: __________________________________________ Deputy Clerk of Court American LegalNet, Inc. www.FormsWorkFlow.com