IN THE STATE COURT OF GWINNETT COUNTY STATE OF GEORGIA ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) Plaintiff, vs Civil Action No.: Defendant, Garnishee. THIRD-PARTY CLAIM Personally appeared , who on oath says he or she has a claim superior to that of the Plaintiff of the money or other property in the hands of the Garnishee subject to the process of garnishment. The Affiant further states: (check applicable box and complete the information requested) () The Affiant obtained a Judgment against the Defendant in the County, on balance of such Judgment is in the amount of $ -OR() The basis of the Affiant's claim is _______ Court of [State], in Case Number [Date of Judgment], and the unpaid . . This day of , 20 . Sworn to and subscribed before me this day of , 20 . Affiant Print name of Affiant American LegalNet, Inc. www.FormsWorkFlow.com Notary Public or Deputy Clerk CERTIFICATE OF SERVICE This is to certify I have this day served: (1) the Plaintiff or Plaintiff's Attorney; (2) the Defendant; and (3) the Garnishee in the foregoing matter with a copy of this pleading by depositing it in the United States Mail in a properly addressed envelope with adequate postage thereon. This day of , 20 . Third-party Claimant or Third-party Claimant's Attorney American LegalNet, Inc. www.FormsWorkFlow.com