MAGISTRATE COURT OF LEE COUNTY, GEORGIA Date Filed _________________ Plaintiff: Case No. _____________ GARNISHMENT _____________________________________________________________ Name ____________________________________________ Street ____________________________________________ City State Zip Code _____________________________________________ E-Mail Address _____________________________________________ Phone Number Bar Number vs. ______________________________________________ ______________________________________________ ______________________________________________ Defendant(s) Name, Address ______________________________________________ ______________________________________________ ______________________________________________ Garnishee Name, Address Garnishment Court Information: MAGISTRATE COURT OF LEE COUNTY PHYSICAL ADDRESS: 104 Leslie Highway MAILING ADDRESS: P.O. BOX 522 LEESBURG, GA 31763 Phone Number: 229-759-6016 1. 2. AFFIDAVIT OF CONTINUING GARNISHMENT DO NOT USE THIS FORM FOR A CONTINUING GARNISHMENT FOR CHILD SUPPORT OR ALIMONY. SEE O.C.G.A. § 18-4-73. Personally appeared (Print Name) _______________________________who on oath says: I am the (Plaintiff) (Attorney for Plaintiff) (Agent for Plaintiff). [Circle one] The Plaintiff obtained a judgment against the Defendant in Case Number_____________, in the _________________, Court of _______________, County, ___________State, and no agreement requires forbearance from garnishment which is applied for currently. 3. $__________ 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 4. 5. the cost of this action) Upon the Affiant's personal knowledge or belief, the sum stated herein is unpaid. The Affiant believes that the Garnishee is an employer of the Defendant. This day of 20__. Sworn to and subscribed before me This day of 20__. ________________________________________ Notary Public/Deputy Clerk of Court ________________________________ Affiant ________________________________ Print Name of Affiant Approved: This _______ day of ____________, 20 ___. ______________________________________ Judge, Clerk or Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com OCGA 18472