MAGISTRATE COURT OF LEE COUNTY, GEORGIA Date Filed _________________ Plaintiff: Case No. _____________ _____________________________________________________________ Name _____________________________________________ Street _____________________________________________ City State Zip Code _____________________________________________ E-Mail Address _____________________________________________ Phone Number Bar Number vs. _____________________________________________ _____ _____________________________________________ GARNISHMENT Defendant(s) Name, Address Garnishee Name, Address AFFIDAVIT OF CONTINUING GARNISHMENT FOR SUPPORT Personally appeared ______________________________(Print name), 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 ________ in the _______________ Court of ______________ County, ____________________,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: $___________ is the amount of arrearage which exists under the judgment as of the execution of this 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 __________________________(Name of obligee) _________________________(Name of Obligee), and __________________________(Name of Obligee). Such periodic support is payable on a _____________________ basis(E.g., weekly, monthly). The termination date of the obligation for periodic support is __________________(Date). Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com OCGA 18-4-73 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 support due for _________________ (Name of obligee), payable on a ___________________(weekly/monthly) basis, and the termination date of such obligation is __________________. $ __________ is the total amount of periodic support due for _________________ (Name of obligee), payable on a ___________________(weekly/monthly) basis, and the termination date of such obligation is __________________. $ __________ is the total amount of periodic support due for _________________ (Name of obligee), payable on a ___________________(weekly/monthly) basis, and the termination 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 __________ day of ____________________, 20____. Sworn to and subscribed before me this _________ day of ___________________________________, 20____. ____________________________________________ Notary Public or Deputy Clerk of Court _____________________________ Affiant _____________________________ Print name of Affiant Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com OCGA 18-4-73