MAGISTRATE COURT OF LEE COUNTY, GEORGIA Date Filed _________________ Case No. _____________ Plaintiff: _____________________________________________ Name _____________________________________________ GARNISHMENT Street _____________________________________________ City State Zip Code _____________________________________________ EMail Address _____________________________________________ Phone Number vs. Bar Number ______________________________________________ ______________________________________________ Defendant(s) Name, Address Garnishee Name, Address AFFIDAVIT OF GARNISHMENT ( ) Check if the Garnishee is a financial institution. ( ) Check if garnishment is for the collection of child support or alimony. See OCGA. § 18450. et seq. Personally appeared (Print Name) _______________________________who on oath says: 1. 2. 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 the cost of this action) 4. Upon the Affiant's personal knowledge or belief, the sum stated herein is unpaid. 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 18471