Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Affidavit Of Judgment Creditors For Garnishment Of Wages Form. This is a Hawaii form and can be use in 3rd Circuit - Hawaii Local County.
Loading PDF...
Tags: Affidavit Of Judgment Creditors For Garnishment Of Wages, 3DC25, Hawaii Local County, 3rd Circuit - Hawaii
AFFIDAVIT OF JUDGMENT CREDITOR(S) FOR GARNISHMENT
OF WAGES; EXHIBIT(S); NOTICE TO EMPLOYER OF
JUDGMENT DEBTOR; GARNISHEE INFORMATION
TWO-SIDED FORM
Form #3DC25
IN THE DISTRICT COURT OF THE THIRD CIRCUIT
______________________________ DIVISION
STATE OF HAWAI‘I
Plaintiff(s)
Defendant(s)
Reserved for Court Use
Civil No.
Filing Party(ies)/Filing Party(ies)' Attorney (Name, Attorney
Number, Firm Name (if applicable), Address, Telephone and
Facsimile Numbers)
Garnishee (Name and Address)
Certified copy of the Judgment attached as Exhibit A
Current Amount Due: (If this amount is different from Judgment
Amount, please attach separate sheet showing calculations as
Exhibit B)
Judgment Debtor(s):
Current Place of Employment:
AFFIDAVIT OF JUDGMENT CREDITOR(S) FOR GARNISHMENT OF WAGES
STATE OF
)
)
)
SS.
Affiant, being first duly sworn on oath, deposes and says:
1.
I am the Judgment Creditor(s) or Judgment Creditor(s)' attorney;
(continued on reverse side)
GARNAFFJ.2XX (Amended 4/18/97)v
SEE REVERSE SIDE
3D-P-276
SEE FEDERAL WAGE
GARNISHMENT LAW FOR
APPLICABLE RESTRICTIONS.
(Attached form entitled "Garnishee Information")
American LegalNet, Inc.
www.FormsWorkflow.com
AFFIDAVIT OF JUDGMENT CREDITOR(S) (continued)
2.
The Judgment (a certified copy of which is attached as Exhibit A) was entered on the date shown on said Judgment for Judgment
Creditor(s) and against Judgment Debtor(s).
3.
There is still due and owing the sum of G as shown in the certified copy of the Judgment attached as Exhibit A
or G Current Amount Due as evidenced by attached Exhibit B;
4.
The Judgment has not been appealed (or if appealed, no bond has been filed), reversed, modified, set aside or satisfied except as
aforesaid and otherwise remains in full force and effect; and
5.
The Judgment Creditor(s) is still the owner and holder of said Judgment.
6.
Judgment Debtor(s) above named is presently believed to be employed at the Current Place of Employment listed on the reverse side.
7.
The Judgment has been in effect for at least 10 days.
Subscribed and sworn to before me
this
day of
Signature of Affiant:
, 20
.
Notary Public, State of
My commission expires:
Print/Type Name:
NOTICE TO EMPLOYER OF JUDGMENT DEBTOR
The applicable law found in Hawai‘i Revised Statutes §652-1(b) provides as follows:
". . . the employer shall thereupon either file a disclosure within one week or shall withhold from the
wages of the judgment debtor the amounts as [provided by this law] and pay the same to the judgment
creditor."
If you file a disclosure, send it to G 75 Aupuni Street, Room 205, Hilo, Hawai‘i 96720 G 79-1020
Haukapila Street, Kealakekua, Hawai‘i 96750 G 67-5187 Kamamalu Street, Kamuela, Hawai‘i
96743
In accordance with the Americans with Disabilities Act if you require an accommodation or assistance, please
contact the ADA Coordinator at PHONE NO. 934-5788, FAX 935-1959, or TTY 961-7525 at least ten (10)
working days in advance of your hearing or appointment date.
3D-P-276
American LegalNet, Inc.
www.FormsWorkflow.com
