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Affidavit Of Judgment Creditors For Garnishment Of Wages Form. This is a Hawaii form and can be use in 5th Circuit - Kauai Local County.
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Tags: Affidavit Of Judgment Creditors For Garnishment Of Wages, 5DC25, Hawaii Local County, 5th Circuit - Kauai
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
AFFIDAVIT OF JUDGMENT CREDITOR(S) FOR GARNISHMENT
:
OF WAGES; EXHIBIT(S); NOTICE TO EMPLOYER OF
JUDGMENT DEBTOR; GARNISHEE INFORMATION
TWO-SIDED FORM
Index No.
Form #5DC25
:
:
IN THE DISTRICT COURT OF THE FIFTH CIRCUIT
Plaintiff(s)
______________________________ DIVISION
STATE OF HAWAI‘I
-against-
Calendar No.
JUDICIAL SUBPOENA
:
Plaintiff(s)
:
:
Defendant(s)
:
......................................................
Defendant(s)
Reserved for Court Use
Civil No.
THE PEOPLE OF THE STATE OF NEW YORK
Filing Party(ies)/Filing Party(ies)' Attorney (Name, Attorney
Number, Firm Name (if applicable), Address, Telephone and
Facsimile Numbers)
TO
Garnishee (Name and Address)
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20 Certified copy of the Judgment attached as Exhibit A recessed
, at
o'clock in the
noon, and at any
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Current Amount Due: (If this amount is different from Judgment
Amount, please attach separate sheet showing calculations as
Exhibit B)
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
Judgment result of your failure to comply.
Debtor(s):
Current Place of Employment:
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
AFFIDAVIT OF JUDGMENT CREDITOR(S) FOR GARNISHMENT OF WAGES
STATE OF
)
)
)
SS.
Affiant, being first duly sworn on oath, deposes and says:
1.
(Attorney must sign above and type name below)
Attorney(s) for
I am the Judgment Creditor(s) or Judgment Creditor(s)' attorney;
(continued on reverse side)
GARNAFFJ.2XX (Amended 4/18/97)v
5D-P-187 (04/03)
SEE FEDERAL WAGE
GARNISHMENT LAW FOR
APPLICABLE RESTRICTIONS.
(Attached form entitled "Garnishee Information")
SEE
Office and P.O. Address
REVERSE SIDE
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
AFFIDAVIT OF JUDGMENT CREDITOR(S) (continued)
:
JUDICIAL SUBPOENA
Plaintiff(s)
2.
The Judgment (a certified copy of which is attached as Exhibit A) was entered on the date shown on said Judgment for Judgment
-against:
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
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . in . . . . . . . and effect; . .
aforesaid.and.otherwise remains . . full force . . . . . . . . .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.
THE PEOPLE OF THE STATE OF NEW YORK
7.
The Judgment has been in effect for at least 10 days.
TO
:
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Subscribed and sworn to before me
Signature of Affiant:
,
the Honorable
at .the
Court
this
day of
, 20
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Notary Public, State of
My commission expires:
Print/Type Name:
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
NOTICE TO
Court in
County,
, one of the Justices of the
EMPLOYER OF JUDGMENT DEBTOR
day of
, 20
The applicable law found in Hawai‘i Revised Statutes §652-1(b) provides as follows:
(Attorney must sign above and type name below)
". . . 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."
Attorney(s) for
If you file a disclosure, send it to 4357 Rice Street, Suite 101, Lihue, Hawai‘i 96766-1367
Office and P.O. Address
In accordance with the Americans with Disabilities Act if you require an accommodation for your disability, please contact the
Telephone No.:
District Court Administration Office at PHONE NO. 246-3347, FAX 246-3353, or TTY 539-4853 at least ten (10) working days
Facsimile No.:
in advance of your hearing or appointment date.
E-Mail Address:
5D-P-187
Mobile Tel. No.:
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