Garnishee Disclosure in The DisTricT courT of The fifTh circuiT sTaTe of hawai`i Plaintiff(s) Form #5DC26 Defendant(s) Reserved for Court Use Court Date: Garnishee/Garnishee's Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers) Civil No. Judgment Creditor(s)/Judgment Creditor(s)/ Attorney Garnishee's Name and Address: Judgment Debtor(s): Garnishee Disclosure Garnishee above named, and in response to Garnishee Summons served on it, discloses that at the time of service of Garnishee Summons: 1. Garnishee DiD noT have any goods of effects of Judgment Debtor(s) in its hands, Garnishee was not indebted to Judgment Debtor(s). Garnishee did not have any monies of Judgment Debtor(s) in its possession for safekeeping, or Judgment Debtor(s) did not owe any wages (including any salary, Stipend, commissions, annuity or net income or portion of net income under a trust) or was not in receipt of any wages from Garnishee except as follows: 2. Garnishee DiD have goods or effects of Judgment Debtor(s) in its hands, Garnishee was indebted to Judgment Debtor(s), Garnishee did have monies of Judgment Debtor(s) in its possession for safekeeping, or Judgment Debtor(s) did owe wages or was in receipt of wages (including any salary, stipend, commissions, annuity or net income or portion of net income under a trust) from Garnishee except as follows: I have read this Disclosure, know the contents and verify that the statements are true to my personal knowledge and belief. i Declare unDer penalTy of perjury unDer The laws of The sTaTe of hawai`i ThaT The above is True anD correcT. Mail to 3970 Ka`ana Street, DC Civil, Suite 207, L¯hu`e, HI 96766 ¯ 1 In accordance with the americans with Disabilities act if you require an accommodation for your disability, please contact the District Court Administration Office at PHONE NO. 482-2347, FAX 482-2509, OR TTY 482-2533 at least (10) working days in advance of your hearing or appointment date. Signature of Garnishee/Garnishee's Attorney: Date: RepRogRaphics (05/08) Print/Type Name and Title/Relationship to Garnishee: American LegalNet, Inc. www.FormsWorkFlow.com gaRndisc 5d-p-188