Motion for order to Show CauSe on GarniShee; deClaration and order; in the diStriCt Court of the fifth CirCuit State of hawai`i Plaintiff(s) Form #5DC31 Reserved for Court Use Civil No. Defendant(s) Filing Party(ies)/Filing Party(ies)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers) Garnishee(s) Garnishee Order Date MOTION FOR ORDER TO SHOW CAUSE ON GARNISHEE Judgment Creditor(s) moves this Court for issuance of an Order against Garnishee(s) above named, to show cause why JUDGMENT should not issue against same for the sum due under the Garnishee Order entered in the above entitled matter for having failed, refused and neglected to comply with the GARNISHEE ORDER granted on the Garnishee Order Date listed above. Signature of Filing Party(ies)/Filing Party(ies)' Attorney: Date: Print/Type Name: DECLARATION I have read this Motion, 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 FOLLOWING IS TRUE AND CORRECT. That a Motion For Issuance of Garnishee Summons and Order was served upon the Garnishee and subsequently granted by the Court. That a GARNISHEE ORDER granted by the Court on the Garnishee Order Date listed above for the balance due and owing on the judgment. That the Garnishee has failed to comply with said Order. 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. I certify that this is a full, true and correct copy of the original on file in this office. ______________________________________________________ Clerk, District Court of the Above Circuit, State of Hawai`i RepRogRaphics (06/08) American LegalNet, Inc. www.FormsWorkFlow.com gaRNosc 5D-p-203 DECLARATION, (continued) That declarant is informed and believes and upon such information and belief alleges that Defendant(s) was at all times mentioned herein in the employ of said Garnishee, or Garnishee is in possession of funds belonging to Defendant(s). Signature of Declarant: Date: Print/Type Name: ORDER TO GARNISHEE(S) LISTED ON THE REVERSE SIDE: YOU ARE ORDERED TO APPEAR AT THE COURT DESIGNATED BY THE CHECKED BOX BELOW TO SHOW CAUSE, IF ANY YOU HAVE, WHY JUDGMENT SHOULD NOT ISSUE AGAINST YOU FOR THE SUMS DUE UNDER THE GARNISHEE ORDER, TOGETHER WITH INTEREST AND COSTS INCURRED: Kaua`i Judiciary Complex Courtroom #2 3970 Ka`ana Street � L� hu`e, Hawai`i at 9:30 a.m. on i holiday then upon the next secular Thursday. and should said Thursday be a legal THIS ORDER SHALL BE VOID AND OF NO EFFECT IF IT IS NOT SERVED WITHIN 6 MONTHS OF THE DATE OF THIS ORDER. IF YOU DO NOT COME TO COURT AS ORDERED, YOU MAY BE ARRESTED FOR CONTEMPT OF COURT. This Order shall not be personally delivered between 10:00 p.m. and 6:00 a.m. on premises not open to the public, unless a judge of the above entitled Court permits, in writing on this Order, personal delivery during those hours. Date: Judge of the above-entitled Court RepRogRaphics (06/08) American LegalNet, Inc. www.FormsWorkFlow.com gaRNosc 5D-p-203