STATE OF INDIANA COUNTY OF HAMILTON ) ) SS: ) IN THE HAMILTON SUPERIOR COURT NO. 4 CAUSE NO. 29D04-_________-SC-_____________ ________________________________, Plaintiff(s), vs. ________________________________, Judgement Defendant, and ________________________________ (Street address) _________________________________ (Street address) ________________________________ (City, State, Zip) _________________________________ (City, State, Zip) ____________________________________, Garnishee Defendant (Employer). Service requested on Judgment Defendant by:Service requested on Garnishee Defendant by: 9 Certified Mail or 9 Certified Mail or 9 Sheriff of _________________________ County 9 Sheriff of _________________________ County NOTICE: Indiana Code ' 34-25-3-3 provides that the Garnishee Defendant (Employer) is accountable for monies in his hands and/or payable to Defendant from the date of the service of this Summons. VERIFIED MOTION FOR PROCEEDINGS SUPPLEMENTAL, ORDER, AND SUMMONS AND INTERROGATORIES TO DEFENDANT AND GARNISHEE DEFENDANT Plaintiff states that to the best of Plaintiff=s knowledge: Plaintiff owns the judgment rendered in this cause against Defendant; Plaintiff=s judgment is unsatisfied; Plaintiff has no cause to believe that levy of execution against the Defendant(s) will satisfy the judgment; and the Garnishee Defendant (Employer) has in its possession the following personal property of Defendant: wages, salaries, commission, earnings, and income. Plaintiff, therefore, moves the Court to issue an order notifying Defendant of hearing on these proceedings and requiring the Garnishee Defendant to answer interrogatories concerning the Defendant=s property in its/his/her possession. I swear or affirm, under the penalty of perjury, that the foregoing representations are true. ___________________________________ (Street address of Plaintiff/Attorney) ______________________________________ Signature of Plaintiff/Attorney ___________________________________ (City, State, Zip) ______________________________________ (Phone) NOTICE OF GARNISHMENT HEARING The Court grants the Plaintiff=s motion and notifies the Defendant of the garnishment hearing on: _________________________, 200___, at ______:______ a.m. If Defendant desires to contest the garnishment, Defendant must appear. Dated:_______________________, 200__ ________________________________________ Judge, Hamilton Superior Court No. 4 ORDER TO GARNISHEE DEFENDANT (EMPLOYER) TO ANSWER OR APPEAR The Court grants the Plaintiff=s motion and ORDERS the Garnishee Defendant (Employer) to appear in Court at the above date and time, or else to answer the attached interrogatories under oath and return them to the Clerk on or before that date. Dated:_______________________, 200__ ________________________________________ Judge, Hamilton Superior Court No. 4 (Sheriff=s Return of Service on reverse side) American LegalNet, Inc. www.FormsWorkflow.com SHERIFF=S RETURN OF SERVICE FOR VERIFIED MOTION FOR PROCEEDINGS SUPPLEMENTAL , ORDER, AND INTERROGATORIES TO DEFENDANT/GARNISHEE DEFENDANT I hereby certify that on the below date: G I served this Order to Appear by delivering a copy to the Defendant. G I served this Order to Appear by leaving a copy: G at the dwelling or usual place of abode of Defendant; G with a person residing therein, namely __________________________________; G and by mailing a copy of the Order to Appear to the Defendant, by first class mail, to the address listed on this Order to Appear (date mailed if different from below:____________________, 200__). G I was unable to serve this Order to Appear because _________________________________________ ____________________________________________________________________________________. Dated: ________________________, 200__. ___________________________________ Sheriff of _____________________ County By: _______________________________ sc4form.081 (revised May 24, 2006) American LegalNet, Inc. www.FormsWorkflow.com