STATE OF INDIANA COUNTY OF HAMILTON IN THE SUPERIOR COURT NO. 5 ) ) SS: ) OF HAMILTON COUNTY _____________________________________ CAUSE NO. 29D05-__________________________ Judgment creditor vs. _____________________________________ Judgment debtor and __________________________________________ Garnishee defendant (BANK/FINANCIAL INSTITUTION) _____________________________________ __________________________________________ (Street address) (Street address) _____________________________________ __________________________________________ (City, State, Zip) (City, State, Zip) (Note: Please indicate service to judgment debtor and garnishee defendant on back) NOTICE: I.C. 34-25-3-3 (1998) provides that the garnishee defendant is accountable for monies in his hands and/or payable to judgment debtor from the date of the service of this Summons. VERIFIED MOTION FOR PROCEEDINGS SUPPLEMENTAL Judgment creditor appears and states that to the best of its/his/her knowledge: 1. Judgment creditor owns the judgment rendered in this cause against judgment debtor(s); 2. Judgment creditor’s judgment is unsatisfied; and 3. Judgment creditor has no cause to believe that levy of execution against the judgment debtor(s) will satisfy the judgment. 4. The garnishee defendant has in its possession the money in accounts belonging to the judgment debtor(s). Judgment creditor, therefore, moves the Court to issue an order to judgment debtor(s) to appear and requiring the garnishee defendant to answer interrogatories concerning the judgment debtor’s accounts/monies in its possession. I swear or affirm, under the penalty of perjury, that the foregoing representations are true. ______________________________ Street address of attorney ______________________________ City, State, Zip _____________________________________ Judgment creditor/Attorney _____________________________________ Phone ORDER TO JUDGMENT DEBTOR(S) Judgment creditor files verified motion and interrogatories. Motion granted. Judgment debtor(s) is/are ordered to appear in this Court on ____________________________________, 20_____, at ___________________.m. __________________________ Date _________________________________________________ Judge, Hamilton Superior Court No. 5 ORDER TO GARNISHEE DEFENDANT Judgment creditor files verified motion and interrogatories. Motion granted. Garnishee defendant is ordered to answer and return to the Court the attached interrogatories on or before _____________________________, 20_____. _________________________ Date _________________________________________________ Judge, Hamilton Superior Court No. 5 American LegalNet, Inc. www.FormsWorkflow.com SERVICE REQUESTED BY: On judgment debtor: ___ Certified mail ___ Sheriff of _________________________ County On garnishee defendant: ___ Certified Mail ___ Sheriff of _________________________ County SHERIFF’S RETURN OF SERVICE ON ORDER TO APPEAR TO JUDGMENT DEBTOR(S) I hereby certify that on the below date: ____ I served this Order to Appear by delivering a copy to the judgment debtor. ____ I served this Order to Appear by leaving a copy: ____ at the dwelling or usual place of abode of judgment debtor; ____ with a person of suitable age and discretion residing therein, namely ___________________________ ____ and by mailing a copy of the Order to Appear to the judgment debtor, by first class mail, to the address listed on the Order to Appear (date copy mailed if different from below: ________________________); ____ I was unable to serve this Order to Appear because ______________________________________________ ________________________________________________________________________________________. Date: ___________________________ _______________________________________________ Sheriff of ________________ County, Indiana By:_____________________________________________ SHERIFF’S RETURN OF SERVICE ON ORDER TO GARNISHEE DEFENDANT (EMPLOYER) TO ANSWER INTERROGATORIES I hereby certify that on the below date: ____ I served this Motion, Order, and Interrogatories by delivering a copy to the garnishee defendant. ____ I served this Motion, Order, and Interrogatories by leaving a copy: ____ at the dwelling or usual place of business of garnishee defendant; ____ with a person of suitable age and discretion residing therein, namely ___________________________ ____ and by mailing a copy of the Motion, Order, and Interrogatories to the garnishee defendant, by first class mail, to the address listed on the Order to Answer Interrogatories (date copy mailed if different from below: _______________________________); ____ I was unable to serve the Motion, Order, and Interrogatories because ________________________________ ________________________________________________________________________________________. Date: ___________________________ _______________________________________________ Sheriff of ______________ County, Indiana By:_____________________________________________ American LegalNet, Inc. www.FormsWorkflow.com Rev. 12/00 ps.bank American LegalNet, Inc. www.FormsWorkflow.com