STATE OF INDIANA COUNTY OF LAKE ) ) ) SMALL CLAIMS DIVISION 2293 NORTH MAIN STREET CROWN POINT, IN 46307 45D0________________________________ CAUSE NUMBER GARNISHEE DEFENDANT (DEFENDANT'S EMPLOYER) ___________________________________________ PLAINTIFF ____________________________________________ ADDRESS VS. _______________________________________ NAME ___________________________________________ DEFENDANT ___________________________________________ ___________________________________________ ADDRESS _______________________________________ _______________________________________ ADDRESS ________________________________________ DEFENDANT'S D.O.B. and/or BADGE NO. ________________________________________ DEFENDANT'S DRIVER LICENSE NO. VERIFIED MOTION TO ENFORCE JUDGMENT BY PROCEEDINGS SUPPLEMENTAL TO EXECTUTION Comes now the Plaintiff and says: That the Plaintiff is the owner of a judgment against the above-named Defendant rendered in this cause on the _______Day of ____________________, 20______, upon which there remains an unpaid balance of $______________________, plus interest and costs, and Plaintiff has no cause to believe that the levy of execution against the judgment defendant will satisfy the judgment. WHEREFORE, Your affiant prays that the garnishee-defendant be ordered to answer the interrogatories submitted with this motion and that Defendant be ordered to appear before the Court at: 2293 N. MAIN STREET, CROWN POINT, IN, to answer as to his/her non-exempt property or to apply such property towards satisfaction of the judgment. That Plaintiff affirms under the penalties for perjury that the foregoing representations are true, and s/he certifies that on this date he has caused a copy of this pleading to be served upon the above-named Defendant, by first class mail and the garnishee defendant by certified mail, postage paid. ___________________________________________ PLAINTIFF'S SIGNATURE COURT ORDER Upon proper filing of a verified motion in proceeding supplemental, the court now finds that said motion is sufficient. It is therefore ORDERED that the above named Defendant, Garnishee-Defendant, and Plaintiff appear before this court on the ___________day of ____________, 20___, at _______________a.m./p.m., to answer as to the Defendant's non-exempt property subject to proceedings supplemental. In lieu of appearing in Court, the Garnishee Defendant may answer the questions on the back of this form and return them to the Clerk of this court by mail before the court date. Defendant to be served by First Class Mail. Garnishee Defendant to be served by Certified Mail. SO ORDERED __________________________________________ JUDGE/MAGISTRATE American LegalNet, Inc. www.FormsWorkFlow.com INTERROGATORIES TO BE ANSWERED BY GARNISHEE-DEFENDANT 1. What is the correct name of you organization or business? ________________________________________________________________________ 2. Is the defendant employed by YOU or otherwise have business or a contractual relation with you? _________________________________________________________________________ 3. What amounts (either wages or other indebtedness) are currently or will be owing to the defendant? __________________________________________________________________________ 4. Are there now any orders in proceedings supplemental against the earnings and income of defendant? __________________________________________________________________________ 5. If so, specify date, amount, name of Court and Plaintiff, and income of the Defendant. ___________________________________________________________________________ ___________________________________________________________________________ I AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FOREGOING REPRESENTATIONS ARE TRUE. ____________________ TITLE OR POSITION _______________________________________ Signed DATE American LegalNet, Inc. www.FormsWorkFlow.com