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Answer Of Garnishee (To Attach Earnings) Form. This is a Kansas form and can be use in District Court Statewide.
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Tags: Answer Of Garnishee (To Attach Earnings), Kansas Statewide, District Court
(Revised 7/12)
To be used on and after July 1, 2010.
Prepared by:
Filer=s name, SC#
Filer=s address
Filer=s phone number
{Filer=s fax phone number}
{Filer=s e-mail address}
Attorney for Judgment Creditor
In The District Court of ______ County, Kansas
Judgment Creditor name
Judgment Creditor
Case No. ______
vs.
Judgment Debtor name
Judgment Debtor address
Judgment Debtor
Garnishee name
Garnishee
Garnishee=s address
Garnishee=s county
{Garnishee=s fax phone number (if known)}
{Garnishee=s e-mail address (if known)}
Pursuant to Chapter 61 of
Kansas Statutes Annotated
ANSWER OF GARNISHEE
(To Attach Earnings)
To the above-named Garnishee:
1. If the judgment debtor (employee) was never employed by you or terminated employment before the
first day of the prior month for which this answer is made, complete the following section and sign and
date the answer at the bottom and send to the judgment creditor(s) and judgment debtor as instructed
below.
The Judgment debtor (employee) [Check one of the following]:
___ terminated employment on _________________________
(date)
___ was never employed.
2. If the above paragraph does not apply you must complete the rest of the Answer Form.
3. Read carefully the attached Instructions to Garnishee.
4. You must complete this answer within 14 days following the date the initial garnishment order is
served on you. Only one answer needs to be completed under this garnishment for each judgment debtor
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and you may duplicate the completed answer in any manner you desire for distribution to the judgment
creditor(s) and judgment debtor.
5. This answer covers all pay periods which end within 14 days following the date the garnishment order
is served on you. Indicate the pay periods covered under this answer:
start date:
end date:
_____________________________
_____________________________
6. The normal pay period for employee is (designate one):
weekly _____
every two weeks _____
semi-monthly _____
monthly _____.
7. Total gross earnings due for the pay period or periods covered by this answer are:
.................................................................................................................... $_____________.
8. Amounts required by law to be withheld for the pay period or periods covered are:
(1)
(2)
(3)
(4)
Federal FICA (includes social security tax and medicare tax ............. $_____________.
Federal income tax .............................................................................. $_____________.
State income tax .................................................................................. $_____________.
Railroad Retirement Tax ..................................................................... $_____________.
TOTAL DEDUCTIONS .......................................................................................... $_____________.
(Deduct only those items listed above)
9. Disposable earnings for the pay period or periods covered are: ...................... $_____________.
(7 minus 8)
See the attached Instructions to Garnishee to determine amount of disposable earnings to be withheld.
10. I am subtracting from the disposable earnings in 9 pursuant to an income withholding order for
support the amount of ............................................................................................. $_____________.
11. I am subtracting from the disposable earnings in 9 pursuant to a lien which has priority over
garnishments under the law the following amount: type of lien ______________
.................................................................................................................... $_____________.
12. In accordance with the instructions accompanying this answer form, I have determined that the
amount which may be paid to employee is ............................................................ $_____________.
13. I am holding from the amount in 12 an administrative fee in the amount of . $_____________.
See attached Instructions to Garnishee for amount of the administrative fee that can be retained.
14. After paying to the employee the amount stated in 12 less the administrative fee in 13, and deducting
any amount shown in 10 and 11, I am holding the remainder of the employee's disposable earnings in the
amount of ................................................................................................................ $_____________.
15. If I do not receive an objection to this Answer within 14 days after I deliver it to all parties entitled
to a copy, I will promptly pay the amount held in 14 to the following judgment creditors, unless I receive
prior to such payment an order of the court to the contrary:
Case No.
Name
Address
Amount
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A.___________
_______________
_____________________
_____________________
_____________________
$____________
B.___________
_______________
_____________________
_____________________
_____________________
$____________
C.___________
_______________
_____________________
_____________________
_____________________
$____________
D.___________
_______________
_____________________
_____________________
_____________________
$____________
I will continue to withhold earnings as long as the garnishment order remains in effect. As the earnings
are withheld, I will promptly pay thereafter the earnings as they are withheld to the judgment creditors
entitled thereto, unless I receive prior to such payment an order of the court to the contrary.
Judgment Debtor Name & Address:
___________________
___________________
___________________
___________________
If more space is needed, attach separate sheet.
Pursuant to K.S.A. 53-601, as amended, I declare under the penalty of perjury that the foregoing is true
and correct.
EXECUTED on ___________________, _________.
_______________________________
Garnishee
THIS COMPLETED ANSWER OF GARNISHEE MUST BE SENT TO ALL OF THE
JUDGMENT CREDITORS LISTED ABOVE AND TO THE JUDGMENT DEBTOR. DO NOT
SEND TO CLERK OF THE DISTRICT COURT.
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