JUDGMENT CREDITOR'S MONTHLY REPORT (MD Rule 3-646) (For use of the parties only. Not to be filed with the court.) Case No. Name Address County Name Address Plaintiff/Judgment Creditor Defendant/Judgment Debtor AND Name - Employer/Garnishee Address TO THE EMPLOYER/GARNISHEE AND TO DEFENDANT/DEBTOR: (To be furnished by the judgment creditor within 15 days after the end of each month in which payments were received.) The following amounts were received from ALL SOURCES for the month of , Year and were credited on the judgment in the above case. , Date Source $ $ $ $ TOTAL RECEIVED $ $ Amount Interest accrued at % on $ on the judgment) during the period of Date (the outstanding principal due to Date Payment and credits have been applied as shown by the following schedule: (The law requires that payments shall be credited, first against accrued interest on the unpaid balance of the judgment, if any; second upon the principal of the judgment; and third upon those attorney's fees actually assessed in the case.) Judgment Principal 1. Balance from last report 2. Additional Interests or Costs 3. TOTALS 4. Application of payments and credits 5. Balance due at end of this report (Instructions: Add amounts on lines 1 and 2, and enter total in line 3; deduct the amount on line 4 from line 3 and enter balance on line 5.) Accrued Interest Attorney's Fees Court Costs TOTALS Date Signer's Telephone Number Signer's Facsimile Number, if any Signer's E-mail Address, if any Signature of Creditor or Attorney Printed Name Signer's Address City, State, Zip American LegalNet, Inc. www.FormsWorkFlow.com DC/CV 66 (Rev. 7/2011)