United States District Court for the Western District of Michigan CASE NO. REQUEST AND WRIT FOR GARNISHMENT (NON-PERIODIC) Court address · Zip code · v Court telephone no. · Plaintiff name and address (judgment creditor) Defendant name and address (judgment debtor) Plaintiff's attorney, bar no., and address · Social security no. Garnishee name and address Account no. · · · · Telephone no. REQUEST 1. Plaintiff received judgment against defendant for $ on . 2. The amount of the unsatisfied judgment now due (including interest and costs) is · $ . 3. Plaintiff knows or with good reason believes that the garnishee is indebted to or possesses or controls property belonging to the defendant. 4. Plaintiff requests a writ of non-periodic garnishment. I declare that the statements above are true to the best of my information, knowledge, and belief. Date Plaintiff/Agent/Attorney signature WRIT OF GARNISHMENT To be completed by the court. See other side for additional information and instructions. TO THE PLAINTIFF: You must provide all copies of the disclosure form (MC 14), 2 copies of this writ for serving on the garnishee, and any applicable disclosure fee. You are responsible for having these documents served on the garnishee within 91 days. If the disclosure states that the garnishee holds property other than money belonging to the defendant, you must motion the court within 56 days after the disclosure is filed for an order to apply the property toward the judgment. TO THE DEFENDANT: 1. Do not dispose of any negotiable instrument representing a debt of the garnishee or any negotiable instrument of title representing property in which you claim an interest held in the possession or control of the garnishee. 2. You have 14 days after this writ is mailed or delivered to you to file objections with the court. If you do not take this action within this time, without further notice, the property or debt held under this writ may be applied to the judgment 28 days after this writ was mailed or delivered to the garnishee. TO THE GARNISHEE: 1. Within 7 days after you are served with this writ, you must deliver a copy of this writ to the defendant in person or mail a copy to his or her last known address by first class mail. 2. Deliver no tangible or intangible property and pay no obligation to the defendant unless allowed by statute or court rule. 3. Within 14 days after you are served with this writ, you must deliver or mail copies of your verified disclosure (form MC 14) to the court, plaintiff/attorney, and defendant. A default may be entered against you for failure to comply with this order. 4. If indebted to the defendant, you must withhold an amount not to exceed the amount of the judgment stated in item 2. of the request. Payment of withheld funds must be made 28 days after you are served with this writ unless notified that an objection has been filed. You are ordered to make the payment withheld under this writ payable to the plaintiff the plaintiff's attorney the court and mail it to: the plaintiff. the plaintiff's attorney. the court. 5. If you hold property other than money belonging to the defendant, do not transfer it until further order of the court. American LegalNet, Inc. www.FormsWorkFlow.com Date of issue MC 13 (6/05) Expiration date for service Deputy court clerk MCL 600.4011 et seq.; MSA 27A.4011 et seq., MCR 3.101 REQUEST AND WRIT FOR GARNISHMENT (NON-PERIODIC) NON-PERIODIC GARNISHMENTS Definitions Non-Periodic Garnishment - a garnishment of property or obligations made on a non-periodic basis, including but not limited to bank accounts, property, money, goods, chattels, credits, and negotiable instruments or effects. Do not use this form to garnish income tax refunds from the State of Michigan; see Michigan statute for specific procedures to garnish state income tax. Additional Instructions for the Plaintiff: You must provide information that will permit the garnishee to identify the defendant, such as the defendant's address, social security number, account number, etc. If the disclosure states that the garnishee holds property belonging to the defendant, you must motion the court (with notice to the defendant and the garnishee) for an order which will tell the garnishee to take the defendant's property, sell it, and apply it toward your judgment. If there are no pending objections to the garnishment and you have not filed such a motion within 56 days after the filing of the disclosure, the garnishment is dissolved and the garnishee may release the property to the defendant. Additional Instructions for the Defendant: 1. This writ has been issued because there is a judgment against you which you have not paid. In order to collect on this judgment, income due you may be withheld or property belonging to you may be taken from you and sold. 2. You may object to this garnishment if: a. Your income is exempt from garnishment by law; b. You have a pending bankruptcy proceeding; c. The maximum withheld exceeds the amount allowed by law; d. You have an installment payment order; e. You have paid the judgment in full; f. The garnishment was not properly issued or is otherwise invalid. 3. Certain income is exempt from garnishment and the law gives you the right to claim this income as exempt to prevent it from being used to collect on this judgment. The following are examples of some types of income that are exempt from garnishment and the citations where each type may be found in the law. This is not intended as a complete list. You may want to contact your lawyer or legal aid agency for further assistance. EXAMPLES OF INCOME EXEMPT FROM GARNISHMENT The following are examples of some of the types of income that are exempt from garnishment and the citations where each type may be found in the law. Please note that this is not intended as a complete list. You may want to contact your lawyer or legal aid agency for further assistance. · · · · · · · · · · · · · Individual Retirement Account (IRA) - [MCL 600.6023(a)(11)] Social Security Benefits - [42 USC, Section 407] Supplemental Security Income Benefits (SSI) - [42 USC, Section 1383(d)] Aid to Families with Dependent Children (AFDC) - [MCL 400.63] General Assistance Benefits (GA) - [MCL 400.63] Unemployment Compensation Benefits - [MCL 421.30] Veterans Assistance Benefits - [38 USC, Section 3101] Workers' Compensation Benefits - [MCL 418.821] The first $500.00 on deposit in a savings and loan savings account - [MCL 491.628] Cash val