Barberton Municipal Court 576 West Park Avenue, Room 205 Barberton, Ohio 44203 (330) 861-7192 www.cityofbarberton.com/clerkofcourts AFFIDAVIT OF CURRENT BALANCE DUE ON GARNISHMENT ORDER The State of Ohio, County of Summit Judgment Creditor -v- Case No. Judgment Debtor The undersigned, being first duly cautioned and sworn, or affirmed, acco rding to law, says: 1. That I am the attorney/Judgment Creditor herein who heretofore recovered , or certified a judgment in the Court, against the Judgment Debtor named above; 2. The original amount of the judgment that is the basis of the garnishment order is: $ 3. The accrued interest amount to date is: $ 4. The court costs assessed to date: $ 5. Minus amount of monies paid on judgment, costs, and interest: $ 6. The current balance due to date: $ Signature of Judgment Creditor or Attorney Address City, State, Zip Code Sworn to and subscribed before me on the ______ day of ___________________, 20______. ________________________ Date Notary Public or Deputy Clerk American LegalNet, Inc. www.USCourtForms.com