Barberton Municipal Court 576 West Park Avenue, Room 205 Barberton, Ohio 44203 (330) 861-7192 www.cityofbarberton.com/clerkofcourts FINAL REPORT AND ANSWER OF GARNISHEE Case No. In the Barberton Municipal Court Barberton, Ohio Judgment Creditor -v- Judgment Debtor The Garnishee (employer), , in the above case states as follows: 1. The date that the Garnishee received the Order of Garnishment of the Judgment Debtors personal earnings was . 2. The total probable amount on the judgment, including court costs, ju dgment interest, and, if applicable, prejudgment interest, as stated in S ection A of the Order of Garnishment of the Judgment Debtors personal earnings, is $ . 3. The total amount that has been withheld from the Judgment Debtor s personal disposable earnings and paid to the court while the Order of Garnishment of the Judgment Debtors personal earnings remained in effect is $ . 4. (When applicable) The total probable amount due on the judgment (as stated in 2 above) is not equal to the total amount that has been withheld (as stated in 3 above) , and the reason for that difference is the Order of Garnishment of the Judgment Debtors personal earnings ceased to be in effect for the following statutorily prescribed reason(s) (check whic hever apply): (a) A municipal or county court appointed a trustee for the Judgment Debtor and issued an order that stays the order of garnishment of the Judgment Debtors personal earnings. (b) A federal bankruptcy court issued an order that stays the order of garni shment of the Judgment Debtors personal earnings. American LegalNet, Inc. www.USCourtForms.com>>>> 2 (c) A municipal or county court or a court of common pleas issued another Order of Garnishment of personal earnings that relates to the Judgment Debtor and a different Judgment Creditor, and Ohio or federal law provides the other order a hi gher priority. (Set forth the name of the court that issued the higher priority order, the associated case number, the date that the higher priority order was received, and the ba lance due to the relevant Judgment Creditor under that order): (d) A municipal or county court or a court of common pleas issued another order of garnishment of personal earnings that relates to the Judgment Debtor and a different Judgment Creditor and that is not described in 4(c) above. (Set forth the name of the court that issued the subsequently received order, the associated case number, the date that the subsequent order was received, and the balance due to the relev ant judgment creditor under that order): (e) The Judgment Creditor or Judgment Creditors attorney has issued a re quest that the order of garnishment be terminated and the garnishee released from the m andates of the order of garnishment. (f) Judgment Debtors employment terminated on (g) Other: I CERTIFY THAT THE ABOVE STATEMENTS ARE TRUE. (Print name of employer) (Print name and title of person who completed this form on behalf of the employer) (Signature of employer or employers agent) Telephone number: American LegalNet, Inc. www.USCourtForms.com>>>> 3 Dated this day of , 20 . American LegalNet, Inc. www.USCourtForms.com