Barberton Municipal Court 576 West Park Avenue, Room 205 Barberton, Ohio 44203 (330) 861-7192 www.cityofbarberton.com/clerkofcourts INTERIM REPORT AND ANSWER OF GARNISHEE Case No.: Judgment Creditor -v- Judgment Debtor The Garnishee , 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 due on the judgment, including court costs, judgment interest, and, if applicable, pre-judgment interest, as stated in EITHER Section A of the Order of Garnishment of the Judgment Debtors personal earnings OR in the Affidavit of Current Balance Due on garnishment order if that affidavit has been received subsequent to the Order of Garnishment, is $ . 3. The pay period of the Judgment Debtor is (enter weekly, biweekly, semi- monthly, or monthly. Do not enter a pay period of more than one month.) . 4. The disposable earnings of the Judgment Debtor earned during the Judgment Debtors present pay period is (Disposable earnings means earnings after deductions required by law. Present pay period means the pay period for which you are comple ting this Interim Report and Answer of Garnishee) . 5. The amount equal to twenty-five percent (25%) of the Judgment Debtors disposable earnings set forth in Section 4 of this form is $ . 6. times the current federal minimum hourly wage is: (if the Judgment Debt or is paid weekly, enter thirty (30) above; if paid bi-weekly, enter sixty (60); if paid semi-monthly, enter sixty-five (65); if paid monthly, enter one hundred thirty130)) then calculate the amount. $ . 7. The amount by which the amount in Section 4 of this form exceeds the amount in Section 6 of this form is $ . 8. The smallest of either the amount entered in Section 5 of this form, the amount entered in Section 7 of this form, or the amount entered in Section 2 of this form, is $ . 9. The amount entered in S ection 8 of this form, plus or minus (as appropriate) the Garnishees processing fee is $ . If the amount entered in Section 8 of this form equals the amount entered in S ection 2 of this form, then add up to three dollars($3); otherwise subtract up to three dollars ($3). 10. Other deductions $ . 11. The calculated amount that has been withheld from the Judgment Debtor s personal earnings during the Judgment Debtors present pay period and that is submitted with this Inter im Report and Answer of Garnishee is $ I CERTIFY THAT THE STATEMENTS ABOVE ARE TRUE. Employer (please print) Print name and title of person completing form Telephone number Signature of Person Who Completed Form American LegalNet, Inc. www.USCourtForms.com>>>> 2 Attorney for Judgment Creditor Completed this day of 20 American LegalNet, Inc. www.USCourtForms.com