COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.FINAL REPORT AND ANSWER OF GARNISHEE CASE NO.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)BEREA MUNICIPAL COURT RAYMOND J. WOHL, CLERK OF COURTSClerk's Filed Date Stamp 11 BEREA COMMONS BEREA, OHIO 44017 PHONE: (440) 826-5860. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TO vs. Judgment CreditorJudgment DebtorThe garnishee, in the above case states as follows:1. The date that the garnishee received the order of garnishment of the Judgment Debtor's personal earnings was . 2. The total probable amount on the judgment, including court costs, judgment interest, and, ifGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorableapplicable, prejudgment interest, as stated in Section A of the order of garnishment of the Judgment Debtor's personal earnings, is $.,located at County ofo'clock in the day ofnoon, and at any recessed in room, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of the3. The total amount that has been withheld from the Judgment Debtor's personal earnings and paid to the court while the order of garnishment of the Judgment Debtor's 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 that the Order of Garnishment of the Judgment Debtor's personal earnings ceased t o be in effect for the following statutorily prescribed reason(s) (check whichever apply):Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of the(a) A Municipal or County Court appointed a Trustee for the Judgment Debtor and issuedCourt in Witness, Honorableday of, 20 County,an order that stays the Order of Garnishment of the Judgment Debtor's personal earnings.(b) A Federal Bankruptcy Court issued an order that stays the Order of Garnishment ofthe Judgment Debtor's personal earnings.(Attorney must sign above and type name below)(c) A Municipal or County Court or a Court of Common Pleas issued another Order ofGarnishment of Personal Earnings that related to the Judgment Debtor and a different Judgment Creditor, and Ohio or Federal Law provides the other order a higher 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 balance due to the relevant Judgment Creditor under that order):Attorney(s) forCourt Case Number (Name of Court that issued higher priority order)(Associated Case Number)Office and P.O. AddressDate received Balance Due $(Date that higher priority order was received)(Balance Due to Judgment Creditor under that Order.)Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.(d) A Municipal or County Court or a Court of Common Pleas issued another Orderof 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 relevant judgment creditor under that order).JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Court Case Number (Name of Court that issued subsequently received order)(Associated Case Number)Date received Balance Due $(Date that subsequent order was received)(Balance Due to the Judgment Creditor under that Order).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(e) The Judgment Creditor or Judgment Creditor's Attorney has issued a request that the Order of Garnishment be terminated and the garnishee released from the mandates of the order of garnishment. (f) Judgment Debtor's employment terminated on (date) (g) Other: THE PEOPLE OF THE STATE OF NEW YORK TOI certify that the statements above are true.(PRINT Name of Employer)GREETINGS:Signed WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable(Signature of Person Completing Form)(PRINT Name of Person Who Completed This Form),Dated located at County of(Date This Form Was Completed)(PRINT Title of Person Who Completed This Form)o'clock in the day ofnoon, and at any recessed in room, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of theTelephone No. NOTE: After completing this FINAL REPORT AND ANSWER OF GARNISHEE , you must send one copy to the Clerk of Berea Municipal Court at the address printed on this form by regular U.S. Mail. Give one copy to the employee. Retain one copy for your records.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.Garnishment Form Final Report (Revised 08/2000) O.R. C. 2716.08, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com