COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.ORDER AND NOTICE OF GARNISHMENT AND ANSWER OF EMPLOYER SECTIONCalendar No.BEREA MUNICIPAL COURTPlaintiff(s) -against-Defendant(s)RAYMOND J. WOHL, CLERK OF COURTS11 BEREA COMMONSBClerk's Filed Date Stamp JUDICIAL SUBPOENABEREA, OHIO 44017 PHONE: (440) 826-5860CASE NO. VS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Judgment CreditorJudgment DebtorIdentification for Judgment DebtorTHE PEOPLE OF THE STATE OF NEW YORK TOSECTION B: ANSWER OF EMPLOYER (GARNISHEE). (An employer is one who is required to withhold payroll taxes out of payments of personal earnings made to the Judgment Debtor)GARNISHEE: Answer all pertinent questionsNow comes, the employer (garnishee) herein, who says:GREETINGS:1.This Order of Garnishment of Personal Earnings was received on ... 1.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable2.The Judgment Debtor is in my employee 2. Yes NO,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 theIf answer is NO, please give date of last employment. If never employed, check here . 3(A) Is the debt to which this Order of Garnishment of Personal Earnings pertains the subject of an existing agreement for debt scheduling between the Judgment Debtor and a budget and debt counseling and has the Judgment Debtor made every payment that was due under the agreement for debt scheduling no later than forty-five (45) days after the date on which the payment was due?3(A). Yes NOYour 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.If the answer to both parts of this question is YES , give all available details of the agreement, sign this form and return it to the court. Details of Agreement: , one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)3(B) Were you, on the date that you received this Order of Garnishment of Personal Earnings, withholding moneys from the Judgment Debtor's personal earnings pursuant to another Order of Garnishment of Personal Earnings that Ohio or Federal Law provides with a higher priority than this Order of Garnishment of Personal Earnings (such as a support order or Internal Revenue Service Levy)? 3(B) Yes NOAttorney(s) forIf the answer to this question is YES , give the name of the court that issued a higher priority order, the associated case number, the date upon which you received that order, and the balance due to the relevant Judgment Creditor under that order.Name of Court Associated Case Number Date Received Balance Due Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.3 (C) Did you received prior to the date that you received this Order of Garnishment of Personal Earnings one of more other Orders of Garnishment of Personal Earnings that are not described in question 3 (B), and are you currently processing one of more of those orders for the statutorily required time period or holding one or more of those orders for processing for a statutorily required period in the sequence of their receipt by you? 3 (C). Yes NO.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)If the answer to this question is YES , give the name of the court that issued each of those orders and the balance due to the relevant Judgment Creditor under each of those orders. List first the previously received order(s) that you are currently processing, and list each of the other previously received others in the sequence that you are required to process them. (Attach additional paper if needed).Name of Court . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Associated Case Number Date Received Balance Due THE PEOPLE OF THE STATE OF NEW YORK TOI certify that the statements above are true.(PRINT Name and Title of Person Completing Form)Signed: GREETINGS:(Signature of Person Completing Form)(PRINT Name and Title of Person Completing Form)WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Date: located at County of(Date this form was completed)(area code)(phone number)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 theGarn Form Section B 08/2000 (O.R.C. 2716.05) Return one COMPLETED and SIGNED copy of this form to the Clerk of Court within five (5) business days after you received this Order of Garnishment.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 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