Clerk of Cleveland Municipal Court Affidavit and Order and Notice of Garnishment of Property Other Than Personal Earnings and Answer of Garnishee The State of Ohio Cuyahoga County ss. Cleveland Municipal Court 1200 Ontario Street Level 2 Cleveland, Ohio 44113 216-664-4859 Case Number: _________________ Judgment Creditor: VS. Judgment Debtor: Before me, the undersigned Deputy Clerk of the Cleveland Municipal Court, personally appeared __________________ who being first duly sworn according to law, says that they are the Judgment Creditor or Attorney for the Judgment Creditor herein and that said judgment creditor heretofore, to-wit on _______________(date) duly recovered judgment Cleveland Municipal Court against said judgment debtor, __________________________________________________ which remains unsatisfied. Amount of Judgment: Interest to Date: Current Court Costs: Amount Paid: Probable Amount Now Due: $______________________ $______________________ $______________________ $______________________ $______________________ The affiant has good reason to believe and does believe that _____________________________, Garnishee, has property other than personal earnings, of the judgment debtor and that is not exempt under the laws of the State of Ohio or the laws of the United States. The property described as follows: _________________________________________________________________ _____________________________________________________________________________________________ Signed in Cleveland, Ohio on: ___________ –____________________________________________________ Date Affiant Signature Sworn and subscribed before me on: ___________-- ______________________________________________ Date Notary Public or Deputy Clerk Section A: Court Order and Notice of Garnishment To: _____________________________________________________________________________, Garnishee The judgment creditor in the above case has filed the above affidavit, satisfactory to the undersigned, in the Cleveland Municipal Court stating that you may have money, property or credits, other that personal earnings, under your control that belong to the judgment debtor in the case. You are therefore ordered to complete Section B of the form and return the completed original of this form, together with any amount shown due on it, by check or money order made payable to: Cleveland Municipal Clerk of Courts and mail them to 1200 Ontario Street, Level 2 Cashiers, Cleveland, Ohio 44113 no later than five business days from date of receipt. You also are ordered to hold safely anything of value that belongs to the indicated judgment debtor that has to be paid to the Curt, as determined under Section B of the form, but that is of such a nature that it cannot be so delivered, until further order of the Court. Witness my hand on: _______________________ Date ____________________________________________ Judge of Cleveland Municipal Court American LegalNet, Inc. www.FormsWorkflow.com Section B: Answer of Garnishee Now comes _________________________________________________ , the Garnishee who says: 1. That the Garnishee has more than $400 in money, property or credits, other that personal earnings of the indicated judgment debtor under their control and in their possession YES _______ NO________ If YES, amount over $400.00 ________________. 2. Said property is described as: _____________________________________________________. 3. If the answer to line 1 is “YES” and the Amount is less that the probable amount now due on the judgment, including interest and costs, as indicated in Section A of this form, sign and return this form and pay the of line 1 to the Clerk of this Court. 4. If the answer to line 1 is “YES” and amount is greater that that probable amount now due, sign and return this form and pay that probable amount now due form Section A, to the Clerk of this Court. 5. If the answer to line 1 is “YES” but the money, property or credits are of such a nature that they cannot be delivered to the Clerk of this Court. Indicate that by placing an “X” in the box provided. Do not dispose of that money, property or credits or give them to anyone else until further order of the Court. YES 6. If the answer to line 1 is “NO”, sign and return this form to the Clerk of this Court. I certify that the statements above are true. Print the name of the Garnishee:___________________________________________________________ Print the name and title of person who completed form: Name: __________________________________ Title: _________________________________________________________________________________ Signed: _______________________________________________________Date: ___________________ Return of the Bailiff (For court use only) I certify this to be a true copy of the original order with all endorsements thereon. Bailiff Fee $ __________ By: __________________________________________________Deputy Bailiff Paul J. Mizerak, Bailiff Pursuant to the within command, I served the within notice upon within named Garnishee by leaving three true and certified copied thereof, with all endorsements thereon, at the office and usual place of business of said company at _________AM/PM on date of: __________with ______________________in charge thereof. The president or other chief officer not found in my bailiwick. And on the same day I served the within named judgment debtor________________________________ by depositing in the United States Mail, enclosed in sealed envelope, bearing sufficient postage, a true and certified copy thereof with all endorsements thereon, two copies of the notice to the judgment debtor and hearing request card, addressed to the judgment debtor at the address given herein. Fee Paid $___________________ Updated 2008 10 01 American LegalNet, Inc. www.FormsWorkflow.com