Print Form Clear Form FINAL REPORT AND ANSWER OF GARNISHEE CASE NO.________________________________ IN THE ELYRIA MUNICIPAL COURT 601 Broad Street Elyria, OH 44035 ATTN: Clerk of Courts - Civil Division Phone: (440) 326-1800 Clerk's Received Stamp ______________________________________ vs. ____________________________________ Judgment Creditor Judgment Debtor The garnishee, ___________________________________________________________ in the above case states as follows: 1. 2. The date that the garnishee received the order of garnishment of the judgment debtor's personal earnings was _____________________________________. The total probable amount due on the judgment, including court costs, judgment interest and, if applicable, prejudgment interest, as stated in section A of this order of garnishment of the judgment debtor's personal earnings is $_______________ 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 debtor's personal earnings remained in effect is $_______________ (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 to be in effect for the following statutorily prescribed reason(s) (check whichever 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 debtor's personal earnings. (b) __________A federal bankruptcy court issued an order that stays the order of garnishment of the judgment debtor's personal earnings. (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 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):_________________________________ _______________________________________________________________ (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 relevant judgment creditor under that order):______________________________________________________ ______________________________________________________________ American LegalNet, Inc. (OVER) www.FormsWorkFlow.com 3. 4. EMC 111C rev. 8/00 (e) (f) (g) __________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. __________Judgment debtor's employment terminated on: ______________ __________Other: ______________________________________________ I certify that the statements above are true. __________________________________________ (Print name of employer) __________________________________________ (Print name and title of person who completed form on behalf of the employer) Signed:___________________________________ (Signature of Employer or employer's agent) Dated this ____day of _____________,20___ NOTE: After completing this "FINAL REPORT AND ANSWER OF GARNISHEE", you must send one copy to the Clerk of Elyria Municipal Court at the address printed on this form by regular U.S. Mail. One copy to employee. Retain one for your records. American LegalNet, Inc. www.FormsWorkFlow.com