FRANKLIN COUNTY MUNICIPAL COURT LORI M. TYACK, CLERK WAGE GARNISHEE: PLEASE MAKE COPIES OF THIS FORM PRIOR TO COMPLETING. _______________________________, Judgment Creditor Vs. Case Number: ________________________ _________________________________, Judgment Debtor “INTERIM REPORT AND ANSWER OF GARNISHEE” The garnishee, in the above case states as follows: . 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 either section A of the order of garnishment of the judgment debtor’s 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, semimonthly, or monthly. Do not enter a pay period of more than a month). 4. The disposable earnings of the judgment debtor earned during the judgment debtor's present pay period is ("Disposable Earnings" means earnings after deductions required by law. “Present Pay Period" means the pay period for which you are completing this Interim Report and Answer of Garnishee.) $ _____________________ 5. The amount equal to Twenty-Five Percent (25%) of the judgment debtor's disposable earnings set forth in section 4 of this form is $_______________________ 6. ____________ Times the current federal minimum hourly wage ( if the judgment debtor is paid weekly , enter thirty above, if paid biweekly, enter sixty, if paid semimonthly, enter sixty-Five, if paid monthly, enter one hundred thirty, 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 section 8 of this form, plus or minus (as appropriate) the garnishee's processing fee is $ _______ (if the amount entered in section 8 of this form equals the amount entered in section 2 of this form, then add up to three dollars ($3); otherwise subtract up to $3 10. Other deductions $ ______________ 11. The calculated amount that has been withheld from the judgment debtor’s personal earnings during the judgment debtor’s present pay period and . that is submitted with this “INTERIM REPORT AND ANSWER OF GARNISHEE” IS $ _________________________________________________________________________________________________________________ 1. 2. “FINAL REPORT AND ANSWER OF GARNISHEE” The garnishee, 1. 2 3. 4. , in the above case states as follows: 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 the 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. A federal bankruptcy court issued an order that stays the order of garnishment of the judgment debtor’s personal earnings. (B) A municipal or county court or a court of common pleas issued another order of garnishment of personal earnings that relates to the (C) 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): _____________________________________________________________________________ A municipal or county court or a court of common pleas issued another order of garnishment of personal earnings that relates to the (D) 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): (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 __________________ (G) ____Other_________________________________________ I CERTIFY THAT THE STATEMENTS ABOVE ARE TRUE. _______________________________ (Print Name of Employer) ______________________________________ Signed: ________________________________ Date ________________ (Print Name and Title of Person Who Completed Form) (Signature of Person Who Completed Form) REV. 09/08 Wage Interim Report and Final Answer (one page) American LegalNet, Inc. www.FormsWorkFlow.com