INTERIM REPORT AND ANSWER OF EMPLOYER NEW PHILADELPHIA MUNICIPAL COURT 166 East High Avenue New Philadelphia, Ohio 44663 (330)343-6797 (330)364-6885 FAX CASE NO. Judgment Creditor The employer (garnishee), 1. VS Judgment Debtor in the above case states as follows: TIME STAMP 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, 2. 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 $ . The pay period of the judgment debtor is (enter weekly, biweekly, semi-monthly, or monthly. Do not 3. enter a pay period of more than one month.) . 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 4. pay period for which you are completing this Interim Report and Answer of Garnishee) $ . The amount equal to twenty-five percent (25%) of the judgment debtor's disposable earnings set forth in 5. section 4 of this form is $ . times the current federal minimum hourly wage is: (if the judgment debtor is paid weekly, enter thirty (30) above; if paid bi-weekly, enter sixty (60); if paid semi-monthly, enter sixty6. five (65); if paid monthly, enter one hundred thirty (130)) then calculate the amount. $ . The amount by which the amount in section 4 of this form exceeds the amount in section 6 of this form is 7. $ . The smallest of either the amount entered in section 5 of this form, the amount entered in section 7 of this 8. form, or the amount entered in section 2 of this form, is $ . The amount entered in section 8 of this form, plus or minus (as appropriate) the garnishee's processing fee 9. 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($3); otherwise subtract up to three($) dollars. . 10. Other deductions $ $ $ $ $ $ $ $ $ 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 11. Garnishee" is $ $ THIS AMOUNT MUST MATCH THE AMOUNT OF THE CHECK. I certify that the statements above are true. (Print Name of Employer Dated this Telephone Number 0 INTERIM REPORT AND ANSWER OF EMPLOYER (Print Name & Title of Person who completed this form ,20 (Signature of Person completing this form) American LegalNet, Inc. www.FormsWorkFlow.com day of 11/2015 JAS