Notice and Affidavit to the Judgment Debtor of Current Balance Due on Garnishment Order Hamilton County Municipal Court Civil Div. Rm. 115, 1000 Main St. Cincinnati, Ohio 45202 (513) 946-5724 Web Address: www.courtclerk.org ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Judgment Creditor Case No. ______________________________________________________ THIS COMMUNICATION IS FROM A DEBT COLLECTOR VS. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Judgment Debtor (SS# Optional) ____________-____________-____________ You are hereby notified that the judgment creditor in this proceeding has issued an affidavit of current balance due on the garnishment order in the above case. The affidavit of current balance due on garnishment order shows the original amount of the judgment that was the basis of the garnishment order, accrued interest to date, court costs assessed to date, all moneys paid to the creditor/creditor's attorney on the judgment balance to date, and the current balance due on the judgment. If you dispute the creditor's determination of these amounts, or if you believe that this affidavit is improper for any other reason, you may request a hearing before this court disputing the affidavit in the request for hearing, appearing below, or in a substantially similar form, and delivering your request to this court at the above address, at the clerk of courts office, no later than the end of the 5th business day after you receive this notice. You may state your reasons for disputing the creditor's determination of the amounts shown in the affidavit of current balance due on garnishment order in the space provided; however, you are not required to do so. If you state your reasons for disputing the creditor's determination, you are not prohibited from stating other reasons at the hearing. If you don't state your reasons, the court won't hold it against you, and you can state your reasons at the hearing. No objections to the judgment itself will be heard or considered at the hearing. The hearing will be limited to a consideration of the amount currently due on the judgment you owe to the judgment creditor. If you request a hearing by delivering your request not later than the end of the 5th business day after you receive this notice, the court will conduct the hearing no later than 12 days after it is received, and the court will notify you of the date, time, and place. You may indicate in the form that you believe that the need for the hearing is an emergency and that it should be given priority by the court. If you do, the court will schedule the hearing as soon as practicable after your request is received and will notify you of the date, time, and place. If you don't request a hearing by delivering your request not later than the end of the 5th business day after you receive this notice, some of your personal earnings will continue to be paid to the creditor until the judgment is satisfied. If you have any questions concerning this matter, you may contact the clerk of courts office. If you want legal representation, contact your lawyer immediately. If you need the name of a lawyer, contact the local bar association. State of Ohio, Hamilton County: ss now comes the judgment creditor/attorney and states: The original amount of the judgment that is the basis of the garnishment order is: The accrued interest to date is: The court costs assessed to date are: All moneys paid to the judgment creditor/attorney on the judgment to date are: Poundage in accordance with Local Rule 18: Current Balance Due is: $_____________________________________ $_____________________________________ $_____________________________________ $_____________________________________ $_____________________________________ $_____________________________________ Certificate of Service I hereby certify that a copy of the foregoing was sent to all parties entitled here to: _____________________________________________________ Judgment Creditor/Attorney Supreme Court I.D. Number _____________________________________________________ Address _____________________________ Signature _______ Date _____________________________________________________ City, State, Zip Code ________________________________________________ Judgment Creditor/Attorney Sworn to & subscribed before me on ____________________________________ ______________________________________________________ Notary Public REQUEST FOR HEARING ON GARNISHMENT I dispute the judgment creditor's determination of current balance due on the garnishment order in the above case and request that a hearing be held not later than 12 days after delivery of this request to the court. I _________________________________ believe that the need for a hearing is an emergency. (Insert: "do" or "do not") I dispute the judgment creditor's determination for the following reasons (optional): ___________________________________________________________________ _______________________________________________________________________________________________________________________________________ ____________________________________________________________ Name of Judgment Debtor-Type or Print _______________________________________________________________ Current Address ____________________________________________________________ Signature _______________________________________________________________ City, State, Zip Code ____________________________________________________________ Date _______________________________________________________________ Telephone Number I UNDERSTAND THAT NO OBJECTIONS TO THE JUDGMENT ITSELF WILL BE CONSIDERED AT THE HEARING WARNING: If you do not deliver this request for hearing on this, or on a substantially similar form, to the Clerk of Courts office within five (5) business days of receipt of it, you will waive your right to a hearing and some of your personal earnings will continue to be paid to the judgment creditor in satisfaction of your debt to the judgment creditor. Revised 01/2014 American LegalNet, Inc. www.FormsWorkFlow.com