REQUEST FOR HEARING (PERSONAL EARNINGS) Case No. ______________________________ _________________________________ Court, _________________________________ District, Judge _________________________________,Ohio. I dispute the judgment creditor's determination of current balance due on garnishment order in the above case and request that a hearing in this matter be held not later than twelve days after delivery of this request to the court. I I ___________________________________ believe that the need for the hearing is an emergency. (insert "Do" or "Do Not") I dispute the judgment creditor's determination for the following reasons: (1) _________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ I understand that no objections to the judgment itself will be considered at the hearing. Date: ____________________________________ __________________________________________________ (Name of Judgment Debor-Print) __________________________________________________ (Signature) WARNING: IF YOU DO NOT DELIVER THIS REQUEST FOR HEARING OR A REQUEST IN A SUBSTANTIALLY SIMILAR FORM TO THE OFFICE OF THE CLERK OF THIS COURT WITHIN FIVE (5) BUSINESS DAYS OF YOUR RECEIPT OF IT, YOU WAIVE YOUR RIGHT TO A HEARING AND SOME OF YOUR PERSONAL EARNINGS, WILL CONTINUE TO BE PAID TO _________________________________________________________________ (Judgment Creditor's Name) IN SATISFACTION OF YOUR DEBT TO THE JUDGMENT CREDITOR _____________ (1) OPTION American LegalNet, Inc. www.FormsWorkFlow.com