IN THE PORTAGE COUNTY MUNICIPAL COURT RAVENNA DIVISION 203 W MAIN ST PO BOX 958 RAVENNA, OH 44266 KENT DIVISION 303 EAST MAIN STREET KENT, OH 44240 CASE NO._______________________ DATE: __________________________ REQUEST FOR HEARING I dispute the indicated judgment creditor's right to garnish my personal earnings in the above case and request that a hearing in this matter be held no later than 12 days after delivery of this request to the court. I DO I DO NOT (circle one) feel that the need for the hearing is an emergency. I dispute the indicated judgment creditor's right to garnish my personal earnings for the following reasons: (optional)______________________________________________________________________ ______________________________________________________________________________ ____________________________________________ (Print name) _____________________________________________ (Signature) ________________________ (Date) I understand that no objections to the judgment itself will be heard or considered at the hearing. 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 THE JUDGMENT CREDITOR IN SATISFACTION OF YOUR DEBT TO THE JUDGMENT CREDITOR. American LegalNet, Inc. www.FormsWorkFlow.com