SUMMIT COUNTY COURT OF COMMON PLEAS GENERAL DIVISION S. HIGH STREET, AKRON, OHIO 44308 FINAL REPORT AND ANSWER OF GARNISHEE (R.C. 2716.08) ________________________________________________ Case No. ___________________________________ JUDGMENT CREDITOR VS. Exec. No.__________________________________ ___________________________________________________________ JUDGMENT DEBTOR THE GARNISHEE, ________________________________________________, IN THE ABOVE CASE, STATES AS FOLLOWS: 1. The date that the Garnishee received the Order of Garnishment of the Judgment Debtor?s personal earnings was ______________________. 2. 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 $__________________. 3. 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 $__________________. 4. (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 earnings that stays the Order of Garnishment of the Judgment Debtor's personal earnings. (B) A federal bankruptcy court issued an order that stays the Order of Garnishment of the Judgment Debtor's personal earnings. (C) A municipal or county court or a court of common pleas issued another order of garnishment of personal earnings that relates to the 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 higer priority order was received, and the balance due to the relevant judgment creditor under that order): ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ (D) A municipal or county court or a court of common pleas issued another order of garnishment of personal earnings that relates to the 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 form the mandates of the Order of Garnishment. (F) Judgment Debtor?s employment terminated on:________________________________________. (G) Other:_________________________________________________________________________. I CERTIFY THAT THE STATEMENTS ABOVE ARE TRUE: _______________________________________________________ PRINTED NAME OF EMPLOYER ONE COPY OF THE FINAL REPORT AND ANSWER SHALL BE SERVED UPON THE GARNISHEE IN ACCORDANCE WITH R.C. 2716.05. THE GARNISHEE SHALL FILE THE FINAL REPORT AND ANSWER WITH THE COURT WHEN THE CONTINUOUS GARNISHMENT CEASES TO REMAIN IN EFFECT (See R.C.2716.08(A) and R.C. 2716.041) ________________________________________________________ PRINTED NAME AND TITLE OF PERSON WHO COMPLETED FORM ON BEHALF OF EMPLOYER _______________________________________________________ SIGNATURE OF EMPLOYER OR EMPLOYER?S AGENT _________________ DATE CV005 American LegalNet, Inc. www.FormsWorkFlow.com Rev 1.0 081014