SUMMIT COUNTY COURT OF COMMON PLEAS GENERAL DIVISION S. HIGH STREET, AKRON, OHIO 44308 INTERIM REPORT AND ANSWER OF GARNISHEE (R.C. 2716.07) _____________________________________________ Case No._______________________________ JUDGMENT CREDITOR VS. Exec. No._________________________________ _____________________________________________________________ JUDGMENT DEBTOR THE GARNISHEE _________________________________________, IN THE ABOVE CASE, STATES AS FOLLOWS: 1. The date 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 either Section A of the Order of Garnishment or in the Affidavit of Current Balance Due on Garnishment Order, if that Affidavit has been received subsequent to the Order of Garnishment, is $_________________. 3. The pay period of the Judgment Debtor is ________________________________________. (Enter weekly, biweekly, semimonthly, or monthly pay period -- Do not enter a pay period of more than one month.) 4. 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 pay period for which you are completing this Interim Report and Answer of Garnishee.) 5. The amount equal to twenty-five per cent (25%) of the Judgment Debtor?s disposable earnings in Section 4 is $_______________. 6. Multiply the current federal minimum hourly wage by thirty (30) if the Judgment Debtor is paid weekly; by sixty (60) if paid biweekly; by sixty-five (65) if paid semimonthly; or by one hundred thirty (130) if paid monthly: $____________________. 7. The amount by which the amount in Section 4 of this form exceeds the amount in Section 6 of this form is $__________________. 8. The smallest of either the amount entered in Section 5 of this form, the amount entered in Section 7 of this form, or the amount entered in Section 2 of this form, is $______________________. 9. The amount entered in Section 8 of this form, plus or minus the Garnishee's processing fee 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 ($3).] 10. Other deductions $________________________. 11. 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 Garnishee? is $_____________________. I CERTIFY THAT THE STATEMENTS ABOVE ARE TRUE: _______________________________________________ _____________________________________________________________ PRINTED NAME OF EMPLOYER PRINTED NAME AND TITLE OF PERSON WHO COMPLETED FORM __________________________________________________________ DATE OF SIGNATURE _____________________________________________________________ SIGNATURE OF PERSON WHO COMPLETED FORM One copy of the Interim Report and Answer was served upon the Garnishee in accordance with R.C. 2716.05. The Garnishee may photocopy that copy to send with each garnishment of teh Judgment Debtor's personal earnings (See R.C. 2716.07(A) and R.C. 2716.041.) CV004 American LegalNet, Inc. www.FormsWorkFlow.com Rev 1.0 081010