STYLE: DOCKET/CASE #: ANSWER OF GARNISHEE BANK ACCOUNT/LEVY (Please check appropriate box below): 1. Money coming: Bank has in its possession/control property or money, not known to be exempt, belonging to the party(s) and which is not wages, salary, or other compensation in the amount of $ . The customer has been notified of their right to raise all potential objections and exemptions with the ordering authority. 2. Account closed 3. No funds available 4. No account(s) found based on information provided for party/parties 5. Tenancy by the Entirety 6. Other: WAGE ASSIGNMENT/EMPLOYER: No longer employed terminated on Nothing due employee. Net earnings less than exemptions. Other: GARNISHMENT CALCULATION FOR (EMPLOYEE) (Garnishment Calculation: T.C.A. 24726-2-404(b), as defined in T.C.A. 24726-2-216) Pay period from to (1) IF THE JUDGMENT IS FOR ANY DEBT OTHER THAN FOR ALIMONY OR CHILD SUPPORT: (A) What is the total gross pay before any deductions? $ (b)(1)(A) (B) How much is deducted from pay for social security and federal income tax? (b)(1)(B) (b)(1)(A) (C) Subtract subdivision (b)(1)(B) from subdivision (b)(1)(A) This is disposable earnings. (b)(1)(C) (b)(1)(C) (D) Are wages paid once every week, once every two (2) weeks, once a month or two (2) times per month? (fmw = federal minimum hourly wage) If once every week, enter 30 X fmw. (b)(1)(D) (b)(1)(D) If once every two (2) weeks, enter 30 X fmw X 2. (b)(1)(D) (b)(1)(D) If two (2) times per month, enter 30 X fmw X 2.166667. (b)(1)(D) (b)(1)(D) If once per month, enter 30 X fmw X 4.333334. (b)(1)(D) (b)(1)(D) (E) Subtract subdivision (b)(1)(D) from subdivision (b)(1)(C). (b)(1)(E) (b)(1)(E) If subdivision (b)(1)(E) is $0 or less, STOP. NO WAGES MAY BE WITHHELD. If subdivision (b)(1)(E) is more than $0, go on to (F). (F) Divide subdivision (b)(1)(C) by 4 (b)(1)(F) (b)(1)(F) (G) Enter the lesser of subdivision (b)(1)(E) or subdivision (b)(1)(F). (b)(1)(G) (b)(1)(G) (H) How many children does the debtor have under sixteen (16) years of age living in Tennessee? (b)(1)(H) (b)(1)(H) (I) Multiply subdivision (b)(1)(H) by $2.50 per week [$5.00 if wages are paid every two (2) weeks; $5.42 if paid two (2) times per month; and $10.83 if paid once per month]. (b)(1)(I) (b)(1)(I) (J) Subtract subdivision (b)(1)(I) from subdivision (b)(1)(G). (b)(1)(J) (b)(1)(J) This is the amount of wages to withhold. If this amount is $0 or less, nothing should be withheld from wages. $ (2) IF THE JUDGMENT IS FOR ALIMONY OR CHILD SUPPORT : (A) If the judgment is for alimony and the ex - spouse has remarried, withhold the amount in subdivision (b)(1)(J). $ $ (B) If the judgment is for child support, or the judgment is for alimony and the ex - spouse has not remarried , multiply disposable earnings (subdivision(b)(1)(C)) by: .50 if the employee is supporting another spouse or child and the arrearage is less than twelve (12) weeks old; .55 if the employee is supporting another spouse or child and the arrearage is more than twelve (12) weeks old; .60 if the employee is NOT supporting another spouse or child and the arrearage is less than twelve (12) weeks old; .65 if the employee is NOT supporting another spouse or child and the arrearage is more than twelve (12) weeks old. Withhold this amount (in preceding blank) from wages, or the amount actually ordered to be paid for alimony or child support, whichever is less . $ $ As of day of , 20, , Garnishee, is holding the sum of $ I certify under penalty of perjury that the above information is true and correct. Date: Garnishee/Employer American LegalNet, Inc. www.FormsWorkFlow.com