UNITED STATES DISTRICT COURTFOR THE DISTRICT OF UTAH INTERROGATORIES TO GARNISHEE(Earnings for Personal Services)Garnishee NameCase TitleCase Number(Give your answers in the spaces provided and attach additional sheets if necessary.)1.Is the Defendant employed by you or does Defendant render services for you? ANSWER Yes No 2.(a) What is Defendant's pay period? ANSWERWeekly Biweekly Semi-monthly Monthly Other (b) What is Defendant222s222 hourly or periodic rate of pay or other manner of compensation?ANSWER:(c) What is the date of the Defendant's next payday?ANSWER 3.Do you owe the Defendant compensation for personal services (work)? American LegalNet, Inc. www.FormsWorkFlow.com ANSWER Yes No 4.If your answer is yes, figure out, as explained below, the amount of defendant222s pay thatmust be held. Assume you are calculating this on the last day of the pay period.ANSWER (a)Gross earnings or income for the pay period during which this writwas served$(b)Less deductions for taxes and other items REQUIRED BY LAW tobe deducted from above amount:Federal Income Taxes$ FICA$ State Income Taxes$Other amounts required by lawto be deducted (Identify)$ (c)Total of these deductions $ (d)Disposable earnings or income(Item (a) minus Item (c))$ (e)Exempt amount (to be paid to the employee)Greater of 1, 2 or 3 below(1)75% of Defendant's total disposable earnings or income(Item d): $(2)$175.50 times the number of weeks in the pay period:$(3)Defendant's disposable income as calculated in item (d) American LegalNet, Inc. www.FormsWorkFlow.com minus the amount owed on the judgment as shown on theWrit of Garnishment:$(f)AMOUNT ATTACHED BY THIS GARNISHMENT(Item (d) above minus the exempt amount as determined in Item(e) above)$5.Do you know of any other employment, income or income-producing activities of theDefendant? If so, please explain.ANSWER:6.Other than as set forth above, are you indebted to Defendant? ANSWER:7.Do you know of any debts owing from any other person to Defendant?ANSWER:DESCRIPTION: VALUE: American LegalNet, Inc. www.FormsWorkFlow.com 8.Have you retained or deducted from the property or money in which you are indebted toDefendant(s) any amount in payment, in full or in part, of a debt owed by Defendant(s) orPlaintiff(s) to you?ANSWER:9.If so, state the amount so retained or deducted and the person indebted for whom theamount has been retained or deducted.ANSWER:UNITED STATES OF AMERICA ss.I do swear, or affirm, that I am the garnishee, or person authorized toexecute this instrument and make this verification on behalf of garnishee, and thatthe answers to the foregoing interrogatories are true to the best of my informationand belief.I also swear or affirm that I mailed by first class mail or hand-delivered acopy of the Writ of Garnishment, Answers to Interrogatories, Notice ofGarnishment and Exemptions, and two (2) copies of the Request for Hearing, to theDefendant at:Street address: City: State: Zip: date mailed:or hand-delivered to , at on (Person) (Place) (Date)I also swear or affirm that the following other persons were also provided a copy of the American LegalNet, Inc. www.FormsWorkFlow.com Writ of Garnishment. Answers to the Interrogatories, Notice of Garnishment and Exemptions,and Request for Hearing.Person Date MailedorDate Hand-DeliveredAddress (if mailed): Signature of Garnishee or Authorized Signature on Behalf of GarnisheeSUBSCRIBED AND SWORN to before me this day of , 20(SEAL)NOTARY PUBLICResiding at: My Commission Expires on American LegalNet, Inc. www.FormsWorkFlow.com