1503DC J Approved May 21, 2018 / Revised May 1, 2019 Application for Writ of Garnishment Page 1 of 5 Name Address City, State, Zip Phone Check your email. You will receive information and documents at this email address. Email I am [ ] Plaintiff/Petitioner [ ] Defendant/Respondent [ ] Plaintiff/Petitioner [ ] Defendant/Respondent (Utah Bar #:) In the [ ] District [ ] Justice Court of Utah Judicial District County Court Address Plaintiff/Petitioner v. Defendant/Respondent Application for Writ of Garnishment Case Number Judge Commissione r (domestic cases) Instructions: You must attach the following records and forms if they are not already filed with the court. Continuation pages, if any, to complete paragraph number on the continuation page. Writ of Garnishment, and Answers to Interrogatories for Property Other than Earnings (If applicable.). Writ of Continuing Garnishment, and Answers to Interrogatories for Earnings (If applicable.). Notice of Garnishment and Exemptions. Reply and Request for Hearing (2 copies.). Check payable to the garnishee for the fee required by statute (If this Application is electronically filed, the fee must be delivered to the garnishee when the Writ is served.). Check payable to the Sheriff, Constable or Private Investigator for serving the Writ. Check payable to the court for the filing fee. American LegalNet, Inc. www.FormsWorkFlow.com 1503DC J Approved May 21, 2018 / Revised May 1, 2019 Application for Writ of Garnishment Page 2 of 5 1. I request a (Choose one.): [ ] Writ of Garnishment [ ] Writ of Continuing Garnishment [ ] Writ of Continuing Garnishment for Child Support be issued and served upon each of the garnishees named below, along with the attached forms. 2. [ ] This is an Application for a Writ of Continuing Garnishment and: (Choose one.) [ ] The garnishee has verified the employment of the debtor. [ ] The garnishee has not responded to my Request for Verification of Employment. [ ] I have not requested verification of employment from the garnishee. 3. The amount due is: Amount of o riginal j udgment $ Post - j udgment i nterest $ Cost to file Application for Writ $ Cost to serve this Writ $ $ Filing, s ervice and g arnishee f ees for other Writs (Attach receipts.) $ Subtotal $ Less p ayments m ade $ Total Amount Due $ 4. The person who owes the money (judgment debtor) is: Name Address Social security number (Last 4 digits only, if known . ) issuance (Last 4 digits only, if known . ) Year and month of birth ( I f known . ) American LegalNet, Inc. www.FormsWorkFlow.com 1503DC J Approved May 21, 2018 / Revised May 1, 2019 Application for Writ of Garnishment Page 3 of 5 5. I believe that the following people hold property of the judgment debtor. Person h olding p roperty ( N ame, a ddress, phone number . ) Property d escription (If an account, include the location and last four digits of account number.) Estimated v alue of p roperty $ Is the p roperty e arnings? [ ] Yes [ ] No Person h olding p roperty (Name, address, phone num ber.) Property d escription (If an account, include the location and last four digits of account number.) Estimated v alue of p roperty $ Is the p roperty e arnings? [ ] Yes [ ] No 6. I believe that the following people claim an interest in the property. I request that the Writ of Garnishment be served upon each, along with the attached forms. Name Address Phone n umber American LegalNet, Inc. www.FormsWorkFlow.com 1503DC J Approved May 21, 2018 / Revised May 1, 2019 Application for Writ of Garnishment Page 4 of 5 Name Address Phone n umber 7. I will serve a check payable to the garnishee for the required fee. (Utah Code 78A-2-216 and Utah Rule of Civil Procedure 64D). I declare under criminal penalty under the law of Utah that everything stated in this document is true . Signed at (city, and state or country). Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com 1503DC J Approved May 21, 2018 / Revised May 1, 2019 Application for Writ of Garnishment Page 5 of 5 Certificate of Service I certify that I filed with the court and am serving a copy of this Application for Writ of Garnishment on the following people. Service Method Service Address Service Date [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] E mail [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com