My Name Address City, State, Zip Phone Email In the [ ] District [ ] Justice Court of Utah __________ Judicial District ________________ County Court Address ______________________________________________________ _____________________________________ Garnishee's Answers to Plaintiff/Petitioner Interrogatories for Earnings v. Case Number ___________________ _____________________________________ Judge _________________________ Defendant/Respondent Commissioner ___________________ If you are an employer who is garnishing earnings, the court has prepared an interactive worksheet that will calculate the amount to be withheld and prepare the Answers to Interrogatories form ready for filing. To use the worksheet, go to the Utah courts' website at https://www.utcourts.gov. The link to "Employer's Answers to Garnishment Interrogatories" is on the bottom of the right column. (1) Do you employ the judgment debtor? ANSWER: [ ] Yes [ ] No If "no," skip the remaining questions, sign this form, and mail it as indicated. If "yes," answer the remaining questions. (2)(a) Are there other Writs of Continuing Garnishment in effect? ANSWER: [ ] Yes [ ] No Garnishee's Answers to Interrogatories for Earnings Approved Board of District Court Judges Revised July 1, 2010 Revised April 7, 2015 Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com (2)(b) If yes, when will they expire? ANSWER: __________________ (3)(a) What is the judgment debtor's pay period? ANSWER: [ ] Weekly [ ] Biweekly [ ] Semi-monthly [ ] Monthly [ ] Other (Describe):_________________ (3)(b) What is the pay period to which these answers relate? ANSWER: Start Date: ________________ End Date: ________________* * The Writ served on you with this form is effective for one year after the date of service, or for 120 days after the date of service of a second or subsequent writ of continuing garnishment. If the days of the garnishment term end before the end date of the pay period, you are not required to withhold money from the debtor. Skip the remaining questions, sign this form, and mail it as indicated. Otherwise calculate the amount to be withheld. (4) Calculate the amount to be withheld from the judgment debtor. (Assume you are calculating this on the last day of the pay period for which these answers apply.) (4)(a) Gross earnings from all sources payable to the judgment debtor (Including wages, salaries, commissions, bonuses, or earnings from a pension or retirement program. Tips are generally not considered earnings for the purposes of the wage garnishment law.) $ $ $ $ $ $ $ $ $ (4)(b) Deductions required by law (4)(b)(i) Federal income tax (4)(b)(ii) State income tax (4)(b)(iii) Social security tax (FICA) (4)(b)(iv) Medicare tax (FICA) (4)(b)(v) Other amounts required by law to be deducted (Please describe reason for deduction.) (4)(c) Total deductions (Calculate & record the sum of (4)(b)(i) through (4)(b)(v).) (4)(d) Disposable earnings (Calculate and record Line (4)(a) minus Line (4)(c).) (4)(e) Calculate: (4)(e)(i) 25% of the amount in Line (4)(d); or, if this is a judgment for child support, 50% of the amount in Line (4)(d) (4)(e)(ii) The difference between Line (4)(d) and the federal minimum hourly wage $7.25) times 30 times the number of weeks in this pay period For example: (Weekly): Line (4)(d) minus $7.25 X 30 X 1 week) (Biweekly): Line (4)(d) minus $7.25 X 30 X 2 weeks) (Semi-monthly): Line (4)(d) minus $7.25 X 30 X 2.16 weeks) (Monthly) Line (4)(d) minus $7.25 X 30 X 4.33 weeks) (4)(f) Record the lesser amount from Line (4)(e)(i) and Line (4)(e)(ii). $ $ Garnishee's Answers to Interrogatories for Earnings Approved Board of District Court Judges Revised July 1, 2010 Revised April 7, 2015 Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com (4)(g) Amount of any other garnishment or income withholding order. (4)(h) Calculate and record Line (4)(f) minus Line (4)(g) (4)(i) Amount deducted for an undisputed debt owed to you by the [ ] judgment creditor [ ] judgment debtor (check one, both or neither) (4)(j) Calculate and record Line (4)(h) minus Line (4)(i). (4)(k) What is the balance owed on the judgment? (You may contact the judgment creditor or judgment creditor's attorney to obtain the outstanding balance.) (4)(l) Record the lesser amount from Line (4)(j) and Line (4)(k). (This is the amount to be withheld.) $ $ $ $ $ $ I declare under criminal penalty of Utah Code Section 78B-5-705 that this Garnishee's Answers to Interrogatories for Earnings is true and correct. Date Sign here Typed or printed name Garnishee's Answers to Interrogatories for Earnings Approved Board of District Court Judges Revised July 1, 2010 Revised April 7, 2015 Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com Certificate of Service I certify that I served a copy of this document on the following people. Person's Name [ [ [ [ [ (Judgment Creditor or Attorney) Method of Service ] Mail ] Hand Delivery ] Fax (Person agreed to service by fax.) ] Email (Person agreed to service by email.) ] Left at business (With person in charge or in receptacle for deliveries.) and discretion residing there.) Served at this Address Served on this Date [ ] Left at home (With person of suitable age [ [ [ [ [ ] Mail ] Hand Delivery ] Fax (Person agreed to service by fax.) ] Email (Person agreed to service by email.) ] Left at business (With person in charge or in receptacle for deliveries.) and discretion residing there.) (Judgment Debtor or Attorney) [ ] Left at home (With person of suitable age [ [ [ [ [ ] Mail ] Hand Delivery ] Fax (Person agreed to service by fax.) ] Email (Person agreed to service by email.) ] Left at business (With person in charge or in receptacle for deliveries.) and discretion residing there.) (Person Claiming Interest in Property) Date [ ] Left at home (With person of suitable age Sign here Typed or printed name Garnishee's Answers to Interrogatories for Earnings Approved Board of District Court Judges Revised July 1, 2010 Revised April 7, 2015 Page 4 of 4 American LegalNet, Inc. www.FormsWorkFlow.com