SUGGESTION FOR SUMMONS IN GARNISHMENT VA. CODE § 8.01-511 Case No. ................................................................. In the Circuit Court of the [ ] City [ ] County of ..................................................................................................................................................................... JUDGMENT CREDITOR: JUDGMENT DEBTOR: V. .............................................................................................................................. Telephone No. ............................................................................................... JUDGMENT CREDITOR'S ATTORNEY .............................................................................................................................. .............................................................................................................................. Telephone No. ............................................................................................... Suggested Garnishee: Social Security No. ..................................................................................... If garnishee is defendant's employer, please furnish employer's name, and state whether it is a corporation, or one or more persons trading under a fictitious or trade name. ORIGINAL JUDGMENT DATE OF JUDGMENT DATE EXECUTION DELIVERED .............................................................................................................................. STATEMENT $ Judgment Principal .................................................. Credits .................................................. Interest .................................................. Judgment Costs .................................................. Attorney's fee .................................................. .................................................. Instrument No. .................................................................................................. JUDGMENT DOCKETED IN THIS COURT Date Docketed Book/Page/Instrument No. ............................................................................ MAXIMUM PORTION OF DISPOSABLE EARNINGS SUBJECT TO GARNISHMENT Garnishment Costs $ ............................................... Total Balance Due The garnishee shall rely on this amount. [ ] Support (if not specified, then 50%) [ ] 50% [ ] 55% [ ] 60% [ ] 65% [ ] State Taxes, 100% If none of the above are checked, then § 34-29(a) applies. I request the Clerk to summon the Suggested Garnishee to answer this suggestion. This is a garnishment against [ ] the judgment debtor's wages, salary or other compensation. [ ] some other debt due or property, of the judgment debtor, specifically, ................................................................................................................................................................................................. I have reason to believe that there is a liability on the suggested garnishee because of the execution of the "ORIGINAL JUDGMENT" described above. I certify that: [ ] (1) The summons is based upon a judgment upon which a prior summons has been issued but not fully satisfied; or [ ] (2) No summons has been issued upon this judgment creditor's suggestion against the same judgment debtor within a period of eighteen months, other than a summons which was based upon a judgment upon which a prior summons has been issued but not fully satisfied; or [ ] (3) The summons is based upon a judgment granted against a debtor upon a debt due or made for necessary food, rent, or shelter, public utilities including telephone service, drugs, or medical care supplied the debtor by the judgment creditor or to one of his lawful dependents, and that it was not for luxuries or nonessentials; or [ ] (4) The summons is based upon a judgment for a debt due the judgment creditor to refinance a lawful loan made by an authorized lending institution; or [ ] (5) The summons is based upon a judgment on an obligation incurred as an endorser or comaker upon a lawful note; or [ ] (6) The summons is based upon a judgment for a debt or debts reaffirmed after bankruptcy. [ ] I have made a diligent good faith effort to secure the social security number of the judgment debtor and have been unable to do so. I hereby certify that the last known address of the defendant is as shown above. .......................................................................................... DATE SUBMITTED _____________________________________________________________ [ ] JUDGMENT CREDITOR [ ] AGENT [ ] ATTORNEY WARNING: Any judgment creditor who knowingly gives false information in a suggestion for Summons in Garnishment shall be guilty of a Class 1 misdemeanor. FORM CC-1485 MASTER 07/12 American LegalNet, Inc. www.FormsWorkFlow.com