HB 2428
Plaintiff, |
No. ________ |
Defendant, |
Garnishee. |
HB 2428
3 | Defendant ___________________ | Plaintiff's attorney _________________________ | |
4 | Address __________________________________ | Address ________________________________________ | |
5 | __________________________________________ | _______________________________________________ |
____________________ |
(Signature), Clerk |
30 | Service, First Person | $__________ |
31 | ___________________________ Additional Persons | $__________ |
32 | ___________________________ Persons Not Found | $__________ |
33 | Mileage: _________________ miles | $__________ |
34 | Total | $__________ |
Plaintiff, |
HB 2428
No. ________ |
Defendant, |
Garnishee. |
24 | Defendant _______________________ | Plaintiff's attorney _________________________ | |
25 | Address ____________________________ | Address ______________________________________ | |
26 | ____________________________________ | ______________________________________________ |
________________ |
(Signature), Clerk |
HB 2428
7 | Service, First Person | $__________ |
8 | ____________________ Additional Persons | $__________ |
9 | ____________________ Persons Not Found | $__________ |
10 | Mileage: _________ miles | $__________ |
11 | Total | $__________ |
HB 2428
____________________ |
____________________ |
(Signature) Garnishee |
HB 2428
pay the defendant-employee $127.50 |
pay the defendant-employee $255.00 |
period pay the defendant-employee $276.25 |
pay the defendant-employee $552.50 |
pay the defendant-employee 75% of |
HB 2428
the defendant-employee's disposable earnings |
pay the defendant-employee 75% of |
the defendant-employee's disposable earnings |
pay the defendant-employee 75% of |
the defendant-employee's disposable earnings |
pay the defendant-employee 75% of |
the defendant-employee's disposable earnings |
28 | (c)Total gross earnings due for the period or periods covered by (b)are | $__________ | |
29 | (d)Average gross earnings for normal pay period as designated in (b)are | $__________ |
32 | (1)Federal social security tax | $__________ |
33 | (2)Federal income tax | $__________ |
34 | (3)State income tax | $__________ |
35 | (4)Railroad retirement tax | $__________ |
36 | Total | $__________ |
38 | (f)Disposable earnings for the period or periods covered by (b) are(c minus e) | $___________ |
HB 2428
12 | (g)I am subtracting from the disposable earnings in (f) an amountsubject to an income withholding order for support | $___________ | |
13 | (h)In accordance with the instructions accompanying this answerform, I have determined that the amount which may be paid to defendantis | $___________ | |
14 | (i)I am withholding from the amount in (h) an administrative fee inthe amount of | $__________ | |
15 | (j)After paying to defendant the amount stated in (h) less the ad-ministrative fee in (i), I am holding the remainder of defendant's dispos-able earnings in the amount of | $__________ |
19 | Available disposable earnings from (j) | $__________ | |
20 | Amount of claim | $__________ | |
21 | Difference paid to the defendant in addition to amount shown in (g) | $__________ |
____________________ |
HB 2428
HB 2428
31 | __________________________________ | ____________________________________________ | |
32 | Name of Defendant | ||
33 | __________________________________ | ____________________________________________ | |
34 | Address |
HB 2428
____________________ |
HB 2428
HB 2428
1 | ___________________________________ | ____________________________________________ | |
2 | Name of Defendant | ||
3 | ___________________________________ | ____________________________________________ | |
4 | Address |
____________________ |