STATE OF GEORGIA
)
Plaintiff: )
)
)
Name )
)
Plaintiff's contact information: )
)
)
Name )
) Civil Action File No.
Street Address )
)
City State ZIP Code )
)
E-mail Address )
)
Phone Number )
)
Bar Number )
)
v. )
)
Defendant: )
)
)
Name )
)
Street Address )
)
City State ZIP Code )
)
Garnishee: )
)
)
Name )
)
Street Address )
)
City State ZIP Code )
AFFIDAVIT OF GARNISHMENT
[] Check this box if the Garnishee is a financial institution.
[] Check this box if garnishment is for the collection of child support or alimony. See O.C.G.A. § 18-4-50, et seq.
Personally appeared , who on oath says:
1. I am the (Plaintiff) (Attorney at Law for Plaintiff) (Agent for Plaintiff). [Circle one]
2. The Plaintiff obtained a judgment against the Defendant in Case Number in the Court of County, , and no agreement
State
requires forbearance from the garnishment which is applied for currently.
3. $ is the balance due, which consists of the sum of $ Principal, $ Postjudgment interest, and $ Other (e.g., prejudgment interest, attorney's fees, costs [exclusive of the cost of this action]).
4. Upon the Affiant's personal knowledge or belief, the sum stated herein is unpaid.
Affiant
Print name of Affiant
Sworn to and subscribed before me this day
of , 20 .
Notary Public or Deputy Clerk of Court"