STATE OF GEORGIA

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Plaintiff: )

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Name )

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Plaintiff's contact information: )

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Name )

) Civil Action File No.

Street Address )

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City State ZIP Code )

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E-mail Address )

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Phone Number )

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Bar Number )

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v. )

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Defendant: )

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Name )

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Street Address )

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City State ZIP Code )

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Garnishee: )

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Name )

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Street Address )

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City State ZIP Code )

AFFIDAVIT OF CONTINUING GARNISHMENT FOR SUPPORT

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. The Affiant states that the Defendant is in arrears on the obligation for support in an amount equal to or in excess of one month's obligation as decreed in the judgment for support and provides the following information:

A. [] Periodic support is owed for one obligee, or the judgment sets forth a total amount of periodic support for multiple obligees as follows:

, , and

Name of obligee Name of obligee

. Such periodic support is payable

Name of obligee

on a basis.

E.g., weekly, monthly

The termination date of the obligation for periodic support is .

Date

B. [] Periodic support is owed for multiple obligees, and the judgment sets forth a different amount of periodic support for each obligee as follows:

, payable on a

Name of obligee E.g., weekly, monthly

basis, and the termination date of such obligation is

.

Date

$ is the total amount of periodic support due for

, payable on a

Name of obligee E.g., weekly, monthly

basis, and the termination date of such obligation is

.

Date

$ is the total amount of periodic support due for

, payable on a

Name of obligee E.g., weekly, monthly

basis, and the termination date of such obligation is

.

Date

4. [] Check this box and attach a certified copy of the judgment for support hereto.

5. Upon the Affiant's personal knowledge or belief, the sum stated herein is unpaid.

6. The Affiant believes that the Garnishee is an employer of the Defendant.

Affiant

Print name of Affiant

Sworn to and subscribed before me this day

of , 20 .

Notary Public or Deputy Clerk of Court"