Free Garnishee Disclosure - Michigan

United States District Court for the Western District of 1st copy - Plaintiff Michigan
Approved, SCAO

Original - Court

2nd copy - Garnishee 3rd copy - Defendant

CASE NO. GARNISHEE DISCLOSURE
Court address Court telephone no.

Plaintiff's name and address (judgment creditor)

Defendant's name and address (judgment debtor)

v
Plaintiff's attorney, bar no., address, and telephone no. Garnishee's name and address

1. This disclosure is for a writ of garnishment issued on and received by garnishee on a. The garnishee mailed or delivered a copy of the writ of garnishment to the defendant on b. The garnishee was unable to mail or deliver a copy of the writ of garnishment to the defendant. 2. At the time of service of the writ, garnishee: Non-Periodic Garnishments a. is not indebted to defendant for any amount and does not possess or control defendant's property, money, etc. Reason: b. is indebted to defendant for non-periodic payments as follows:
Description of property, money, negotiable instruments, etc. under garnishee's control Type of account and account number if applicable

. .

The amount to be withheld is $ and does not exceed the amount stated in item 2. of the writ. c. Withholding is exempt because: Periodic Garnishments d. is not obligated to make periodic payments to the defendant during the 91 day period. Reason: not employed. other e. is obligated to make periodic payments to the defendant during the 91 day period as follows: Payments are for earnings non-earnings
specify nature of payment (see instructions on back)

Payments are made A higher priority writ/order

weekly. is

bi-weekly. is not

semi-monthly.

monthly.

other:

frequency of payment

currently in effect. (If a higher priority writ/order is in effect, complete the following)
Case number Date issued Date served

Name of court that issued higher priority writ/order

Withholding under this writ will begin immediately if sufficient funds are available. will not begin immediately because defendant is laid off.

sick.

on leave.

other:

specify

I declare that the statements above are true to the best of my information, knowledge, and belief.
Date Garnishee/Agent/Attorney signature

I certify that: on on on
Date

I mailed or personally delivered a copy of this disclosure with the court. I mailed or personally delivered a copy of this disclosure to the plaintiff/attorney. I mailed or personally delivered a copy of this disclosure to the defendant.
Garnishee/Agent/Attorney signature

DO NOT Include Your Payment With This Disclosure.
MC 14 (6/05)

GARNISHEE DISCLOSURE

15 USC 1672, 15 USC 1673, MCR 3.101