UNITED STATES DISTRICT COURT EASTERN DISTRICT OF TENNESSEE AT ____________________________ , Plaintiff v. , Defendant GARNISHMENT ANSWER AND AFFIDAVIT FOR WRIT OF CONTINUING GARNISHMENT
Comes the undersigned Affiant, who, after being duly sworn, states: 1. The Garnishee is (choose one): _____ _____ 2. A proprietorship _____ A partnership _____ An individual
Case No.:
A corporation, organized under the laws of the State of ______________________________________
The name and Social Security number of the judgment debtor (employee) are: Name: ______________________________________ SSN (Restrict to last 4 digits):________________ The Garnishee has custody, control, or possession of property (including nonexempt, disposable earnings) in which the debtor has a substantial nonexempt interest, which is described as: __________________________ _________________________________________________________________________________________ The value of the property, debts, or effects belonging to debtor which the Garnishee had in its possession or under its control at the time of service is $ _____________; and at the time of answering is $ _______________; and which has come into its possession or control between the time of service and answer is $ _______________. Previous garnishments to which such property is subject and the amount to which any remaining property is not exempt are described as follows: ________________________________________________________________ ___________________________________________________________________________________________ TO BE COMPLETED IF THE PROPERTY DESCRIBED REPRESENTS WAGES OR SALARY: A. The pay period of this employee is: _____ weekly _____ semimonthly _____ monthly _____ other (describe): ______________________________________________________________ Gross earnings Less amounts required by law to be withheld: Federal income tax State income tax Occupational tax Social Security Ordered alimony or child support TOTAL (Section C) Disposable earnings (B minus C) $_____________ $_____________ $_____________ $_____________ $_____________ $_____________ $___________________ $ _________________
3.
4.
5.
6.
B. C.
D. E.
Exempt earnings (enter the greater of [i] or [ii] below)
i. ii.
75% of line D, or for weekly pay periods, 30 times the federal minimum wage; for all other pay periods, the multiple of the federal minimum wage as prescribed by the U.S. Department of Labor
$___________________
F.
No funds are due judgment debtor because: ___________________________________________________________________________________. The Garnishee has custody, control, or possession of the following other property (non-earnings) in which the judgment debtor has an interest: _________________________________________________ ___________________________________________________________________________________. Value of such interest: _________________________________________________________________.
G.
________________________________________________ Garnishee (Employer or Financial Institution) ________________________________________________ Affiant ________________________________________________ Position or Title
CERTIFICATE OF SERVICE I hereby certify that, in accordance with the Federal Rules of Civil Procedure, a true and correct copy of this answer has been served on the judgment debtor at his/her last-known address and the attorney for the judgment creditor, this _______ day of ____________________________, 2_____. ________________________________________________