"IN THE __________________ COURT OF __________________ COUNTY STATE OF GEORGIA | ||
) | ||
Plaintiff: | ) | |
) | ||
__________________ | ) | |
Name | ) | |
) | ||
Plaintiff's contact information: | ) | |
) | ||
__________________ | ) | |
Name | ) | |
__________________ | ) | Civil Action File No. |
Street Address | ) | |
__________________ | ) | __________________ |
City State ZIP Code | ) | |
__________________ | ) | |
Email Address | ) | |
__________________ | ) | |
Phone Number | ) | |
__________________ | ) | |
Bar Number | ) | |
) | ||
v. | ) | |
) | ||
Defendant: | ) | |
) | ||
__________________ | ) | |
Name | ) | |
__________________ | ) | |
Street Address | ) | |
__________________ | ) | |
City State ZIP Code | ) | |
) | ||
Garnishee: | ) | |
) | ||
__________________ | ) | |
Name | ) | |
__________________ | ) | |
Street Address | ) | |
) | ||
__________________ | ) | |
City State ZIP Code | ) |
AFFIDAVIT OF CONTINUING GARNISHMENT FOR
SUPPORT
Personally appeared __________________, who on oath says:
(Print name)
Case Number __________________ in the __________________
Court of __________________ County, __________________, and
State
no agreement requires forbearance from the garnishment which is applied for currently.
$__________________ is the amount of arrearage which exists under the judg-ment as of the execution of this affidavit.
Check one of the boxes below and
complete the requested information:
$__________________ is the total amount of periodic support due for __________________, __________________,Name of obligee Name of obligee and __________________. Name of obligee
Such periodic support is payable on a __________________ E.g., weekly, monthly basis.
The termination date of the obliga-tion for periodic support is Date.
$ __________________ is the total amount of periodic support due for __________________, payable on a Name of obligee __________________ basis, E.g., weekly, monthlyand the termination date of such obligation is __________________ Date
$ __________________ is the total amount of periodic support due for __________________, payable on a Name of obligee __________________ basis, E.g., weekly, monthlyand the termination date of such obligation is __________________ Date
$ __________________ is the total amount of periodic support due for __________________, payable on a Name of obligee __________________ basis, E.g., weekly, monthlyand the termination date of such obligation is __________________ Date
This __________________ day of __________________, 20__________________.
__________________Affiant
__________________Print name of Affiant
Sworn to and subscribed before me this __________________ day of __________________, 20__________________.
__________________
Notary Public or Deputy Clerk of Court"
OCGA § 18-4-73