"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 DO NOT US
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"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 DO NOT USE THIS FORM FOR A CONTINUING GARNISHMENT FOR CHILD SUPPORT OR ALIMONY. SEE O.C.G.A. § 18-4-73 . Personally appeared __________________, who on oath says: (Print name) 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. 5. The Affiant believes that the Garnishee is an employer of orunder periodic obligations for payment of funds to the Defendant. 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"