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Plaintiff
Sat YS YS HS HS S
Defendant
Civil Action File No.
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Garnishee )
1. At the time of service of the Summons of Garnishment on a Financial Institution and including the next five days, the Garnishee had in its possession the following described money and property of the Defendant:
2. $ is the amount herewith paid into court.
3. [L] Check this box if the Defendant is not presently an account holder of the Garnishee.
4. The Garnishee further states:
Garnishee, Garnishee’s Attorney, or officer or employee of an entity Garnishee
This is to certify that I have this day served the Plaintiff or Plaintiffs Attorney and the Defendant or Defendant’s Attorney in the foregoing matter with a copy of this pleading by depositing it in the United States mail in a properly addressed envelope with adequate postage thereon.
This day of , 20
Garnishee, Garnishee’s Attorney, or officer or employee of an entity Garnishee”