)
)
Plaintiff ) )
vV. )
)
)
Defendant ) )
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Garnishee )
Civil Action File No.
Personally appeared___ CSCS. wh. n't says that he (Print name)
or she has a claim superior to that of the Plaintiff to the money or other property in the hands of the Garnishee subject to the process of garnishment. The Affiant further states: (check applicable box and complete the information requested)
[C] The Affiant obtained a judgment against the Defendant in the Court of County, _————Ci in
State Case Number on , and the unpaid balance Date
of such judgment is in the amount of $
or
C] The basis of the Affiant’s claim is
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
This is to certify that I have this day served the Plaintiff or Plaintiffs Attorney, the Defendant, and the Garnishee 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
Third-party Claimant or Third-party Claimant’s Attorney”