TO THE EMPLOYERGARNISHEE AND TO DEFENDANTDEBTORTo be furnished by the judgment creditor within 15 days after the end of each month in which payments were receivedDateSourceAmountTOTAL RECEIVED Inte ID: 892548
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1 (Forsef thetiesnly.ot tofiledourt.)ounty
(Forsef thetiesnly.ot tofiledourt.)ountyCase No. TO THE EMPLOYER/GARNISHEE AND TO DEFENDANT/DEBTOR:(To be furnished by the judgment creditor within 15 days after the end of each month in which payments were received.) DateSourceAmount $ $ $ TOTAL RECEIVED $ Interest accrued at% on $(the outstanding principal due on the judgment) during the period of Payment and credits have been applied as shown by the following schedule: (The law requires that payments shall be credited, first against accrued interest on the unpaid balance of the judgment, if any; second upon the principal of the judgment; and third upon those attorneys fees actually assessed in the case.)JudgmentPrincipalAccruedInterestAttorneysFeesCourtCostsTOTALS 1. Balance from last report 2. Additional Interests or Costs 3. TOTALS 4. Application of payments and credits 5. Balance due at end of this report Address Plaintiff/Judgment Creditor Address Defendant/Judgment Debtor Name Name Name Employer/Garnishee Address Year Date Date Date Signers Telephone Number Signers Facimile Number, if any Signers E - mail Address, if any Signature of Creditor or Attorney Printed Name Signers Address City, State, Zip Attorney N umber Reset