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MAGISTRATE COURT OF GEORGIA Date Filed Case No: Plaintiff(s) Name, Address vs. GARNISHMENT Defendant(s) Name, Address Garnishee Name, Address THIRD-PARTY CLAIM Personally appeared who on oath says that he 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) ( ) The Affiant obtained a judgment against the Defendant in the Court of County, in Case Number on (date), and the unpaid balance of such judgment is in the amount of $ or ( ) The basis of the Affiant's claim is This day of Affiant Sworn to and subscribed before me this day of Notary Public of Deputy Clerk of Court CERTIFICATE OF SERVICE This is to certify that I have this day served the Plaintiff or Plaintiff’s Attorney, the Defendant, and the Garnishee in the foregoing matter with a copy of this pleading by depositing it in the United States Main in a properly addressed envelope with adequate postage thereon. This day of Third-party Claimant or Third-party Claimant’s Attorney