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MAGISTRATE COURT OF GEORGIA Date Filed Case No. Plaintiff: Name Street City State Zip Code E-Mail Address Phone Number Bar Number GARNISHMENT vs. Defendant(s) Name, Address Garnishee Name, Address AFFIDAVIT OF GARNISHMENT ( ) Check if the Garnishee is a financial institution. ( ) Check if garnishment is for the collection of child support or alimony. See OCGA. § 18-4-50. et seq. Personally appeared (Print Name) on oath says: 1. I am the (Plaintiff) (Attorney for Plaintiff) (Agent for Plaintiff). [Circle one] 2. The Plaintiff obtained a judgment against the Defendant in Case in the Court of County, and no agreement requires forbearance from garnishment which is applied for currently. 3. is the balance due, which consists of the sum of Principal, Judgment interest, and Other 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. This day of 20__. Affiant Print name of Affiant Sworn to and subscribed before me this day of , 20__. Notary Public/Deputy Clerk of Court