O.C.G.A. § 18-4-72 (2019)

“IN THE

STATE OF GEORGIA ) ) Plaintiff: ) ) Name ) ) Plaintiff’s contact information: ) ) ) Name ) ) Civil Action File No. Street Address ) ) City State ZIP Code ) ) Email Address ) ) Phone Number ) ) Bar Number ) ) v. ) ) ) Defendant: ) ) Name ) Street Address City State ZIP Code Garnishee: Name Street Address City State ZIP Code ) ) ) ) ) ) ) ) ) ) ) ) )

AFFIDAVIT OF CONTINUING GARNISHMENT DO NOT USE THIS FORM FOR A CONTINUING GARNISHMENT FOR CHILD SUPPORT OR ALIMONY. SEE O.C.G.A. § 18-4-73. Personally appeared , who on oath says: (Print name) 1. I am the (Plaintiff) (Attorney at Law for Plaintiff) (Agent for Plaintiff). [Circle one] 2. The Plaintiff obtained a judgment against the Defendant in Case Number in the Court of County, , and no agreement State requires forbearance from the garnishment which is applied for currently. 3. $ is the balance due, which consists of the sum of $ Principal, $ Postjudgment interest, and $ Other (e.g., 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. 5. The Affiant believes that the Garnishee is an employer of or under periodic obligations for payment of funds to the Defendant.

This day of

, 20 . Affiant Print name of Affiant Sworn to and subscribed before me this of , 20 .

day Notary Public or Deputy Clerk of Court”