STATE OF GEORGIA __________________________________ )

Plaintiff )

v. ) Civil Action File No.

__________________________________ ) ________________________

Defendant )

__________________________________ )

Garnishee )

THIRD-PARTY CLAIM Personally appeared ______________________________, who on oathsays

(Print name)

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

State

Case Number ____________ on ______________, and theunpaid

Date

balance of such judgment is in the amount of $______________.

or 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

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 Mail in a properly addressed envelope with adequate postage thereon.

This ____________ day of ______________, 20____.

____________________________________________________________

Third-party Claimant or Third-party Claimant's Attorney"

(Code 1981, §18-4-88, enacted by Ga. L. 2016, p. 8, § 1/SB 255.)