Free ____________________________________County, Colorado - Colorado

_______________________________COURT, _________________________COUNTY _________________________, COLORADO CASE NO. ____________________ DIV./CT.RM. __________ JUDGMENT DEBTOR'S NAME _______________________________ CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS WORKSHEET PLAINTIFF(S): DEFENDANT(S):

Gross Pay for _______________ thru _______________ $_________________ Less Deductions Required by Law $_________________ Disposable Earnings = $_________________ Less Statutory Exemption $_________________ Net Amount Subject to Garnishment = $_________________ Less Wage/Income Assignment (If Any) $_________________ AMOUNT PAID = $_________________ I affirm that I am authorized to act for the Garnishee, the above Calculation is true and correct, and I have delivered a copy of this Calculation to the Judgment Debtor at the time earnings were paid for the above period. Date: _________________________ Signature: _____________________________________________

CUT ALONG THE DOTTED LINE AND MAIL WITH EACH CHECK TO THE PARTY DESIGNATED IN PARAGRPH "e" ON FRONT OF WRIT OF CONTINUING GARNISHMENT. _______________________________COURT, _________________________COUNTY _________________________, COLORADO CASE NO. ____________________ DIV./CT.RM. __________ JUDGMENT DEBTOR'S NAME _______________________________ CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS WORKSHEET PLAINTIFF(S): DEFENDANT(S):

Gross Pay for _______________ thru _______________ $_________________ Less Deductions Required by Law $_________________ Disposable Earnings = $_________________ Less Statutory Exemption $_________________ Net Amount Subject to Garnishment = $_________________ Less Wage/Income Assignment (If Any) $_________________ AMOUNT PAID = $_________________ I affirm that I am authorized to act for the Garnishee, the above Calculation is true and correct, and I have delivered a copy of this Calculation to the Judgment Debtor at the time earnings were paid for the above period. Date: _________________________ Signature: _____________________________________________

CUT ALONG THE DOTTED LINE AND MAIL WITH EACH CHECK TO THE PARTY DESIGNATED IN PARAGRPH "e" ON FRONT OF WRIT OF CONTINUING GARNISHMENT. _______________________________COURT, _________________________COUNTY _________________________, COLORADO CASE NO. ____________________ DIV./CT.RM. __________ JUDGMENT DEBTOR'S NAME _______________________________ CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS WORKSHEET PLAINTIFF(S): DEFENDANT(S):

Gross Pay for _______________ thru _______________ $_________________ Less Deductions Required by Law $_________________ Disposable Earnings = $_________________ Less Statutory Exemption $_________________ Net Amount Subject to Garnishment = $_________________ Less Wage/Income Assignment (If Any) $_________________ AMOUNT PAID = $_________________ I affirm that I am authorized to act for the Garnishee, the above Calculation is true and correct, and I have delivered a copy of this Calculation to the Judgment Debtor at the time earnings were paid for the above period. Date: _________________________ Signature: _____________________________________________

CUT ALONG THE DOTTED LINE AND MAIL WITH EACH CHECK TO THE PARTY DESIGNATED IN PARAGRPH "e" ON FRONT OF WRIT OF CONTINUING GARNISHMENT.

CRCP NO. 27 6/00

CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS