Free 8150-015 FORM 15 Creditors Garnishment Report.PDF - Arizona

Maricopa County Justice Courts, State of Arizona
(1)
Court Name and address

(4) Petitioner/ Plaintiff [ ] Judgment Creditor [ ] Judgment Debtor

(7) Case No.: _________________________

Name: ________________________________________ Address: ______________________________________ City, State, Zip Code: ____________________________ Phone(s): _____________________________________
(5) Respondent/Defendant [ ] Judgment Creditor [ ] Judgment Debtor

__________________________________________ (6) Garnishee Name: ____________________________________ Address: __________________________________ City, State, Zip Code: ________________________ Phone(s): _________________________________ Attorney: __________________________________

Name: ________________________________________ Address: ______________________________________ City, State, Zip Code: ____________________________ Phone(s): _____________________________________

CREDITOR'S GARNISHMENT REPORT (ARS 12-1598.12) This report covers the period from (8) ____________________ to ____________________ I received these payments during this period (9) (attach list if necessary) Date ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ Judgment balance at beginning of period Total credited to the judgment balance this period Interest accrued during this period Total outstanding balance at end of period Amount $ _______________ $ _______________ $ _______________ $ _______________ $ _______________ $ _______________ (10) $ (11) $ (12) $ (13) $

The following statements apply: (14) (check all that apply) [ ] Balance due is $500.00 or less. [ ] Balance due is less than double the amount received in the last two pay periods. [ ] Garnishee should stop withholding earnings.

(17) ____________________ Date

Judgment Creditor or Authorized Agent (12) Copy provided to garnishee on: Date:

(11) Copy provided to judgment debtor on: Date: By: [ ] Mail [ ] Hand delivery

By:

[ ] Mail

[ ] Hand delivery

GE 8150-015.01 ­ FORM 15 CREDITOR'S GARNISHMENT REPORT

R:01-01-2008

Page 1 of 1

MARICOPA COUNTY JUSTICE COURTS

INSTRUCTIONS FORM 15 ­ CREDITOR'S GARNISMENET REPORT WARNING ! ALL PARTIES TO A GARNISHMENT ARE STRONGLY URGED TO OBTAIN LEGAL ADVICE FROM AN ATTORNEY. Garnishment procedures are governed by Arizona law and are extremely complicated. All parties involved must follow these laws and procedures correctly. The Court may issue an order for monetary penalties against any party who does not proceed properly, including the judgment creditor. USE FORM 15 IF: · You are the judgment creditor or you represent the judgment creditor. · You are seeking to collect a money judgment from a third party who owes or will owe earnings to the judgment debtor. TO COMPLETE FORM 15 YOU WILL NEED: · Information from the judgment or order that awarded you the money you want to collect in this action. · The amount of money you have been paid during the period covered by this report and the interest rate applicable to your judgment as stated in the Writ of Garnishment (Earnings). HOW TO COMPLETE FORM 15: TYPE OR PRINT NEATLY USING BLACK INK. Match each numbered item in the instructions with the same numbered item on the Creditor's Garnishment Report (Earnings). Lines 1 through 7 are known as the caption. You must complete this portion if not already filled in. (1) Type or print the name and the address of the Justice Court precinct in which you filed the garnishment. (4) Type or print the name, mailing address and, if known, phone number(s) of the petitioner/plaintiff on the judgment order you are seeking to collect. (5) Type or print the name, mailing address and, if known, phone number(s) of the respondent/defendant on the judgment or order you are seeking to collect. (6) Type or print the name, mailing address, and, if known, phone number of the person or company (garnishee) that owes or will owe earnings to the judgment debtor that you are seeking to collect in this lawsuit. Include the name of the person's attorney, if known. (7) Type or print the case number appearing on the Writ of Garnishment and Summons. (8) Type or print the beginning and ending date or the reporting period for this report. The beginning date of the first reporting period is the date the Writ of Garnishment was served on garnishee. (9) Type or print the date and amount of each payment you received from the garnishee during this reporting period. (10) Type or print the judgment balance at the beginning of this reporting period. (11) Type or print the total amount credited to the judgment balance for this reporting period. (12) Type or print the amount of interest that accrued on the outstanding balance during t his reporting period. (13) Type or print the total outstanding balance due on the judgment as of the ending date of this reporting period. (Line 10 minus line 11, plus line 12). (14) Check each box that applies, if any. (15) Complete the information in this box indicating the date and manner in which you will provide a copy of your Creditor's Garnishment report to the judgment debtor. (16) Complete the information in this box indicating the date and manner in which you will provide a copy of your Creditor's Garnishment report to the garnishee. (17) Date and sign your name where indicated. WHEN YOU HAVE COMPLETED THIS CREDITOR'S EARNINGS REPORT: þ Do not file it with the Court. Keep a copy for your files. þ Follow the steps on the Process Checklist.
GE 8150-015.01 ­ INSTR FORM 15 CREDITOR'S GARNISHMENT REPORT R:01-01-2008 Page 1 of 1