Free Garnishee Transfer - Hawaii


File Size: 455.6 kB
Pages: 2
Date: June 23, 2008
File Format: PDF
State: Hawaii
Category: Court Forms - State
Author: Unknown
Word Count: 474 Words, 2,955 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.state.hi.us/jud/Kauai/District/5garntrn.pdf

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Preview Garnishee Transfer
AffidAvit on GArnishee trAnsfer; exhibit(s) notice to employer of JudGment debtor(s); GArnishee informAtion
in the district court of the fifth circuit stAte of hAwAi`i
Plaintiff(s)

Form #5DC33

Reserved for Court Use

Defendant(s)

Civil No. Filing Party(ies)/Filing Party(ies)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers)

Garnishee (Name and Address

Certified copy of the Judgment attached as Exhibit A Current Amount Due: $ (If this amount is different from the Judgment Amount, please attach separate sheet showing calculations as Exhibit B) Former Employer: Current Employer:

AFFIDAVIT ON GARNISHEE TRANSFER I have read the Affidavit, know the contents and verify that the statements are true to my personal knowledge and belief. I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF HAWAI`I THAT THE FOLLOWING IS TRUE AND CORRECT: 1. I am Judgment Creditor(s) or Judgment Creditor(s)' attorney; 2. The Judgment (a copy of which is attached as Exhibit A) was entered on the date shown on said Judgment for Judgment Creditor(s) and against Judgment Debtor(s); 3. There is still due and owing the sum of as shown in the copy of the Judgment attached as Exhibit A or the Current Amount Due as evidenced by attached Exhibit B;

RepRogRaphics (06/08)

gaRntRns 5D-p-205

AFFIDAVIT ON GARNISHEE TRANSFER (continued) 4. The Judgment has not been appealed (or if appealed, no bond has been filed), reversed, modified, set aside or satisfied except as aforesaid and otherwise remains in full force and effect, and 5. The Judgment Creditor(s) is still the owner and holder of said Judgment; 6. Judgment Debtor(s) has left the employment of the Former Employer listed and is now believed to be in the employment of the Current Employer listed. 7. A Garnishee Order has been granted against the Former Employer of Judgment Debtor(s) listed. Subscribed and sworn to before me this _________day of ____________________________, 20____. Signature of Affiant

Notary Public, State of Hawai`i My commission expires: _________________________________

Print/Type Name

NOTICE TO EMPLOYER OF JUDGMENT DEBTOR(S) PURSUANT TO HAwAI`I REvISED STATUTES ยง652-5, YOU ARE REqUIRED TO wITHHOlD IN AMOUNTS CONSISTENT wITH RATES PROvIDED FOR BY lAw, A PERCENTAGE OF THE JUDGMENT DEBTOR(S)' wAGES (INClUDING ANY SAlARY, STIPEND, COMMISSIONS, ANNUITY OR NET INCOME OR PORTION OF NET INCOME UNDER A TRUST), COMMISSIONS AND COMPENSATION AND PAY THESE FROM wEEk TO wEEk OR MONTH TO MONTH TO THE JUDGMENT CREDITOR UNTIl All SUMS DUE UNDER THE JUDGMENT ARE PAID.

In accordance with the Americans with Disabilities Act if you require an accommodation for your disability, please contact the District Court Administration Office at PHONE NO. 482-2347, FAX 482-2509, OR TTY 482-2533 at least (10) working days in advance of your hearing or appointment date.

RepRogRaphics (06/08)

gaRntRns 5D-p-205

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