Free Notice of Application for Wage Execution - Appendix XI-I - New Jersey

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Attorney(s): ______________________ Office Address & Tel. No: ________________________________ ___________________________ Attorney for _________________________________ Plaintiff(s) v. __________________________________ Defendant(s)

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SUPERIOR COURT OF NEW JERSEY LAW DIVISION, SPECIAL CIVIL PART _________________ COUNTY Docket No. __________________

CIVIL ACTION NOTICE OF APPLICATION FOR WAGE EXECUTION To: Name of Judgment-Debtor _________________________________ _________________________________ Address TAKE NOTICE that an application is being made by the judgment-creditor to the above-named court, located at _________________________________, New Jersey for a Wage Execution Order to issue against your salary, to be served on your employer, _____________________________ (name and address of employer), for: (a) 10% of your gross salary when the same shall equal or exceed the amount of $196.50 per week; or (b) 25% of your disposable earnings for that week; or (c) the amount, if any, by which your disposable weekly earnings exceed $196.50, whichever shall be the least. Disposable earnings are defined as that portion of the earnings remaining after the deduction from the gross earnings of any amounts required by law to be withheld. In the event the disposable earnings so defined are $196.50 or less, no amount shall be withheld under this execution. In no event shall more than 10% of gross salary be withheld. Your employer may not discharge, discipline or discriminate against you because your earnings have been subjected to garnishment. You may notify the Clerk of the Court and the attorneys for judgment- creditor, whose address appears above, in writing, within ten days after service of this notice upon you, why such an Order should not be issued, and thereafter the application for the Order will be set down for a hearing of which you will receive notice of the date, time and place. If you do not notify the Clerk of the Court and judgment-creditor's attorney, or the judgment-creditor if there is no attorney, in writing of your objection, you will receive no further notice and the Order will be signed by the Judge as a matter of course. You also have a continuing right to object to the wage execution or apply for a reduction in the amount withheld even after it has been issued by the Court. To object or apply for a reduction, file a written statement of your objection or reasons for a reduction with the Clerk of the Court and send a copy to the creditor's attorney or directly to the creditor if there is no attorney. You will be entitled to a hearing within 7 days after you file your objection or application for a reduction. CERTIFICATION OF SERVICE I served the within Notice upon the judgment-debtor __________________, on this date by sending it simultaneously by regular and certified mail, return receipt requested, to the judgment-debtor's last known address, set forth above. I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to the punishment. Date: , 20 ______________________________ Attorney for Judgment-Creditor or Judgment-Creditor Pro Se

Effective 7/24/2008, CN 11236-English (Appendix XI-I)

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