Colorado Rules of Civil Procedure

WRIT OF GARNISHMENT FOR SUPPORT

District Court Denver Juvenile Court

, Colorado

Court Address:

In re

The Marriage of:

and

Parental responsibilities concerning:

COURT USE ONLY

Judgment Creditor’s Attorney or Judgment Creditor (Name and Address):

Phone Number: E-mail:

FAX Number: Atty. Reg. #:

Case Number: Division Courtroom

WRIT OF GARNISHMENT FOR SUPPORT

Judgment Debtor’s name, last known address, other identifying information:

1. Original Amount of Judgment Entered $

2. Plus any Interest Due on Judgment (currently % per annum) + $ Child Support ONLY
(Date of Order )

3. Taxable Costs (including estimated cost of service of this Writ) + $ Maintenance ONLY

4. Less any Amount Paid - $ Child Support and Maintenance

5. Principal Balance/Total Amount Due and Owing $ Case commenced after 4/30/91

Mark the Appropriate Box Below to Determine the Amount of the Statutory Exemption (MARK ONLY ONE BOX)

The Judgment Debtor is supporting a spouse or a dependent child, and the judgment is for a period which is 12 weeks or older (Write “45” in the blank space on Line c, below).

The Judgment Debtor is supporting a spouse or dependent child, and the judgment is for a period which is less than 12 weeks old (Write “50” in the blank space on Line c, below).

The Judgment Debtor is not supporting a spouse or dependent child, and the judgment is for a period which is 12 weeks or older (Write “35” in the blank space on Line c, below).

The Judgment Debtor is not supporting a spouse or dependent child, and the judgment is for a period which is less than 12 weeks old (Write “40” in the blank space on Line c, below).

I do not know whether the Judgment Debtor is supporting a spouse or dependent child, but the judgment is for a period which is 12 weeks or older (Write “45” in the blank space on Line c, below).

I do not know whether the Judgment Debtor is supporting a spouse or dependent child, but the judgment is for a period which is less than 12 weeks old (Write “50” in the blank space on Line c, below).

VERIFICATION

I declare under penalty of perjury under the law of Colorado that I am authorized to act for the Judgment Creditor and the foregoing is true and correct.

Print Judgment Creditor’s Name

Address City State Zip Code

Executed on the day of , , at

Page 2 of 3 - Questions to be Answered by Garnishee

Judgment Debtor’s Name: Case Number:

The following questions MUST be answered by you under oath:

a. On the date and time this Writ of Garnishment for Support was served upon you, did you owe or do you anticipate owing any of the following to the Judgment Debtor? (Mark appropriate box(es)).

1. WAGES/SALARY/COMMISSIONS/BONUS/OTHER COMPENSATION FOR PERSONAL SERVICES (Earnings)

2. Pension or Retirement Benefits or Health/Accident/Disability/Casualty Insurance Funds or Payments.

3. Workers’ Compensation Benefits or Payments (For child support in cases filed after 4/30/91 ONLY)

4. Payments to an Independent Contractor for Labor or Services, Dividends, Severance Pay, Royalties, Monetary Gifts/Prizes, Interest, Trust Income, Annuities, Capital Gains, Rents, or Taxable Distributions from Certain Business Entities (For child support orders entered after 6/30/96 ONLY)

If you marked any box above, indicate how the Judgment Debtor is paid: WEEKLY BI-WEEKLY SEMI-MONTHLY MONTHLY OTHER

b. If you marked Box 1, complete the Calculation below for the “First Pay Period” following receipt of this Writ.

c. If you marked Box 2, 3 or 4, complete the Calculation below for the “First Pay Period” following receipt of this Writ; however, if the judgment includes maintenance (as indicated on the front of this Writ) the earnings may be totally exempt, and you should seek legal advice about such exemption. IF THE EARNINGS ARE TOTALLY EXEMPT, PLEASE MARK BOX 5 BELOW:

5. THE EARNINGS ARE TOTALLY EXEMPT BECAUSE

CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS (First Pay Period)

Gross Earnings for the First Pay Period from through $

Plus Tips Reported or Imputed by Federal Law (Child Support Orders after 6/30/96) + $

Less Deductions Required by Law (e.g., Withholding Taxes, FICA) - $

Disposable Earnings (Gross Earnings Plus Tips (where applicable) Less Deductions) = $

Less Statutory Exemption (Use percentage shown on Line c in the Writ portion above) - $

Net Amount Subject to Garnishment = $

Less Wage/Income Assignment(s) During Pay Period (If Any) - $

Amount to be withheld = $

VERIFICATION

I declare under penalty of perjury under the law of Colorado that I am authorized to act for the Garnishee and the foregoing is true and correct.

Print name of Garnishee

Executed on the day of , , at