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GARNIS HMENT SUM M ONS Co mm onwealth of Virg inia Va. Code §§ 8. 01- 511, 8.01- 512.3 CASE N O. HEARIN G DAT E & TIME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General D istrict Court C OUR T NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . COUR T ADDR ESS AND TE LEPHONE NUM BER TO ANY AUTHORIZED OFFIC ER: You are hereby co mmanded to serve this summon s on the judgment debtor and the garnishee. TO THE GARNISHEE: You are hereb y com manded to (1) f ile a written answer with this court , or (2) d eliver payment to this court, or (3) app ear b efore this c our t on the hearing date and time shown on this summon s to answer the Sugg estion for Summons in Ga rnishment of the judgm ent creditor that, b y reason of the lien of writ of fier i facias, th ere is a liability as shown in the statement upon the garn ishee. As garnishe e, you shal l wi thh old from the jud gment debtor an y sums of money to which the ju dgment debtor is or may be entitled from you du ring th e p eriod b etween the date of service of this summon s on you and the date for your ap pearan ce in cour t, subject to the following limitations: (1) Th e maxi mum amount which may be garnished is th e “TOTAL BALANCE DUE” as shown on th is su mmons. (2) You shall not be liable to th e judgment cr edito r for any prop erty not specif ied in this garnishment summons. (3) If th e sums of money being garnished are earnings of th e jud gment debtor , then th e prov ision of “MAXIMUM PORTION OF DIS POSABLE EARNINGS SUBJECT TO GA RNISHMENT” shall apply . If a garnishment summons is served on an emplo yer h aving on e thousand or m ore emplo yees, then money to which th e judgment d ebtor is or may be entitled from his or her emplo yer shall be consider ed those wages , salaries, commission or oth er ear nings which, following se rvic e o n the garn ishee- em plo yer, are de term ined and are p ayable to the judgment deb tor under the gar nishee- emplo yer’s normal pay roll pr ocedure with a reasonable tim e a llowan ce for m aking a timely return b y mail to this court. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____ ___ ___ ___ ______ ___ ___ ___ _________ ___ _________ ___ ___ _ DATE OF ISSUA NCE OF SUMMONS \ C LERK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE AND T IME OF DELIVER Y OF WRIT OF F IERI FACIAS TO SHER IFF IF DIFFEREN T FROM DATE OF ISSUANC E OF THIS SUMMONS WRIT OF FIERI FACIA S TO ANY AUTH ORIZED OFFICER: You are co mmanded to execute this writ and to make from th e in tangib le pers onal estate of the judgment debto r(s) the principal, in terest, costs and attorney ’s fees, less c redi ts, shown in th e G arnishm ent Sum mons. Y ou are further commanded to make y our return to the clerk’s office according to l aw. Hom estead Ex emption W aived ? [ ] yes [ ] no [ ] cannot b e demand ed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____ ___ ___ ___ ______ ___ ___ ___ ______ ___ ___ ___ ______ ___ ___ _ DATE O F ISSU ANCE OF WRIT CLERK CASE DI SPOSITION I ORDER that [ ] the garnishee pay to the judg ment cred itor thr ough the cour t $ . . . . . . . . . . . . . . . . . . . . . . . net of a ny cred its. [ ] the cas e be DIS MISS ED. [ ] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____ ___ ___ ___ ______ ___ ___ ___ ______ ___ ___ ___ ______ ___ __ DATE ENTERE D JUDGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JUDGME NT CR EDIT OR’S NA ME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STREET ADDRE SS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CITY, ST ATE, ZI P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TELEPHO NE NU MB ER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JUDGME NT CR EDIT OR’S ATT ORNE Y’S NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ADDRES S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TELEPHO NE NU MB ER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JUDGME NT DEB TOR’S NAM E (SER VE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STREET ADDRE SS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CITY, ST ATE, ZI P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SOCIAL SECUR ITY NUMBER TEL EPHON E N UMBER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GARNIS HEE’S N AME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STREET ADDRE SS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CITY, ST ATE, ZI P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE OF JUDG MEN T TELEP HONE NUMBER STAT EM ENT $. . . . . . . . . . . . . . . . . Judgment Prin cipal . . . . . . . . . . . . . . . . . Cred its . . . . . . . . . . . . . . . . . Interest . . . . . . . . . . . . . . . . . Judgment Co sts . . . . . . . . . . . . . . . . . Atto rney’s Fees . . . . . . . . . . . . . . . . . Garn ishment Co sts GARN ISHM ENT SUMMO NS This is a g arnish ment agains t (ch eck o nly one) [ ] the judgment debtor’s wages, salar y or other com pens ation. [ ] some other debt du e or property of the judgment debtor, specifically , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MAXIMU M POR TION OF DISPOS AB LE EARNINGS SUBJ EC T TO GARNISH- MENT [ ] Support [ ] 50% [ ] 55 % [ ] 60% [ ] 65 % (if not specified , then 50%) [ ] state ta xes, 100% If non e of the above ar e check ed, then § 34-29(a) applies (a plain-language interpr etation of this section is on the reverse of this G ARNISHMENT SUMMONS ). $ . . . . . . . . . . . . . . . . . . . . . . . rece ived by . . . . . . . . . . . . . . . . . . . . . . . . JUDGMENT C REDITOR [ ] Jud gment deb tor present . . . . . . . . . . . . . . . . . . . . . . . . . DATE . . . . . . . . . . . . . . . . . . . . . . . TOT AL BAL ANCE DU E The garn ishee shall r ely on this amount. TO G ARNIS HE E: On check or w ritten answer, include return date, case nu mber and judg ment debtor ’s nam e. MAK E CHE CK PAYABLE TO J UDGMENT CR EDITOR AN D DE LIVER TO T HE COU RT. FORM DC-451 (F RONT) 1/07 RETURNS : The f ollowing garnishe e was served, accor ding to law, as indicated below , unless not fou nd. The fo llowing statement is no t th e law but is an in terpretation of the law which is intended to assist those who must r espond to this garnishm ent. You m ay rely on this only for gener al guidance b ecause the law itse lf is the final word. (Read the law, § 34-29 of the Cod e of Virg inia , for a full ex plana tion. A co py of § 34-29 is available at the Clerk’s office. If you do not und erstand the law , cal l a lawyer for he lp.) * Federal g arnis hment statu tes, 5 U.S.C. § 5520 a(c)(1) and 42 U.S.C. § 659 provide that th e garnishee, when a fed eral agenc y, may be served e ither p ersonall y or by cer tified or registered ma il, re turn re ceipt re que sted. GARNIS HEE .......................................................................\ .......... ADDRES S ......................................................................\ ................ ........................................................................\ ................................. [ ] PERS ONA L SERVIC E [ ] FEDERAL S ERVICE* [ ] Being unable to make per sonal s ervice, a copy was delivered in the following manner: [ ] Served on reg istered agent of the cor por ation. List name and title: ........................................................................\ ........................ ........................................................................\ ........................ [ ] Delivered to fam ily member (not tem por ary sojour ner or guest) age 16 or older at usual place of abode of par ty named above after giving infor mation of its pur por t. List na me, age of r ecipient, and r elation of recipient to par ty named above. ........................................................................\ ........................ ........................................................................\ ........................ [ ] Posted on fr ont door or such oth er door as appear s to be the main entrance of usual place of a bode, addr ess listed above. (Other author ized r ecipient not fou nd.) [ ] Served on the Secret ary of the C omm onwealth [ ] Ser ved on the Cler k of the State Cor por ation Co mmission, pur suant to § 8. 01- 513. [ ] Copy mailed to judg ment debtor after ser ving the gar nishee on date of ser vice unless a di ffer ent d ate of mailing is shown. ........................................................................\ ........................ DATE OF MAI LING [ ] Not found ____________________________________ SERVING OFFICER ................................... for .............................................................. DATE OF S ERVICE An em plo yer m ay tak e as much a s 25 per cent of an em plo yee’s dis posable earn ings to sa tisf y this ga rnishm ent. But if an y em plo yee m akes the minim um wage or less for hi s week’s e arning s, the em plo yee will ord inari ly get to k eep 40 times the minim um hourly wage. But an emplo yer may withhold a differe nt amount of money from that above if: (1) The emplo yee must pay child sup port or spousal s upport and was ordered to do so by a court procedure or other leg al procedure. No more than 65 p ercent of an em ploy ee’s earnings m ay be withh eld for support; (2) Money is withh eld b y ord er of a bankruptcy cour t; or (3) Mone y is withh eld for a tax debt . “Disposable ear nings” means the money an emplo yee makes “aft er taxes” and after oth er am ounts requir ed b y law to be withheld are satisfied. Earnings can b e salar y, ho urly wages , com missions, bonuses, pa yments to an ind epend ent contractor, or otherwise, whether paid d irect ly to the emplo yee or not. If an em plo yee tries to trans fer, assign or in any way give his ear nings to another person to avoid the garn ishment, it will no t be l egal ; earnin gs are still earnings. Financi al institu tions tha t rece ive an em plo yee’s p ayche ck b y direct deposi t do not have to d eterm ine what par t of a person’s earnings can be garnished. CAME TO HAND ........................................................................\ .......................................... DATE A ND TIME ________________________________________________________ SHERIFF NOTE: Return of Writ o f Fieri Facias to be used if no eff ects found otherwise, use appropriate sectio ns of DC-467, WRIT OF FIERI FACIAS . [ ] NO EFFEC TS FOUND ........................................................................\ ................................................ DATE ___________________________________________________________ SHERIF F ___________________________________________________________ DEPU TY SHERI FF JUDGM ENT DEBTOR ...................................................................\ .. ADDRES S ......................................................................\ .................... ........................................................................\ ..................................... [ ] PERS ONA L SERVIC E [ ] Being unable to make per sonal s ervice, a copy was delivered in the following manner: [ ] Delivered to fam ily member (not tem por ary sojour ner or guest) age 16 or older at usual place of abode o f party nam ed above after giving in form ation of its pur por t. List na me, age of recipient, and r elation of r ecipient to par ty named above. ........................................................................\ ............................ ........................................................................\ ............................ [ ] Posted on fr ont door or such oth er door as appear s to be the m ain entrance of usual place of a bode, address listed above. (Other author ized r ecipient n ot fou nd.) [ ] Served on Sec retar y of the Co mm onwe alth. [ ] Not found ____________________________________ SERVING OFFICER ................................... for .................................................................. DATE OF S ERVICE RETURNS: Th e judgment deb tor was served , according to law, as ind icated below, unle ss not found, with a cop y of both this summo ns and th e § 8.01 -512.4 form. FORM DC- 451 ( REVERSE) 1/07

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