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GARNIS HMENT SUM M ONS Case No . .......................................................... Com monwealth of Virgini a ........................................................................\ ....................................................... .................................. Circu it Cou rt ........................................................................\ ....................................................... ..................................................... COURT A DDRE SS JUDG MENT CREDITOR: JUDG MENT DEBTOR: ........................................................................\ ......... v. ........................................................................\ ............ ........................................................................\ ........ ........................................................................\ ............ ........................................................................\ ........ ........................................................................\ ............ Telephone No . .............................................................. ........................................................................\ ............ JUDG MENT CREDITOR’S ATTORNEY: Soc . Se c. No. .................................................................. ........................................................................\ ......... Garnishee:................................................................ ........................................................................\ ......... ............................................ ........................................ ........................................................................\ ......... ............................................ ........................................ Telephone No . .............................................................. ........................................................................\ ............ MAXIM UM PO RTION OF DIS POSA BLE EARNINGS SUBJECT TO GARNISH MENT [ ] Support [ ] 50% [ ] 55% [ ] 60% [ ] 65% (if not specified , then 50%) [ ] state tax es, 100% This is a garnish ment again st (check only one) [ ] the j udg ment debtor’s wag es, salary or oth er co mpensatio n. [ ] some other debt due or property of the judg ment debtor, specifically , .......................................................................\ .............. STATEMENT: Judgment Principal: $ ..................................... Credits .................................... Interest .................................... Judgment Costs .................................... Attorney’s Fee .................................... Garnishment Costs .................................... TOT AL B ALANCE DUE $ _____________ ___________ The gar nishee shal l rel y on this am ount . ........................................................................\ ... DATE OF J UDGMENT ........................................................................\ ....... HEAR ING DAT E AND TIME If none of the a bove are check ed, then § 34-29(a) (on reverse) applies. TO ANY AUT HORIZED OF FICER: You ar e hereby co mmanded to serve t his su mm ons o n the j udgm ent debtor and the garnishe e. TO THE GARNISHEE: You are hereby co mmanded to (1) file a written an swer with thi s court, or (2) deliver pay ment to this court, or (3) appear b efore t his co urt on th e return date and time shown on this summ ons to answer the Suggesti on for S ummons in G arnish ment of the judg ment credit or that, b y reason of the lien of writ of fier i facias, there is a liability as shown in the state ment upon the garnishee. As garnish ee, y ou shall wit hhold fro m the judg ment debto r any su ms of money to whic h the j udg ment debtor is or may be enti tled fr om you during the period bet ween the date of serv ice of thi s summ ons on y ou an d the d ate for y our appeara nce in court, su bject to the fo llow ing limitati ons: (1) The maximum amount whic h m ay be garnish ed is th e “ TOTAL BALAN CE DUE” as show n on this su mm ons. (2) You sh all not be liable to the j udg ment cr editor for any p roperty not specified in this garnish ment su mm ons. (3) If th e su ms of mone y be ing garnished are earnings of the j udgm ent debtor, then the provision o f “MAXIMU M PORTION O F DISPOSABLE EARNINGS SUBJE CT TO GARNISH MENT” shall apply . If a garnishm ent su mm ons is served on an employ er having one thousan d or more e mploy ees, then mone y to which the judg ment debtor is or may be entitl ed fro m his or her em ployer shall be consi dered those w ages, salaries, co mm ission or other earnings which, foll owing servic e on the garnishe e-e mploy er, are deter mined an d are pay able to th e judg ment debtor under the garnishe e-e mployer’s norm al pay roll procedure with a reasonab le ti me allo wan ce for m aking a ti mely return b y mail to this co urt. .................................................................. _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __ , Cler k DATE OF ISSUANC E OF SUMMONS .................................................................. by __ ___ ___ _____ ___ ___ _____ ___ ___ _____ ___ ___ DATE O F DELIVERY OF WRIT OF FIERI FAC IAS TO SHER IFF DEPUTY C LERK IF DIFFERENT FR OM DATE OF ISSUANC E OF TH IS SUMMONS WRIT OF FIERI FACIA S TO ANY AUTH ORIZED OFFIC ER: You are commanded to execute this writ and to make from the intangible personal estate o f the judgment d ebtor(s) th e pr incipal, interest, costs and attorn ey’s fees, less cred its, as shown in the Gar nishment Summons. You are fu rther com manded to make your r eturn to the clerk’s off ice according to law . Homestead Ex emption Waived ? [ ] Yes [ ] No [ ] Canno t be d emanded ________________________________________________, Cler k ................................................ by __ ___ ___ __ ___ ___ ___ ___ ___ ___ ___ _____ ___ ___ __ _ DATE DEPUTY C LERK FORM CC -1486 ( MASTE R, PAGE 1 OF 2) 1/07 VA. CODE §§ 8. 01- 511, -512. 3 The following s tatement is not th e law bu t is an interpr etation of the law which is intended to assist those who must respond t o this garnis hm ent. You m any rel y on this onl y for g eneral guid ance b ecaus e the l aw it self is the fin al word. (Read th e law, § 34-29 of the Code of Virginia , for a full explan ation . A cop y of § 3 4-29 is av ailable at th e Clerk’s offi ce. If yo u do not un derstand the law , call a law yer for help .) The following s tatement is not th e law bu t is an interpr etation of the law which is intended to assist those who must respond t o this garnis hm ent. You m any rel y on this onl y for g eneral guid ance b ecaus e the l aw it self is the fin al word. (Read th e law, § 34-29 of the Code of Virginia , for a full explan ation . A cop y of § 3 4-29 is av ailable at th e Clerk’s offi ce. If yo u do not un derstand the law , call a law yer for help .) RECEIVED ........................................................................\ .................................... DATE A ND TIME _______________________________________________ SHERIFF NOT E: Retu rn of Writ of Fieri Facias to be used if no e ffects foun d – o therwise, u se appr opr iate sectio ns of CC- 14 77 , W RIT OF FIERI FAC IAS . [ ] NO EFFECTS FO UND ........................................................................\ .................................... DATE _____________________________________________________ SHERIFF ____________________________________________________________ DEPUTY SHERIFF An em ployer m ay take as m uch as 25 percent of an em plo yee’s di sposable earn ings to satisf y this garnishm ent. But if any em plo yees makes the minimum wage or less for his week’s earn ings, the emplo yee will ordinarily get to keep 40 times th e minimum hourly wa ge. An em ployer m ay take as m uch as 25 percent of an em plo yee’s di sposable earn ings to satisf y this garnishm ent. But if any em plo yees makes the minimum wage or less for his week’s earn ings, the emplo yee will ordinarily get to keep 40 times th e minimum hourly wa ge. GARNISH EE .................................................................... ........................................................................\ ................................. ADDRESS ........................................................................\ ........................................................................\ ................................. TELEPHONE NUMBER: ........................................................ [ ] PERSONAL SERVICE [ ] FE DE RAL SE RVICE * [ ] Being un abl e to make p ersonal s ervice, a cop y was deliv ered in the following manner : [ ] Served on regis tered agent of the corpor ation . Lis t nam e and title: .......................................................................\ ................ .......................................................................\ ................ [ ] De livered to family me mbe r (not tempora ry sojourner or guest) age 16 or old er at usual place of abode of p arty named abov e after giving information of its purport. List n ame, age of recip ient , and r elation of r ecip ient to part y nam ed above. .......................................................................\ ................ .......................................................................\ ................ [ ] Posted on front door or such other door as appears to be th e main entrance of usual place of abod e, addres s lis ted above. (Other au thorized recipi ent not found.) [ ] Served on Secre tary of the C ommonwealth. [ ] Served on the Clerk of the State Corporation Commission, pu rsuant to § 8 .01- 513. [ ] Cop y mailed to judgment d ebtor af ter serving the garnishee on d ate of s ervice b elow unless a differ ent date of mailing is shown. .......................................................................\ ......................... DATE OF MAI LING [ ] Not found _________________________________ SERVING OFFICER ............................. for ______________________________ DATE But an emplo yer may withhold a differe nt amount of money from that above if: But an emplo yer may withhold a differe nt amount of money from that above if: (1) The emplo yee must pay child support or spousal support and was orde red to do so b y a court p rocedure or other leg al procedure. No more than 65 p ercent of an employ ee’s earnings m ay be withh eld for support; (1) The emplo yee must pay child support or spousal support and was orde red to do so b y a court p rocedure or other leg al procedure. No more than 65 p ercent of an employ 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 (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 . (3) Mone y is withh eld for a tax debt . “Dispos able earnings ” m eans the m one y an em plo yee m akes “after t axes” and after other amo unts requi red b y law to be withheld ar e satisfied . Earn ings can be salar y, hour ly wages , commissions, bonuses, pay ments to an independent contr actor , or otherwise, wh ether paid directly to the emplo yee or not. “Dispos able earnings ” m eans the m one y an em plo yee m akes “after t axes” and after other amo unts requi red b y law to be withheld ar e satisfied . Earn ings can be salar y, hour ly wages , commissions, bonuses, pay ments to an independent contr actor , or otherwise, wh ether paid directly to the emplo yee or not. If an em plo yee t ries to trans fer, assign or in an y wa y giv e his earnings to another person to avoi d the garnishm ent, it wi ll no t be legal ; earnings are still earn ings . If an em plo yee t ries to trans fer, assign or in an y wa y giv e his earnings to another person to avoi d the garnishm ent, it wi ll no t be legal ; earnings are still earn ings . Financi al institu tions that rec eive an em plo yee’s pa yche ck b y direct deposi t do not have to det ermine what part of a person’s e arnings can be garn ished. Financi al institu tions that rec eive an em plo yee’s pa yche ck b y direct deposi t do not have to det ermine what part of a person’s e arnings can be garn ished. JUD GMENT DEBT OR ........................................................................\ .. ........................................................................\ .................................................... AD DRES S ........................................................................\ ........................... ........................................................................\ .................................................... [ ] PERSONAL SERV ICE [ ] Being un able to make p erson al serv ice, a cop y was deliver ed in the fo llowing m anner: [ ] De livered to family me mbe r (not temporar y so journer or guest) ag e 16 or older at us ual p lace of abode of party named abov e after giv ing in form ation of its purp ort. List name, age of r ecipient, and r elation of r ecip ient to party named abov e. ........................................................................\ .......................................... ........................................................................\ .......................................... [ ] Posted on front door or such other door as appears to be th e main entr ance of usual p lace o f abode, address listed above. (Oth er authorized r ecip ient not found.) [ ] Served on Secret ary of the Co mmonwealth. [ ] Not found __________________________________ SERVING OFFICER .................................... for ______________________________ RETURNS: Ea ch garnishee was serve d as i ndicated bel ow, u nless not found, wi th a copy of this sum mons and the e xem ption claim form . RETURNS: Ea ch garnishee was serve d as i ndicated bel ow, u nless not found, wi th a copy of this sum mons and the e xem ption claim form . * Federal law, 5 U.S.C. § 5520a (c)(1) and 42 U.S.C. § 659, provides th at a federal agency garnishee may be served eith er pe rsonall y or b y cer tifi ed mail, r eturn receipt requested . FORM CC -1486 ( MASTE R PAGE 2 OF 2) 12/05

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