Fill and Sign the Local Rules Harris County District Courts Form

- 1 - STATE OF MINNESOTA IN COUNTY COURT COUNTY OF JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No. , Petitioner, N ONEA RN IN G AND DISCLOSURE , Respondent/Judgment Debtor, , Law Offices, LTD. Judgment Creditor. On th e _ ____ d ay o f _ ____________, 2 0_ __, th e tim e o f s e rv ic e o f g arn is h m en t s u m mons he re in , t h ere w as d ue a n d o w in g t h e d eb to r f ro m t h e g arn is h ee t h e f o llo w in g: ( 1 ) Money . E nte r o n th e lin e b elo w a n y a m ounts d ue a n d o w in g th e d eb to r, e x cep t e a rn in gs, f ro m t h e g arn is h ee. _ _ _____ _______________ ____________________________________________ (2 ) Pro perty . D esc rib e o n th e lin e b elo w a n y p ers o nal p ro perty , in str u m en ts , o r p ap ers b elo ngin g t o t h e d eb to r a n d i n t h e p osse ssio n o f t h e g arn is h ee. _ _ _____ _______________ ____________________________________________ (3 ) Seto ff. E nte r o n th e lin e b elo w th e a m ount o f a n y se to ff, d efe n se , lie n , o r c la im whic h th e g arn is h ee c la im s a g ain st th e a m ount s e t f o rth o n lin es ( 1 ) a n d ( 2 ) a b ove. S ta te th e f a cts by w hic h t h e s e to ff, d efe n se , l ie n , o r c la im i s c la im ed . ( A ny i n deb te d ness t o a g arn is h ee i n cu rre d b y the d eb to r w ith in t h e t e n d ay s b efo re t h e r e ceip t o f t h e f ir s t g arn is h m en t o n a d eb t m ay n ot b e s e t o ff ag ain st a m ounts o th erw is e s u bje ct t o t h e g arn is h m en t.) - 2 - __ _____ _______________ ____________________________________________(4 ) Exem ptio n. E nte r o n th e lin e b elo w a n y a m ounts c la im ed b y o th er p ers o ns b y re aso n o f o w ners h ip o r i n te re st i n t h e d eb to r's p ro perty . __ _____ _______________ ____________________________________________(5 ) Advers e I n te re st. E nte r o n th e lin e b elo w a n y a m ounts c la im ed b y o th er p ers o ns b y r e aso n o f o w ners h ip o r i n te re st i n t h e d eb to r's p ro perty . __ _____ _______________ ____________________________________________(6 ) Ente r o n t h e l in e b elo w t h e t o ta l o f l in es ( 3 ), ( 4 ), a n d ( 5 )._ _ _____ _______________ ____________________________________________(7 ) Ente r o n th e lin e b elo w th e d if fe re n ce o bta in ed (n ev er le ss th an zero ) w hen lin e (6 ) is su btr a cte d f ro m t h e s u m o f l in es ( 1 ) a n d ( 2 )._ _ _____ _______________ ____________________________________________(8 ) Ente r o n th e lin e b elo w 1 10 p erc en t o f th e a m ount o f th e c re d ito r's c la im w hic h re m ain s un paid .__ _____ _______________ ____________________________________________(9 ) Ente r o n th e lin e b elo w th e le sse r o f lin e ( 7 ) a n d ( 8 ). R eta in th is a m ount o nly if it is $ 10 o r mo re ._ _ _____ _______________ ____________________________________________ - 3 - AFFIR M ATIO N I, _ ___________________ _____, ( p erso n s ig n in g A ffir m atio n ) a m t h e g arn is h ee o r I a m au th oriz ed b y t h e g arn is h ee t o c o m ple te t h is n on ea rn in gs g arn is h m en t d is c lo su re, a n d h ave do n e s o t r u th fu lly a n d t o t h e b est o f m y k now le d ge. D ATED : _ ______________ _____ _____ _______________ ___ ( S ig natu re ) _ _________ _______________ (T itle )_ _________ _______________ Tele p hone N um ber