Fill and Sign the Satisfaction of Judgment Washington County Utah Form

PLAINTIFF/CREDITOR:DEFENDANT/JUDGMENT DEBTORStreet: ____________________________________ Street: ____________________________________City/State/Zip: _____________________________ City/State/Zip: _____________________________Phone: ___________________________________ Phone: ___________________________________GARNISHEE: ATTORNEY OR REPRESENTATIVE:Street: ____________________________________ Street: ____________________________________City/State/Zip: _____________________________ City/State/Zip: _____________________________Phone:___________________________________ Phone: ___________________________________CASE NUMBER: _____________________________________________ GARNISHEE'S NON-EXEMPT EARNINGS STATEMENT (SUPPORT JUDGMENT) PAY PERIOD __________________to_________________ Judgment debtor employed now? [ ] Y [ ] NIf no, what was the last date for which earnings were owed? ________________________________________Instructions: You are required to withhold a portion of judgment debtor's disposable earnings. To determine the amount to withhold complete the calculations below and sign and date this form at the bottom. A copy of this statement and a hearing request form must accompany each payment to judgment debtor and creditor. You are entitled to a $5.00 fee for completing this form.Gross earnings (1) $___________________Disposable earnings (gross minus deductions required by law) (2) $__________________50% of line (2) (3) $__________________Amount withheld for other court ordered assignment forsupport or garnishment or levy for collection of taxes (4) $__________________Subtract line (4) from line (3) and enter balance, less $5.00 fee (5) $__________________This is the amount you withhold and send to creditor.Date: ________________________________ _______________________________________________ Garnishee FILED BY: __________________________________________FIRM: ______________________________________________BAR NUMBER (IF APPLICABLE): _____________________ADDRESS: __________________________________________PHONE: ____________________________________________REPRESENTING: ____________________________________