Fill and Sign the Support Motion Form

IN THE ___________ COURT OF _______________ (County) , _________________ (State) ________________________ PLAINTIFF (Name of Plaintiff) V. CAUSE NO. ____________ ________________________ DEFENDANT (Name of Defendant) ________________________ GARNISHEE (Name of Employer) STATE OF ____________________ COUNTY OF _______________________ PERSONALLY appeared before me, the undersigned authority in and for said countyand state, _______________________ (Name of Affiant) , who, having been being first duty sworn by the undersigned Notary Public, deposes and says: 1. I am the Defendant and principal debtor in the above-entitled action. 2. I reside at ______________________________________________________________ ______________________ (street address, city, county, state, zip code) . 3. The money sought to be garnished in this action, in the possession and control of _______________________ (Name of Employer) , the Employer, was earned by Affiant for personal services as a ___________________ (occupation) during the workweek commencing on _________________ (date) and ending on _________________ (date) . 4. During that workweek, Affiant worked _______ (number) hours at $_________ per hour, and received gross wages of $____________. 5. On ________________ (date) , the _______________________ (Name of Court) issued a Writ of Garnishment on Affiant’s Employer, a copy of which Writ is attached hereto as Exhibit A and made a part hereof. 6. [Facts dealing with basis for discharging garnishment, e.g., Affiant was never served with a copy of said Writ as required by the law of (Name of State)] ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ . ___________________________________ (Printed Name of Affiant) ___________________________________ (Signature of Affiant) SWORN to and subscribed before me, this the _____ day of _____________, 20____. _____________________________ NOTARY PUBLIC My Commission Expires: ___________________