Writ of Fieri Facias

Petition, Interrogatories, Order, and Request for Notice of Rendition

: JUDICIAL DISTRICT COURT

VS : PARISH OF , LOUISIANA

( - GARNISHEE ) : DOCKET NO.

PETITION

The petition of , a person of the full age of majority, domiciled in the Parish of , State of Louisiana, respectfully represents:

1.

Plaintiff obtained a Judgment rendered , and , , against Defendant, , who is domiciled in the Parish of , , Louisiana, for the full sum of AND /100 ($) DOLLARS, together with legal interest thereon from date of judicial demand until paid, and for all costs of these proceedings. A copy of said Judgment is attached as an exhibit hereto.

2.

Plaintiff also obtained a Judgment dated , , against Defendant, for the full sum of AND /100 ($.00) DOLLARS, together with legal interest thereon from date of judicial demand, and AND /100 ($.00) DOLLARS attorney's fees, and for all costs of these proceedings. A copy of said Judgment is attached as an exhibit hereto.

3.

Plaintiff has reason to believe that the Defendant is employed by , in , Louisiana, and that this employer is or will be indebted to the Defendant for wages, salaries or commissions.

4.

Plaintiff tenders for deposit into the Registry of the Court for the account of Defendant's employer the attorney's fees required for the garnishment of wages, salaries or commissions.

WHEREFORE, Plaintiff prays that:

1. This Court issue a writ of fieri facias commanding the Sheriff of this Parish to seize the non-exempt portion of the wages, salaries or commissions due Defendant sufficient to satisfy Plaintiff's claim according to law;

2. be cited as Garnishee and ordered to answer the annexed interrogatories as provided by law;

3. Plaintiff be authorized to deposit into the Registry of Court for the account of the Garnishee the attorney's fees required by law.

* * *

ORDER

Considering the foregoing,

IT IS ORDERED, ADJUDGED AND DECREED that the Plaintiff be permitted to deposit in the Registry of this Court for the account of the garnishee the attorney's fees required by law; that a writ of fieri facias issue, commanding the Sheriff of this Parish to seize the non-exempt portion of the wages, salaries or commissions due the Defendant sufficient to satisfy Plaintiff's Judgments; and that be cited as Garnishee and ordered to answer the annexed interrogatories as required by law.

, Louisiana, this day of , 20.

DISTRICT JUDGE

Please serve through its duly authorized agent for service of process:

INTERROGATORIES TO BE PROPOUNDED TO GARNISHEE TO BE ANSWERED UNDER OATH AND IN WRITING WITHIN 15 DAYS OF SERVICE AS REQUIRED BY LAW

INTERROGATORY NO. 1: Did you have under your control, directly or indirectly, any money, rights, credits or other property belonging to the defendant, , or in which he had an interest whatever at the time of service of these interrogatories or at any time since?

INTERROGATORY NO. 2: If your answer to Interrogatory No. 1 is in the affirmative, what is the nature, description and amount of the money, rights, credits, or other property? You are asked to make a full disclosure with regard to this property and to state whether the amount of it is sufficient to satisfy in full the writ which has been issued in this matter in the amount of and ___/100 ($) Dollars, together with legal interest from date until paid, and all costs of these proceedings, and in the amount of and ___/100 ($) Dollars, together with legal interest thereon from date of judicial demand, and AND ___/100 ($) DOLLARS attorney's fees, and for all costs of these proceedings.

INTERROGATORY NO. 3: Were you obligated to the defendant in any manner or for any sum whatever, directly or indirectly, conditionally and unconditionally, either for yourself alone or together with others, at the time of service of these interrogatories or at any time since?

INTERROGATORY NO. 4: If your answer to Interrogatory No. 3 is in the affirmative, what is the nature, description and amount of your obligation, and what is its due date? You are asked to state whether the amount of it is sufficient to satisfy in full the writ which has been issued in this as stated above.

INTERROGATORY NO. 5: At any time since these interrogatories were served on you, have you made any payments to the defendant, directly or indirectly; have you entered into any agreement of any kind whatever with defendant; or have you received any receipt or discharges of any kind for the defendant? If so, you are asked to make a full disclosure of any payment to, any agreement with, or any receipt or discharge from the defendant.

INTERROGATORY NO. 6: Is the defendant employed by you in any capacity whatever, or was the defendant so employed at the time of service of these interrogatories upon you?

INTERROGATORY NO. 7: If your answer to Interrogatory No. 6 is in the affirmative, what is the rate at which, the manner in which, and the time when and place where the defendant is paid?

INTERROGATORY NO. 8: Were there any prior claims or garnishments which have been served or levied upon you at the time of service of these interrogatories on you which would affect the defendant's compensation?

INTERROGATORY NO. 9: If your answer to Interrogatory No. 8 is in the affirmative, what was the date of service on you of each levy or garnishment, the title and number of suit, the amount then due, and the balance remaining due?

INTERROGATORY NO. 10: Does the defendant owe any money to you as his employer? If so, state the date the debt was incurred, the amount of it, the payments which have been made to date, the balance now due, and the manner in which the debt was incurred in accordance with the requirements of R.S. 13:3925.

INTERROGATORY NO. 11: Does the defendant work for you on a commission basis; if so, state the terms of the employment, the amount of commission paid, the method of payment, and the dates on which settlements are made with the defendant in accordance with the requirements of R.S. 13:3936?

Please serve through its duly authorized agent for service of process:

REQUEST FOR NOTICE OF RENDITION OF INTERLOCUTORY ORDERS OR JUDGMENTS

TO: Clerk of Court

Judicial District Court

Parish of

, LA

Written formal request is hereby made for the rendition of all interlocutory orders or Judgments which may be filed in your office pursuant to the provisions of the Louisiana Code of Civil Procedure Article 1914.

, Louisiana, this day of , 20.