IN THE COUNTY COURT OF POLK COUNTY, FLORIDA

CASE NO. ________________

Plaintiff

v.

Defendant

and

Garnishee.

____________________/

ANSWER OF GARNISHEE

STATE OF FLORIDA

COUNTY OF POLK

RE:     WAGES OF ______________________________________________

          The above named Defendant terminated employment on _______________________.

          The above named Defendant was never employed by Garnishee.

          If one of the above applies, check the appropriate box and you are not required to complete the remainder of this form, except for signing the form before a notary. The form must be returned within twenty (20) days from the service of the Writ of Garnishment.

          If the above do not apply, complete this form.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

        This is Garnishee's answer to Writ of Garnishment served on __________________, 19___. Since being served, the Garnishee has delivered to the Defendant, ______________________, only that portion of the Defendant's earnings authorized according to the Court's instructions and the Garnishee further states that the statements in this answer are true and correct.

        (a) The pay period for the Defendant is:

                        weekly                                      bi-weekly

                        semi-monthly                            monthly

                        other ________________                             Designate one

        (b)      This answer covers earnings for pay period beginning on ____________, 19___, and ending on ___________, 19___,                    which includes the day on which the Writ of Garnishment was served.

        (c)      (  ) If requesting $5 employer handling fee for first withholding

                 (   ) If requesting $2 employer handling fee for subsequent withholding
                   
        (d)     Total gross earnings due for the above pay period

                 [less employer's handling fee(c)].................................................................$_____________________

        (e)      Amounts required by law to be withheld for the above pay period:

                1. Federal Social Security Tax...........$________

                2. Federal Income Tax.......................$________

                3. Child support or other deductions

                   required by law..............................$________

                   Describe ________________

                   ________________________

                   ________________________

                  (Do not include voluntary deductions

f                  or life insurance or credit union payments)

 

                                                                                TOTAL.................................$________________________

 

                (f) Disposable earnings for the above pay period:..................…................$________________________

                   [subtract (e) from (d)]

                (g) In accordance with the Court's instructions, the Garnishee

                    has determined that the amount which must be withheld

                    from the Defendant's wages for this pay period:..................................$_________________________

                (h) So long as Defendant is owed wages, Garnishee will

                    continue to withhold such other sums as are required by

                    the Court's instructions.

                                                                                                                                    _________________________________

                                                                                                                                    (Correct legal name of Garnishee)

                                                                                                                                    _________________________________

                                                                                                                                    Signature of Garnishee

                                                                                                                                    Name:____________________________

                                                                                                                                    Title:_____________________________

                                                                                                                                    Address:__________________________

                                                                                                                                    __________________________________

Subscribed and sworn to before me this _____ day of ___________________, 19___.

                                                                                                                                _________________________________                                        

                                                                                                                                NOTARY PUBLIC

 

(NOTARIAL SEAL)

My Commission Expires:

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a copy of this answer has been mailed to the Plaintiff at __________________ (insert address), this ____ day of __________, 19___.

                                                                                                                                    _________________________________

                                                                                                                                    Phone Number _____________________

Rev. 06/90                                                                                                                                                                 43.doc (01/97)