FORM 29 R7/07 WRIT OF GARNISHMENT WITH NOTICE OF EXEMPTION AND PENDING LEVY
Page 1 of 3
County Court District Court
___________________________ County, Colorado
Court Address:
Plaintiff(s)/Petitioner(s):
v.
Defendant(s)/Respondent(s):
COURT USE ONLY
Judgment Creditor’s Attorney or Judgment Creditor (Name and Address):
Phone Number: E-mail:
FAX Number: Atty. Reg. #:
Case Number:
Division Courtroom
WRIT OF GARNISHMENT WITH NOTICE OF EXEMPTION AND PENDING LEVY
Judgment Debtor’s name, last known address, other identifying information: _______________________________________
____________________________________________________________________________________________________
1. Original Amount of Judgment Entered ___________________________(date)
$ ____________________
2. Plus any Interest Due on Judgment (________________% per annum)
+ $____________________
3. Taxable Costs (including estimated cost of service of this Writ)
+ $____________________
4. Less any Amount Paid
- $____________________
5. Principal Balance/Total Amount Due and Owing
= $____________________
I affirm that I am authorized to act for the Judgment Creditor and this is a correct statement as of _________________ (date).
Subscribed under oath before me on __________________
___________________________________________
Print Judgment Creditor’s Name
_______________________________________________
Address: ____________________________________
Notary Public or Deputy Clerk
___________________________________________
My Commission Expires: ___________________________
By: ________________________________________
Signature (Type Name, Title, Address and Phone No.)
WRIT OF GARNISHM