Wisconsin

Wisconsin Interrogatory

Firm File Number(Required)

Email Address(Required)

Employer Phone(Required)

Address(Required)

Creditor(Required)

Debtor(Required)

Garnishee(Required)

County(Required)

Case No.(Required)

To the Creditor:

1. I am the garnishee or a duly authorized representative of the garnishee. Your garnishment action has been received and reviewed.

2) Please Select the best statement(Required)

a. I have determined that I will not owe the debtor any earnings to be earned within 13 weeks after the date of service of the garnishment on me.

b. The debtor’s earnings are subject to one or more of the following: (1) Prior Earnings garnishments. and/or (2) Child Support

c. The debtor has delivered an answer claiming a defense to the garnishment. A copy of the answer is attached. I have written the date I received the answer on the attached copy. The garnishment cannot proceed until a court order directs otherwise.

d. The debtor’s earnings will be garnished as allowed by law

Other

The debtor has

(1) Prior earnings garnishments. Your earnings garnishment will go into effect for the pay period after the last of any prior earnings garnishments end. The amount owed on the prior pending garnishment(s) is $

Amount

The debtor has

(2) Child support orders that amount to ______$ of the debtor’s disposable earnings. The amount available to you is:

Amount

Garnishee or Authorized Representative(Required)

Print or Type Name(Required)

Date

I hereby certify that a copy of the completed interrogatories has been mailed and or hand-delivered to the judgment debtor. I (WE) AFFIRM UNDER PENALTIES FOR PERJURY THAT THE FOREGOING REPRESENTATIONS ARE TRUE

Signature

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Blitt and Gaines, P.C. is a debt collector. This is an attempt to collect a debt and any information obtained will be used for that purpose.

Wisconsin

Wisconsin Interrogatory

Company

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