) ss. County of __________ ) ____________________
______________________________ Plaintiff against Garnishee Summons and ______________________________ Notice to Defendant Defendant and ______________________________ Garnishee The State of North Dakota to the above-named Garnishee:
You shall serve upon the plaintiff or the plaintiff's attorney, within twenty days after service of this summons upon you, a written disclosure, under oath, setting forth the amount of any debt you may owe to the defendant, ____________________ (give full name and residence of defendant) and a description of any property, money, or effects owned by the defendant which are in your possession. Your disclosure need not exceed
$___________. (Enter retention amount.) The date of entry of the judgment against the defendant was _________ (enter date of entry of plaintiff's judgment) and the amount of the judgment that remains unpaid is $__________. The defendant shall provide you with a list of the names of dependent family members who reside with the defendant and their social security numbers if the defendant desires to have the garnishment amount reduced under subsection 2 of section 32-09.1-03. Failure of the defendant to provide the list to you is conclusive to establish that the defendant claims no dependent family members reside with the defendant.
Failure to disclose and withhold may make you liable to the plaintiff for the sum of $___________. (Enter the retention amount.)
You shall retain the defendant's nonexempt property, money, earnings, and effects in your possession until a writ of execution is served upon you, until the defendant authorizes release to the plaintiff, or until the expiration of 360 days from the date of service of this summons upon you. If no writ of execution has been served upon you or no agreement has been made for payment within 360 days, the garnishment ends and any property or funds held by you must be returned to the defendant if the defendant is otherwise entitled to their possession.
Any assignment of wages by the defendant or indebtedness to you incurred by the defendant within ten days before the receipt of the first garnishment on a debt is void and should be disregarded.
You may not discharge the defendant because the defendant's earnings are subject to garnishment.
Dated ________, ____.
By: ______________________________ NOTICE TO DEFENDANT To:___________________________ The garnishee summons, garnishment disclosure form, and written interrogatories (strike out if not applicable), that are served upon you, were also served upon
_______________________, the garnishee.
_________________________
(Attorneys for Plaintiff) ________________________
(Address) _________________________
(Telephone)
N.D.C.C. § 32-09.1-07