WPCJ N|nk?dh?d@͂W)\bOPᴠ $9xt7W5$jە` ,y }Q@,_C8~nu}O^f#iyi^O1 v(,@(ǥ{gYR&+*fs05je抹p~G|vU:Δ'9k$/eJUO ѝJ}q1-})%Clp(1N[Kh^n9`)x rbfe6[D&uy0ZeF.2ߵN4x^iO7vDnMY&U#>~R 0h 0`8 0> 0jtU(JU Jr"U(" f( a* B> B+[ D/ D +   0 # UNi % M ( N ^ w 4  m"(\  `&Times New Roman'  KJC0KJC .   h:Default ParaDefault Paragraph Font`:Footnote RefFootnote Reference($  0  \  :Body Text InBody Text Indent X X $LYNNkIA`2WP TypographicSymbols     %2A`Helv     Table_A  d'Single1  d)1dxd'dxd  9 #|x(r6$..      XXCanon iP2600 series.**.0(@ Z6Times New Roman RegularX;(: Gtt9:i+00U  9    6!..      XX  _       X  XXXUmXXX%uA[XXUm(Adopted7/07Amended1/09)#XUmX[H#&%XXUm&%%& X   ThisAnswerFormandtheattachedinstructionsshallbeusedforallwagesearnedonandafter  July24,2007.  b Preparedby:XX%&XUmXXX `  ` &%XXUm&%%&Filer& %%&=&%%& sname,SC# 3 Filer& %%&=&%%& saddress  Filer& %%&=&%%& sphonenumber  {Filer& %%&=&%%& sfaxphonenumber}  W  {Filer& %%&=&%%& semailaddress}  +  AttorneyforJudgmentCreditor W     InTheDistrictCourtof&%%&______&%%&ԀCounty,Kansas  x    JudgmentCreditorname  JudgmentCreditor X vs.   `     h      p CaseNo.&%%&Ԁ______&%%&  JudgmentDebtorname   JudgmentDebtor [ JudgmentDebtoraddress . Garnisheename `  0  Garnishee,(#(# Garnishee& %%&=&%%& saddress  Garnishee& %%&=&%%& scounty { {Garnishee& %%&=&%%& sfaxphonenumber(ifknown)} O {Garnishee& %%&=&%%& semailaddress(ifknown)} {# PursuanttoChapter60of " KansasStatutesAnnotated    ANSWEROFGARNISHEE  C! (ToAttachEarnings) n" g TotheabovenamedGarnishee:  $ 1.Ifthejudgmentdebtor(employee)wasneveremployedbyyouorterminatedemploymentbeforethe !b& firstdayofthepriormonthforwhichthisanswerismade,completethefollowingsectionandsignand "5 ' datetheansweratthebottomandsendtothejudgmentcreditor(s)andjudgmentdebtorasinstructed `#!( below. 3$!) TheJudgmentdebtor(employee): %#+  X___terminatedemploymenton_________________________ &T$,  XӀ(date) ''%- checkone R(%.  X___wasneveremployed. %)&/  X2.IftheaboveparagraphdoesnotapplyyoumustcompletetherestoftheAnswerForm. *s(1 3.ReadcarefullytheattachedInstructionstoGarnishee. q,*3 4.Onlyoneanswerneedstobecompletedeachmonthforeachjudgmentdebtorandyoumayduplicate .+5 thecompletedanswerinanymanneryoudesirefordistributiontothejudgmentcreditor(s)andjudgment .,6 debtor. /e-7 %uA %9X  %   5.Thisanswercoversallpayperiodswhichendduringthepriormonthwhichisasfollows:month:   ___________,year:__________.  6.Thenormalpayperiodforemployeeis(designateone): L weekly_____everytwoweeks_____semi-monthly_____monthly_____. X '0 x (#X'7.Totalgrossearningsdueforthepayperiodorperiodscoveredbythisanswerare:  Ѐ   .$_____________.   8.Amountsrequiredbylawtobewithheldforthepayperiodorperiodscoveredare: w >   X(1)Federalsocialsecuritytax ./$_____________.   (2)Federalincometax . &$_____________.   (3)Stateincometax . $$_____________.   (4)RailroadRetirementTax .WW+$_____________. ]   XTOTALDEDUCTIONS . $_____________. <  XӀ(Deductonlythoseitemslistedabove)   X9.Disposableearningsforthepayperiodorperiodscoveredare: .M$_____________. | Ѐ(7minus8) O SeetheattachedInstructionstoGarnisheetodetermineamountofdisposableearningstobewithheld. . 10.Iamsubtractingfromthedisposableearningsin9pursuanttoanincomewithholdingorderfor  supporttheamountof .. . $_____________. n 11.Iamsubtractingfromthedisposableearningsin9pursuanttoalienwhichhaspriorityover M garnishmentsunderthelawthefollowingamount:typeoflien______________ .W      .$_____________.  12.Inaccordancewiththeinstructionsaccompanyingthisanswerform,Ihavedeterminedthatthe `  amountwhichmaybepaidtoemployeeis .2$_____________. l3! 13.Iamholdingfromtheamountin12anadministrativefeeintheamountof .uuY$_____________.  # SeeattachedInstructionstoGarnisheeforamountoftheadministrativefeethatcanberetained. !% 14.Afterpayingtotheemployeetheamountstatedin12lesstheadministrativefeein13,anddeducting ^#% ' anyamountshownin10and11,Iamholdingtheremainderoftheemployee'sdisposableearningsinthe 1$ ( amountof .$_____________. %!) 15.IfIdonotreceiveanobjectiontothisAnswerwithin10daysafterIdeliverittoallpartiesentitledto &q#+ acopy,Iwillpaytheamountheldin14tothefollowingjudgmentcreditors: }'D$, * X0 x (#*  CaseNo. `  Name  0 h 0h(#h(#Address0p(#(#0p(#p(#0 (#(#Amount#)%. (# (# A.___________ _______________  _____________________0  $____________*'0 (# (#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#_____________________+c(1(#(#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#_____________________o,6)2(#(# B.___________ _______________  _____________________0  $____________.*4 (# (#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#_____________________.+5(#(#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#_____________________/,6(#(#  0U-7    9     C.___________ _________________  _____________________0  $____________ (# (#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#_____________________(#(#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#_____________________u(#(# __JudgmentDebtorName&Address: h ___________________ L   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#___________________h(#h(#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#___________________h(#h(#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#___________________ h(#h(# Ifmorespaceisneeded,attachseparatesheet. : k  PursuanttoK.S.A.53-601,asamended,Ideclareunderthepenaltyofperjurythattheforegoingistrue   andcorrect.   EXECUTEDon___________________,_________. ,]    _______________________________  Garnishee x     THISCOMPLETEDANSWEROFGARNISHEEMUSTBESENTTOALLOFTHE " JUDGMENTCREDITORSLISTEDABOVEANDTOTHEJUDGMENTDEBTOR.DONOT  SENDTOCLERKOFTHEDISTRICTCOURT .     _R INSTRUCTIONSTOGARNISHEE   (ToAttachEarnings)  .) ,YoumustcompletetheAnswerformwhichaccompaniestheseinstructionsonorbeforethe15thday Hy ofeachmonth.YoumustcompletetheAnswerformforallpayperiodswhichendduringthepriormonth L forthatportionoftheemployee'searningswhichisnotexemptfromwagegarnishment.Earningsare  definedascompensationforpersonalservices,whethercalledwages,salary,commission,bonusor  otherwise.    , ,Thegarnishmentordertakeseffectonthedayitisservedonyou.Ifthereisonlyonegarnishmentin : k  effectagainstthejudgmentdebtor,forthefirstmonthitisineffect,theordercoversallpayperiodswhich  >  endonorafterthedaytheordertakeseffect.Foreachsubsequentmonth,theordercoversallpayperiods    whichendduringeachmonth.    , ,Thegarnishmentorderserveduponyouisacontinuingorderandshallremainineffectuntilthe Y  judgmentagainstthejudgmentdebtorhasbeenpaidorthegarnishmentisreleased,whicheveroccurs ,]  sooner.Aslongasthegarnishmentorderisineffect,youmustcompleteanAnswerformforeachmonth. 0   , ,Morethanoneorderofgarnishmentmaybeservedonyouagainstthesamejudgmentdebtor.If  morethanoneorderisineffectattheendofthemonth,youneedonlycompleteoneAnswerforthat x month,butyoumustsendacopyofittoalljudgmentcreditorswhohavegarnishmentordersineffectat K| theendofthemonth,andacopytothejudgmentdebtor(youremployee).YoumayduplicatetheAnswer O forminanymanneryoudesire.Youmaysendacopytoeachjudgmentcreditorandthejudgmentdebtor " byregularmail,faxtransmission,electronicmail,personaldelivery,oranyotherreliabledelivery  method.   , ,TheAnswerformisprovidedforyourconvenienceinfurnishingtherequiredinformation.Itis =n designedsothatyoumayprepareyouranswerinconjunctionwiththepreparationofyourpayroll.Wait A untiltheendofthepriormonthandapplythetestssetforthintheseinstructionstotheentireearningsof  theemployeeduringthemonth,completingyouranswerinaccordancewiththeseinstructions.Ifyoudo  notchoosetousetheAnswerformprovided,youranswer,underpenaltyofperjuryshallcontainatleast  thesameinformationcontainedontheAnswerformprovided. \  , ,HerearetheinstructionstocompletetheAnswerform: 3!  ,1.  Forallpayperiodsforthejudgmentdebtor(youremployee)whichendduringthepriormonth,  # completeparagraphs5through9oftheform.Forthefirstmonththefirstgarnishmentisineffect,make {!$ yourcomputationsforallpayperiodswhichendonandafterthedaythisordertakeseffect.Afterthat, N"% makeyourcomputationsforallpayperiodswhichendduringthepriormonth. !#R& 2.Iftheorderofgarnishmentstatesatthetopoftheorderthatitisissuedforthepurposeofenforcingan $ ( orderofanycourtforchildsupportor_spousal_Ԁsupport,youmustretaininyourpossessionuntilfurther %!) orderofthecourt50%ofthedisposableearningsforallpayperiodsendingduringthemonth,orsuch m&"* greaterpercentageasmaybeindicatedinparagraphDinthetablebelowinparagraph6.Ifthisparagraph @'q#+ applies,signanddatetheformatthebottomandsendacopytoalljudgmentcreditorswhohavea (D$, garnishmentineffectattheendofthemonthandtothejudgmentdebtor. &%%& (%- &%% &3.Ifparagraph2doesnotapply,continuetoparagraph4. *&/  4.Ifyouarewithholdingmoneyfromthejudgmentdebtor& %%&=&%%& searningsunderanincomewithholding 2,c(1 order,completeparagraph10oftheform. -7)2 5.  Ifyouarewithholdingmoneyfromthejudgmentdebtor& %%&=&%%& searningsunderanyotherlienwhichhas .*4 priorityovergarnishmentsunderthelaw,completeparagraph11oftheform. /+5  _R  9  9    6.Computetheamountofearningswhichmaybewithheldfromtheearningsofthejudgmentdebtor  (youremployee)andcompleteparagraphs12,13and14oftheAnswerforminaccordancewiththe u followingtable: Hy   XX%& DISPOSABLEEARNINGSTABLE   > X  >  >?݌   Ќ X  &%XX* ddd Xdd Xdd X(#(#,[,[+  :'   : X  X@  XX%& @@݌̌    X  XLA  ' XXEmployeepaidweeklyLAA݌ s   Ќ   E.` hp x (#XE X  XeB  DisposableEarnings:Withhold:eBB݌    Ќ    X  X3C  3CjC݌̌    X  XC  Lessthan175.51$0.00CC݌ #T  Ќ    X  XD  $175.51to234.00allover$175.50DD݌   Ќ    X  X~E  $234.01andover25%oftotal~EE݌ {  Ќ    X  XZF  󀀀disposable_earnings_  ZFFݍ 'X  Ќ 'X     _ XX '  7$  7 X  XG  G3H݌̌    X  XH  ' XXEmployeepaideverytwoweeksHH݌ s  Ќ    X  X_I  DisposableEarnings:Withhold:_II݌   Ќ    X  X*J  *JaJ݌̌    X  XJ  Lessthan351.01$0.00JJ݌ #T  Ќ    X  XK  $351.01to468.00allover$351.00KK݌   Ќ    X  XcL  $468.01andover25%oftotalcLL݌ {  Ќ    X  X\  Lessthan760.51$0.00>\u\݌ , Ќ    X  X]  $760.51to1013.98allover$760.50]<]݌ - Ќ    X  X]  $1013.99andover25%oftotal] ^݌ ;l. Ќ    X  X^  ݀disposableearnings '  ^^ݍ / Ќ /      4*(0    4K(X > KXX0  NOTE:Thenumbersusedinthisparagraphareillustrativeonlyandmustbe $1 adjustedtocomplywithK.S.A.60725. 2(#(# &%XX   A. ` SUPPORTORDERS.Ifthepersonseekingthegarnishmentforcourtorderedsupport x5 desirestogarnishmorethan50%ofdisposableearnings,thatpersonmayrequestinwritingtotheclerk K|6 ofthecourttocheckoneofthebelowapplicablepercentages: O7   55%0 ` Employeealsosupportsaspouseordependentchildnotcoveredbythissupportorder 9 andpaymentsare12weeksoverdue. :` (#` (#   60%0 ` Employeedoesnotsupportaspouseordependentchildandpaymentsarenot12weeks ="n< overdue.#A=` (#` (#   65%0 ` Employeedoesnotsupportaspouseordependentchildandpaymentsare12weeks $ ? overdue.%!@` (#` (#   Anydisposableearningsremainingafterpaymentoftheaboveamountsshallberetaineduntil /'`#B furtherorderofthecourt. (3$C   B.0 ` ADMINISTRATIVEFEE : Fromincomeduetheemployee,youmaywithholdand )%E retaintodefrayyourcostsanadministrativefeeof$10foreachpayperiodforwhich {*&F incomeiswithheld,nottoexceed$20foreachmonthforwhichincomeiswithheld, N+'G whicheverisless.Suchadministrativefeeshallbeinadditiontotheamountrequiredto !,R(H bewithheldundertheorderforgarnishment.Iftheadditionofthisfeecausesthetotal ,%)I amountwithheldtoexceedtheamountyouaretowithholdpursuanttotheinstructions -)J above,thefeeshallbedeductedfromtheamountwithheld..*K` (#` (#  m/+L 7.Completeparagraph15bylistingthecasenumber,nameandaddressforalljudgmentcreditorswho  haveagarnishmentineffectagainstthejudgmentdebtorattheendofthepriormonth.Computethe  amounttobepaidtoeachjudgmentcreditor.Forexample,ifthereisonlyonejudgmentcreditor,payall u tothatone;iftherearetwojudgmentcreditors,payeachonehalf(_1/2_);iftherearethreejudgment Hy creditors,payeachonethird(1/3);etc.Thisallocationshouldbefollowedevenifsomeorallofthe L garnishmentswereineffectforlessthantheentiremonth.  8.SignanddatetheAnswerformunderpenaltyofperjuryonthelineprovidedatthebottomoftheform   anddeliveracopytoalljudgmentcreditorslistedin15andtothejudgmentdebtor.Youmaydelivera g  copybyregularmail,faxtransmission,electronicmail,personaldelivery,oranyotherreliabledelivery : k  method.  >  9._ԀIfyoudonotreceiveanobjectiontotheAnswerwithin10daysafteryouhavedeliveredit,senda   checktothejudgmentcreditorslistedin15fortheamountdueeachasshownin15.   XX%&XX