WPCJ {ڱ8m\Kbxh8tܰ5>#@rkbb+_xiI8Xp @`!u滠Vdzbk@ɱD>t*3ٮ& `rIn0ڤooQz;h^^ٳފ,glJ/G=Ru^._dNqU+h'}{#&WY 2q7DW-2%+{A ,?0DX=pʎ:H30Lf V 3Qw;'N \?gϊɞ/')T/ Nb|. .7Heor>N3eЊw!'J,eU8p(&U%>~R 0h 0`8 0> 0^tU(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 RegularXH(: Gtt9:i+00U  9    6!..      TXXTT  _X       X  XCXTXRXXXC%uAXXR(Adopted7/08Amended1/09)#XRXH#&X%XXR&%%&X X   ThisAnswerFormandtheattachedinstructionsshallbeusedforallwagesearnedonandafter  July24,2008.  b Preparedby:XCX%&XRXXXC `  ` &X%XXR&%%&XFiler&%%&=&%%&sname,SC# 3 Filer&%%&=&%%&saddress  Filer&%%&=&%%&sphonenumber  {Filer&%%&=&%%&sfaxphonenumber}  W  {Filer&%%&=&%%&semailaddress}  +  AttorneyforJudgmentCreditor W     InTheDistrictCourtof&X%%&______&%%&XԀCounty,Kansas  x    JudgmentCreditorname  JudgmentCreditor X vs.   `     h      p CaseNo.&X%%&Ԁ______&%%&X  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 X %   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  Pursuantto_K.S.A._Ԁ53-601,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   XCX%& DISPOSABLEEARNINGSTABLE   g> X  >  >>݌   Ќ X  &%XXC* ddd Xdd Xdd X(#(#,[,[+  :'   : X  X@  XCX%& @@݌̌    X  X,A  Ŀ XXCEmployeepaidweekly,AcA݌ s   Ќ   E.` hp x (#XE X  XEB  DisposableEarnings:Withhold:EB|B݌    Ќ    X  XC  CJC݌̌   Lessthan196.51$0.00 #T    X  XC  $196.51to262.00allover$196.50C!D݌   Ќ    X  XD  $262.01andover25%oftotalDE݌ {  Ќ    X  XE  󀀀disposableearnings_  EEݍ 'X  Ќ 'X      ̎ XCX Ŀ_  7$  7 X  XGG  GG~G݌̌    X  XG  Ŀ XXCEmployeepaideverytwoweeksGH݌ s  Ќ    X  XH  DisposableEarnings:Withhold:HH݌   Ќ    X  XuI  uII݌̌   Lessthan393.01$0.00 #T    X  XIJ  $393.01to524.00allover$393.00IJJ݌   Ќ    X  X&K  $524.01andover25%oftotal&K]K݌ {  Ќ    X  XK  󀀀disposableearnings_  K6Lݍ 'X  Ќ 'X     T Ŀ _______  O<$    O X  XK(XM~ K N  Ŀ T  NN݌̌    X  XK(X*KO  Employeepaidsemimonthly(twicepermonth)OO݌ * Ќ    X  XK(XKP  PP݌̌    X  XK(XQKP  Disposableearnings:Withhold:PqQ݌ Q  Ќ    X  XK(X.KR  RR݌̌   K(XKLessthan425.76$0.00 "  X  XK(XUKgS  $425.76to567.68allover$425.75gSS݌ U# Ќ    X  XK(X2KT  $567.69andover25%oftotalTU݌ 2$ Ќ    X  XK(XKU  ݀disposableearningsU#V݌ % Ќ   K(XYKE.` hp x (#X(#E 6#Y& 6 X  XW  XCX Ŀ WW݌̌   Ŀ XXC X  XbX  EmployeepaidmonthlybXX݌ 3d( Ќ    X  XY  YKY݌̌    X  XY  Disposableearnings:Withhold:YY݌ * Ќ    X  XgZ  gZZ݌̌   T ĿĿ TLessthan851.51$0.00 ,  X  Xv[  $851.51to1135.31allover$851.50v[[݌ - Ќ    X  XF\  $1135.32andover25%oftotalF\}\݌ ;l. Ќ    X  X]  ݀disposableearnings#T Ŀ[#_  ]I]ݍ / Ќ /    ___________  4*(0    4K(X > KXCXT0  NOTE:Thenumbersusedinthisparagraphareillustrativeonlyandmustbe $1 adjustedtocomplywith_K.S.A._Ԁ60725. 2(#(# &%XXC   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.   XCX%&TXXC