WPC,	  
      \     >Xhf
.m=/iPObw}yXh_DriUdjDg0wQnu{?ӫM:tܒI\mv
աʅ?0⁞AS5o~vธ&NCre7D犤E/y_J8"XMhH6zEJIYsG/sts.~hWa}\N;ZFSlTL m!6\y
#4؅K&[F1\ayhEB=_4FjUH">Yt8ݖ"NdH͊1p M]X&}=h˽3qsHG	7`!E9'HQ:\NդV6K͹1%znRvLI{v<{Vs\&PN?(vCż鿑:xw^&L +"1o]            0   :   ^  #        U   N   a  	%         U,   >     0j   t      U   (   g   U   J     ^        w        4                   "      f      .   a      0  	B      D  	B   +   a          	D   +     	m           (     N                      	      (                  $          USUS. ,   \ \ K J C D C 0 1 \ S A V I N   9 0 6 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r           X \	  	   `  & T i m e s   N e w   R o m a n             \                 : B o d y   T e x t   I n   B o d y   T e x t   I n d e n t      X    X % 2  A   `    H e l v          kI  A   `  2 W P   T y p o g r a p h i c S y m b o l s         e<Z         {/;    :i +003| x        
                    T a b l e _ A                      d    '     S i n g l e 1         d     '                              d x    d            U                                           	       s p o u s a l    
           
   !    USUS. ,      _                        F  @ @  #     X  X  X X      & %  X X   `     (Revised07/10)     `     #   & % % &   # #   X  X % &   #    	          Y    @    YY     X  X  X X    & %  X X INSTRUCTIONSTOGARNISHEE0     0     (#(# 0    x (# (#     H x(#x(#  @      (ToAttachEarningsChapter61)   	     *   , XX 4 `	X   X* @      EffectiveJuly1,2010   	 <   . 
    X , XX 4 `	Xr  . #   & % % &{  # #   X  X % &  #    X  X  X X    & %  X X *    , X , `	X   X*           AttachedtotheseinstructionsistheAnswerformandaformentitledWrittenExplanationofGarnishees   	 (   ComputationofEarningsWithheld(calledhereafter WrittenExplanationform).   	 d	                 `	         ,   YoumustcompletetheattachedAnswerformwithin14daysfollowingthedatetheinitialorderof   	 
P
   garnishmentisservedonyou.YouonlyneedtocompleteoneAnswerformforthisgarnishment.   	       	 D   YoushouldcompletetheattachedWrittenExplanationformforeachpayrollperiodwhichcomesdue   	 x	   afterthegarnishmentorderisservedonyou.Thegarnishmentorderserveduponyouisacontinuingorder   	 0
   andshallremainineffectuntilthejudgmentagainstthejudgmentdebtorhasbeenpaidorthegarnishment   	 l
   isreleased,whicheveroccurssooner.#   & % % &T  #    & % % & #   X  X % &s  #    & %  X X ԀAslongasthegarnishmentorderremainsineffect,youmustcontinue   	 $   towithholdmoneyfromthewagesofthejudgmentdebtorinaccordancewiththeseinstructionsandthe   	 X   garnishmentorder.Eachtimeyoudopayrollforthejudgmentdebtor,completetheattachedWritten   	    Explanationform#   & % % &  #    & % % & #   X  X % &  #    & %  X X forthepayperiodcoveredbythepayroll,andretainacopyoftheformwithyournormal   	 L   payrollrecords.YoudonotneedtofurnishacopyoftheWrittenExplanationformunlessyouare   	    requestedtodoso.   	 8      	 t   Morethanoneorderofgarnishmentmaybeservedonyouagainstthesamejudgmentdebtor.Ifmore   	 ,   thanoneorderisservedonyou,youneedonlycompleteoneWrittenExplanationformforeachpayperiod,   	 `   andretaintheoriginalwithyournormalpayrollrecords.   	         ,    ,   TheAnswerformandWrittenExplanationformareprovidedforyourconvenienceinfurnishingthe   	    requiredinformation.Theyaredesignedsothatyoumaypreparetheseformsinconjunctionwiththe   	 @   preparationofyourpayroll.Ifyoudonotchoosetousetheattachedforms,theformsyouusemustcontain   	 |   atleastthesameinformationcontainedontheattachedformsandyouranswermustbesignedunderpenalty   	 4   ofperjury.Ifyouarereq_        uested_        Ԁtofurnishawrittenexplanationofyourcomputation,youmustsignyour   	 h   explanationunderpenaltyofperjury.   	      #   X  X % &	  #    & %  X X #   & % % &	  #    & % % &      ,    ,   Herearetheinstructionstocompletetheattachedforms:   	 "        , 1.Earningsaredefinedascompensationforpersonalservices,whethercalledwages,salary,commission,   	  $   bonusorotherwise.   	 <%        A.AnswerForm.CompletetheAnswerformforallpayperiodswhichendwithin14daysfollowing   	 ('   thedatetheinitialorderofgarnishmentisservedonyou.   	 d (        B.WrittenExplanationForm.CompletetheWrittenExplanationformforeachpayperiodwhich   	 !P*   endsafterthegarnishmentorderisservedonyou.Youshouldcompletetheformasyoudoyournormal   	 "+   payrollforthejudgmentdebtorforeachpayperiod.   	 D#,   2.Iftheorderofgarnishmentstatesatthetopoftheorderthatitisissuedforthepurposeofenforcing(1)   	 $0!.   anorderofanycourtofbankruptcyunderchapterXIIIofthefederalbankruptcyactor(2)adebtdueforany   	 l%!/   stateorfederaltax,youmustretaininyourpossessionuntilfurtherorderofthecourtallofthedisposable   	 $&"0   earningsforallpayperiodsendingduringthemonth.Ifthisparagraphapplies,signanddatetheformatthe   	 &X#1   bottomandsendacopytoalljudgmentcreditorswhohaveagarnishmentineffectonthedateyousignthe   	 '$2   form.   	 L($3   #   & % % &  # #   X  X % &n  #    X  X  X X    & %  X X 3.Iftheorderofgarnishmentstatesatthetopoftheorderthatitisissuedforthepurposeofenforcingan   	 )8&5   orderofanycourtforchildsupportorspousalsupport,youmustretaininyourpossessionuntilfurtherorder   	 t*&6   ofthecourt50%ofthedisposableearningsforallpayperiodsendingduringthemonth,orsuchgreater   	 ,+'7   percentageasmaybeindicatedinparagraphDinthetablebelowinparagraph_        7._        ԀIfthisparagraphapplies,   	 +`(8   signanddatetheformatthebottomandsendacopytoalljudgmentcreditorswhohaveagarnishmentin   	 ,)9   effectattheendofthemonthandtothejudgmentdebtor.#   & % % &  #    & % % &    	 T-):   #   & % % &D  #    & % % & 4.Ifparagraphs2or3donotapply,continuetoparagraph5.   	 .@+<      	 |/+=      F  
            
       
   
        5.Ifyouarewithholdingmoneyfromthejudgmentdebtor#   & % % &  #    &}4 % % & =#   & % % &}4  #    & % % & searningsunderanincomewithholdingorder,   	       completeparagraph10oftheform.   	     6.     Ifyouarewithholdingmoneyfromthejudgmentdebtor#   & % % &  #    &}4 % % & =#   & % % &}4  #    & % % & searningsunderanyotherlienwhichhas   	 N4   priorityovergarnishmentsunderthelaw,completeparagraph11oftheform.   	    7.Computetheamountofearningswhichmaybewithheldfromtheearningsofthejudgmentdebtor(your   	 :	    employee)andcompleteparagraphs12,13and14oftheAnswerforminaccordancewiththefollowing   	 	   table:   	 
	      #   X  X % &#  # DISPOSABLEEARNINGSTABLE   	      ,          X                           ݌   	 	   Ќ     X 	        & %  X X *       
     d                d d      X        d d      X        d d      X                             (#(# ,    [             ,    [             +
   
 :     '  bH
 bH
 
           :        X             X    J         #   X  X % &.  #    J       ݌̌        	            X             X                k   X X Employeepaidweekly      0!   ݌   	 *   Ќ        	     N  .    `	   h   p    x  (# , X , `	XN        X             X    "        DisposableEarnings:Withhold:   "  R"   ݌   	 V<   Ќ        	            X             X    "           "   #   ݌̌        	            X             X    ~#        Lessthan217.51$0.00   ~#  #   ݌   	 h   Ќ        	            X             X    T$        $217.51to290.00allover$217.50   T$  $   ݌   	    Ќ        	            X             X    4%        $290.01andover25%oftotal   4%  k%   ݌   	    Ќ        	            X             X    &        󀀀disposableearnings   &  G&   ݌   	 D*   Ќ        	     #   X  X  kO!  # 
6     #                    6        X             X    X'           X'  '   ݌̌        	            X             X    '           k   X X Employeepaideverytwoweeks   '  (   ݌   	 *   Ќ        	            X             X    (        DisposableEarnings:Withhold:   (  (   ݌   	 V<   Ќ        	            X             X    )           )  )   ݌̌        	            X             X    *        Lessthan435.01$0.00   *  F*   ݌   	 h   Ќ        	            X             X    *        $435.01to580.00allover$435.00   *  +   ݌   	    Ќ        	            X             X    +        $580.01andover25%oftotal   +  +   ݌   	     Ќ        	            X             X    ,        󀀀disposableearnings   ,  ,   ݌   	 D*!   Ќ        	     #   X  X  k7(  #       X X N     ; # " 
    

          
           N        X             X K    (                   X                   "              K    .        #   X  X  控-  #    k   X X    .  .   ݌̌        	            X             X K    (                   X                                K    6/        Employeepaidsemimonthly(twicepermonth)   6/  /   ݌   	 $   Ќ        	            X             X K    (                   X                  N4             K    I0           I0  0   ݌̌        	            X             X K    (                   X                               K     1        Disposableearnings:Withhold:    1  1   ݌   	 &   Ќ        	            X             X K    (                   X                  z`             K    42           42  2   ݌̌        	            X             X K    (                   X                               K    3        Lessthan471.26$0.00   3  3   ݌   	 (   Ќ        	            X             X K    (                   X                               K     4        $471.26to628.33allover$471.25    4  4   ݌   	 )   Ќ        	            X             X K    (                   X                  <"             K    ?5        $628.34andover25%oftotal   ?5  5   ݌   	 <"*   Ќ        	            X             X K    (                   X                               K    Z6        ݀disposableearnings   Z6  6   ݌   	 +   Ќ        	     K    (                   X                  hN             K E  .    `	   h   p    x  (# X(#E 
6     #  hN,                  6        X             X    N8        #   X  X  k.  #    N8  8   ݌̌        	        k   X X        X             X    9        Employeepaidmonthly   9  V9   ݌   	 .   Ќ        	            X             X    9           9  :   ݌̌        	            X             X    ]:        Disposableearnings:Withhold:   ]:  :   ݌   	 0   Ќ        	            X             X    $;           $;  [;   ݌̌        	            X             X    ;        Lessthan942.51$0.00   ;  ;   ݌   	 B(2   Ќ        	            X             X    }<        $942.51to1256.67allover$942.50   }<  <   ݌   	 3   Ќ        	            X             X    M=        $1256.68andover25%oftotal   M=  =   ݌   	 nT4   Ќ        	            X             X    >        ݀disposableearnings#   X  X  k 9  #       X X    >  P>   ݌   	 5   Ќ        	     3  ) ' 6 
    

           3 K    (                   X                           	   K #   X  X  >  #    & %  X X 0     NOTE:Thenumbersusedinthisparagraphareillustrativeonlyandmustbeadjustedto   	 7   complywithK.S.A.602310.    bH8 (#(#  #   X  X % &?  #    & %  X X      A.    `	 SUPPORTORDERS.Ifthepersonseekingthegarnishmentforcourtorderedsupportdesires   	 ;   togarnishmorethan50%ofdisposableearnings,thatpersonmayrequestinwritingtotheclerkofthecourt   	 R 8<   tocheckoneofthebelowapplicablepercentages:   	 
!=        55%0    `	 Employeealsosupportsaspouseordependentchildnotcoveredbythissupportorderand   	 z"`?   paymentsare12weeksoverdue.    2#@ `	(#`	(#       60%0    `	 Employeedoesnotsupportaspouseordependentchildandpaymentsarenot12weeks   	 $ B   overdue.    Z%@!C `	(#`	(#       65%0    `	 Employeedoesnotsupportaspouseordependentchildandpaymentsare12weeksoverdue.    &"E `	(#`	(#       Anydisposableearningsremainingafterpaymentoftheaboveamountsshallberetaineduntilfurther   	 :( $G   orderofthecourt.   	 ($H        B.0    `	 ADMINISTRATIVEFEE:Fromincomeduetheemployee,youmaywithholdandretain   	 b*H&J   todefrayyourcostsanadministrativefeeof$10foreachpayperiodforwhichincomeis   	 + 'K   withheld,nottoexceed$20foreach30dayperiodforwhichincomeiswithheld,whichever   	 +'L   isless.Suchadministrativefeeshallbeinadditiontotheamountrequiredtobewithheld   	 ,p(M   undertheorderforgarnishment.Iftheadditionofthisfeecausesthetotalamountwithheld   	 B-()N   _         toexceedtheamountyouaretowithholdpursuanttotheinstructionsabove,thefeeshall   	 -)O   bedeductedfromtheamountwithheld.    .*P `	(#`	(#     	 j/P+Q          
                
       
   
 8.Completeparagraph15bylistingthecasenumber,nameandaddressforalljudgmentcreditorswhohave   	       agarnishmentineffectagainstthejudgmentdebtoronthedateyoucompletetheattachedforms.Compute   	     theamounttobepaidtoeachjudgmentcreditor.Forexample,ifthereisonlyonejudgmentcreditor,pay   	 ?p   alltothatone;iftherearetwojudgmentcreditors,payeachonehalf();iftherearethreejudgment   	 (   creditors,payeachonethird(1/3);etc.Thisallocationshouldbefollowedevenifsomeorallofthe   	    garnishmentswereineffectforlessthantheentirepayperiod.   	 g   *    , `	X(# X(#* _      9._      ԀAnswerFormandWrittenExplanationForm.   	         A.AnswerForm.SignanddatetheAnswerformunderpenaltyofperjuryonthelineprovidedatthe   	 G
x	   bottomoftheformanddeliveracopytoalljudgmentcreditorslistedin15andtothejudgmentdebtor.You   	 
0
   maydeliveracopybyregularmail,faxtransmission,electronicmail,personaldelivery,oranyotherreliable   	    deliverymethod.IfyoudonotreceiveanobjectiontotheAnswerwithin14daysafteryouhavedelivered   	 o   it,promptlypaytheearningswithheldasindicatedontheAnswertoalljudgmentcreditorsdesignatedon   	 'X	   theAnswerintheamountdueeachcreditorasindicatedontheAnswer,unlessyoureceivepriortosuch   	 
   paymentanorderofthecourttothecontrary.#   X  X % &@  # #   X  X  X X[  #    & %  X X    & % % &    	 
        B.WrittenExplanationForm.Completetheformforeachpayperiodforthejudgmentdebtorasyou   	 8   doyournormalpayroll.Retaintheoriginaloftheformwithyournormalpayrollrecords.Youdonotneed   	    tofurnishthisformtoanyoneunlessrequestedtodoso.Ifrequestedtofurnishacopyofthisform,make   	 w   acopyfromtheoriginaltofurnishinresponsetotherequest.Aslongasthegarnishmentorderisineffect,   	 /`   continuetopaytheearningswithheldastheyarewithheld,tothejudgmentcreditorsindicatedontheform,   	    unlessyoureceivepriortosuchpaymentanorderofthecourttothecontrary.#   X  X % &BO  #    & %  X X #   & % % &aO  #    & % % &    	    #   X  X % &R  # #   X  X  X XR  # 
