WPC& )? 4+<]+o*xnEAsg/? vPjwLt 9o!G{d={7Hi5Hq1="rJeO^5`&X9Wr/áΜa,nUt N;A^չT&]Heb hP-.Y T0慕8^gEJ*Dl4͞$$.L)9ןNܔ5Ҍ 9eh\I׹㱁IC4&]*ХB3RFՈt9-DΆW +T-lj}6w"ܕ-DZqݸ*|Ȣɭ7,Irt&kaViNSc{*R((m=raS|>KF*d2Cm7UYtS6-lCLٸ5_uepo$U#>v6 0h 0` 0>t 0jtU(&U JN"U("f a B B+7 D/b D +  "  0 # UNg % M ( N ^ w 4   m\  `&Times New Roman ' 0 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    9 #|x(r6$..      XXSAVIN 40600(@ Z6Times New Roman RegularXӠ:Z -|8:i+00U 6!..      tXXtt  _        X  X3XtXgXXX3X@XXg(Adopted7/09)#XgXH#&%XXg&%%& X   ThisAnswerFormandtheattachedinstructionsshallbeusedforallwagesearnedonandafter  July24,2009.  ` Preparedby:X3X%&XgXXX3 `  ^ &%XXg&%%&Filer&%%&=&%%&sname,SC# 1 Filer&%%&=&%%&saddress  Filer&%%&=&%%&sphonenumber  {Filer&%%&=&%%&sfaxphonenumber}  U  {Filer&%%&=&%%&semailaddress}  )  AttorneyforJudgmentCreditor U     InTheDistrictCourtof&%%&______&%%&ԀCounty,Kansas  v    JudgmentCreditorname  JudgmentCreditor H  vs.   `     h      p CaseNo.&%%&Ԁ______&%%&  JudgmentDebtorname   JudgmentDebtor = JudgmentDebtoraddress h Garnisheename `  0  Garnishee(#(# Garnishee&%%&=&%%&saddress  Garnishee&%%&=&%%&scounty ] {Garnishee&%%&=&%%&sfaxphonenumber(ifknown)} 1 {Garnishee&%%&=&%%&semailaddress(ifknown)} ] PursuanttoChapter61of  KansasStatutesAnnotated    ANSWEROFGARNISHEE  }%! (ToAttachEarnings) P" X TotheabovenamedGarnishee: $ 1.Ifthejudgmentdebtor(employee)wasneveremployedbyyouorterminatedemploymentbeforethe !D& firstdayofthepriormonthforwhichthisanswerismade,completethefollowingsectionandsignand o" ' datetheansweratthebottomandsendtothejudgmentcreditor(s)andjudgmentdebtorasinstructed B# ( below. $!) TheJudgmentdebtor(employee): %c#+  X___terminatedemploymenton_________________________ &6$,  XӀ(date) a' %- checkone 4(%.  X___wasneveremployed. )&/  X2.IftheaboveparagraphdoesnotapplyyoumustcompletetherestoftheAnswerForm. *U(1 3.ReadcarefullytheattachedInstructionstoGarnishee. S,)3 4.Onlyoneanswerneedstobecompletedeachmonthforeachjudgmentdebtorandyoumayduplicate -+5 thecompletedanswerinanymanneryoudesirefordistributiontothejudgmentcreditor(s)andjudgment .t,6 debtor. /G-7  r0.8 X@  9X   _ 5.Thisanswercoversallpayperiodswhichendduringthepriormonthwhichisasfollows:month: 9 ___________,year:__________.   6.Thenormalpayperiodforemployeeis(designateone): y weekly_____everytwoweeks_____semi-monthly_____monthly_____. L '0 x (#X'7.Totalgrossearningsdueforthepayperiodorperiodscoveredbythisanswerare: + Ѐ   .$_____________.  8.Amountsrequiredbylawtobewithheldforthepayperiodorperiodscoveredare:  k   X(1)Federalsocialsecuritytax ./$_____________. J   (2)Federalincometax . &$_____________.   (3)Stateincometax . $$_____________.   (4)RailroadRetirementTax .WW+$_____________.    XTOTALDEDUCTIONS . $_____________. i0   XӀ(Deductonlythoseitemslistedabove) <  X9.Disposableearningsforthepayperiodorperiodscoveredare: .M$_____________.  Ѐ(7minus8) | SeetheattachedInstructionstoGarnisheetodetermineamountofdisposableearningstobewithheld. [" 10.Iamsubtractingfromthedisposableearningsin9pursuanttoanincomewithholdingorderfor  supporttheamountof .. . $_____________.  11.Iamsubtractingfromthedisposableearningsin9pursuanttoalienwhichhaspriorityover zA garnishmentsunderthelawthefollowingamount:typeoflien______________ .W M    .$_____________.   12.Inaccordancewiththeinstructionsaccompanyingthisanswerform,Ihavedeterminedthatthe  amountwhichmaybepaidtoemployeeis .2$_____________. `  13.Iamholdingfromtheamountin12anadministrativefeeintheamountof .uuY$_____________. ?" SeeattachedInstructionstoGarnisheeforamountoftheadministrativefeethatcanberetained.  $ 14.Afterpayingtotheemployeetheamountstatedin12lesstheadministrativefeein13,anddeducting "R& anyamountshownin10and11,Iamholdingtheremainderoftheemployee'sdisposableearningsinthe ^#% ' amountof .$_____________. 1$ ( 15.IfIdonotreceiveanobjectiontothisAnswerwithin10daysafterIdeliverittoallpartiesentitledto %"* acopy,Iwillpaytheamountheldin14tothefollowingjudgmentcreditors: &q#+ * X0 x (#*  CaseNo. `  Name  0 h 0h(#h(#Address0p(#(#0p(#p(#0 (#(#AmountP(%- (# (# A.___________ _______________  _____________________0  $____________)&/ (# (#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#_____________________*'0(#(#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#_____________________+c(1(#(# B.___________ _______________  _____________________0  $____________B- *3 (# (#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#_____________________.*4(#(#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#_____________________.+5(#(#  /,6    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 $ ( orderofanycourtforchildsupportorspousalsupport,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,completeparagraph11ofthe_form. /+5  _R  9  9    6.Computetheamountofearningswhichmaybewithheldfromtheearningsofthejudgmentdebtor  (youremployee)andcompleteparagraphs12,13and14oftheAnswerforminaccordancewiththe u followingtable: Hy   X3X%& DISPOSABLEEARNINGSTABLE   L> X  >  >>݌   Ќ X  &%XX3* ddd Xdd Xdd X(#(#,[,[+  :'   : X  Xf@  X3X%& f@@݌̌    X  XA  o XX3EmployeepaidweeklyAHA݌ s   Ќ   E.` hp x (#XE X  X*B  DisposableEarnings:Withhold:*BaB݌    Ќ    X  XB  B/C݌̌    X  XC  Lessthan217.51$0.00CC݌ #T  Ќ    X  XcD  $217.51to290.00allover$217.50cDD݌   Ќ    X  XCE  $290.01andover25%oftotalCEzE݌ {  Ќ    X  XF  󀀀disposableearnings_  FVFݍ 'X  Ќ 'X     X3X o_  7$  7 X  XG  GG݌̌    X  X:H  o XX3Employeepaideverytwoweeks:HqH݌ s  Ќ    X  XI  DisposableEarnings:Withhold:IKI݌   Ќ    X  XI  IJ݌̌    X  XhJ  Lessthan435.01$0.00hJJ݌ #T  Ќ    X  X;K  $435.01to580.00allover$435.00;KrK݌   Ќ    X  XL  $580.01andover25%oftotalLOL݌ {  Ќ    X  XL  󀀀disposableearnings_  L(Mݍ 'X  Ќ 'X     t o _____  O<$    O X  XK(XM~ KN  o t N`O݌̌    X  XK(X*KO  Employeepaidsemimonthly(twicepermonth)OYP݌ * Ќ    X  XK(XKP  PlQ݌̌    X  XK(XQKQ  Disposableearnings:Withhold:QCR݌ Q  Ќ    X  XK(X.KR  RWS݌̌    X  XK(XKS  Lessthan471.26$0.00S.T݌ " Ќ    X  XK(XUKT  $471.26to628.33_all_Ԁover$471.25TCU݌ U# Ќ    X  XK(X2KV  $628.34andover25%oftotalVV݌ 2$ Ќ    X  XK(XKW  ݀disposableearningsWW݌ % Ќ   K(XYKE.` hp x (#X(#E 6#Y& 6 X  XY  X3X o YFY݌̌   o XX3 X  XY  EmployeepaidmonthlyYZ݌ 3d( Ќ    X  XZ  ZZ݌̌    X  X[  Disposableearnings:Withhold:[Q[݌ * Ќ    X  X[  [\݌̌    X  Xs\  Lessthan942.51$0.00s\\݌ , Ќ    X  X:]  $942.51to1256.67allover$942.50:]q]݌ - Ќ    X  X ^  $1256.68andover25%oftotal ^A^݌ ;l. Ќ    X  X^  ݀disposableearningst o_  ^ _ݍ / Ќ /    _____________________________________________________________________________  4*(0    4K(X > KX3Xt0  NOTE:Thenumbersusedinthisparagraphareillustrativeonlyandmustbe $1 adjustedtocomplywithK.S.A.60725. 2(#(# &%XX3   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.IfyoudonotreceiveanobjectiontotheAnswerwithin10daysafteryouhavedeliveredit,senda   checktothejudgmentcreditorslistedin15fortheamountdueeachasshownin15.   X3X%&tXX3