GARNISHMENT ACT INTERROGATORIES TO JUDGMENT DEBTOR. (Address) INSTRUCTIONS
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1 GARNISHMENT ACT INTERROGATORIES TO JUDGMENT DEBTOR Judgment Creditor: (Name) Judgment Debtor: (Address) (Name) To Judgment Debtor: INSTRUCTIONS These interrogatories have been sent for your immediate answer because a judgment in the amount of $ has been entered against you by the Navajo Nation in the matter of (Case Name) (Docket No.) which was decided on (Date) pursuant to the Navajo Nation Ethics in Government Law Garnishment Act of 2005, 2 N.N.C et seq. Pursuant to N.G.A.R.P. 3(a) you shall answer these interrogatories under oath and provide your true, accurate and complete answers to the Judgment Creditor by personal delivery or mail (return receipt requested) within five (5) business days of the date these interrogatories are served on you. If you fail to do so a petition for contempt may be filed against you in the Navajo Nation Judicial District Court pursuant to N.G.A.R.P. 3(c) and 11(c). A. Answer the following if you are owed earnings. Earnings are defined as compensation paid or payable for personal services such as wages, salary, commission, bonus, or otherwise. (1) Provide below the requested information on your current employer(s). Current Employer #1: Your Hourly Wage: $ /hr You are employed as follows: Full-time hrs/wk Other (Explain) Your Salary: $ per following pay period: Weekly Biweekly Monthly Other (explain): Are you due deferred earnings or compensation? No Yes. If Yes, please state amount: $ 1
2 Current Employer #2: Your Hourly Wage: $ /hr You are employed as follows: Full-time hrs/wk Other (Explain) Your Salary: $ per following pay period: Weekly Biweekly Monthly Other (explain): Are you due deferred earnings or compensation? No Yes. If Yes, please state amount: $ (2) Provide below the requested information on your former employer(s) who still owe you earnings for personal services. (Use additional sheets if necessary). Former Employer #1: Date Your Employment Ended: Amount of earnings owed to you, including deferred compensation: $ Former Employer #2: Date Your Employment Ended: Amount of earnings owed to you, including deferred compensation: $ 2
3 B. Provide the requested information below if (i) any of your assets are in the possession or control of anyone else or (ii) you are owed assets by anyone else. Assets are defined as personal property and monies that are not earnings or real property, such as chattels, cash, bank accounts, securities, notes, and accounts receivables that you have an interest in. (Use additional sheets if necessary). Name of individual/company #1 in possession/control of your assets/cash or who owes you Name of individual/company #2 in possession/control of your assets/cash or who owes you 3
4 Name of individual/company #3 in possession/control of your assets/cash or who owes you Name of individual/company #4 in possession/control of your assets/cash or who owes you 4
5 IN THE STATE OF ) ) COUNTY OF ) I, (Name) do hereby swear or affirm that: 1. I am the Judgment Debtor Person authorized to execute this document for the Judgment Debtor. 2. I verify that the answers to these interrogatories are true, accurate and complete to the best of my knowledge and belief with the understanding that if I fail to answer correctly, a petition for contempt may be filed in the Navajo Nation Judicial District Court pursuant to N.G.A.R.P. 3(c). Signature Printed name Signor SUBSCRIBED AND SWORN to before me this day of, 20 NOTARY PUBLIC (Seal) My Commission Expires on: 5
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Occupational Tax Certificate Guidelines
Bulloch County Board of Commissioners Olympia Gaines Clerk of the Board/License Administrator Physical Address: 115 N. Main Street Statesboro, GA 30458 Mailing Address: P.O. Box 347, Statesboro, GA 30459
Case LSS Doc Filed 05/17/16 Page 1 of 5 EXHIBIT A 01:
Case 16-10882-LSS Doc 357-1 Filed 05/17/16 Page 1 of 5 EXHIBIT A 01:18701000.1 Case 16-10882-LSS Doc 357-1 Filed 05/17/16 Page 2 of 5 UNITED STATES BANKRUPTCY COURT DISTRICT OF DELAWARE In re PACIFIC SUNWEAR