Form
72 (version 1)
UCPR 39.40
UCPR 39.40
GARNISHEE'S STATEMENT THAT [#NO DEBT DUE OR ACCRUING #NO WAGE OR SALARY PAYABLE]
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COURT DETAILS
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Court
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#Division
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#List
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Registry
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Case number
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TITLE OF PROCEEDINGS
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[First] plaintiff
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[name]
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#Second plaintiff #Number of
plaintiffs (if more than two)
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[First] defendant
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[name]
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#Second defendant #Number of
defendants (if more than two)
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GARNISHEE DETAILS
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Name of garnishee
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Address of garnishee
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Judgment creditor
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[name] [role of party]
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Judgment debtor
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[name] [role of party]
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STATEMENT TO JUDGMENT
CREDITOR
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#I believe that no debt from the
garnishee to the judgment debtor was due or accruing on [date], being
the date the garnishee order was served on [#me #the garnishee].
#I believe that no wage or salary will
become payable by the garnishee to the judgment debtor during the
period for which the order will be in force.
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REASONS
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- [ ]
- [ ]
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SIGNATURE OF OR ON BEHALF OF
GARNISHEE
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Signature
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Capacity
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Date of
signature
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[on separate page]
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AFFIDAVIT
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Name
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Address
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Occupation
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Date
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I [#say on oath #affirm]:
- #I am the garnishee.
#I am [give
details of the capacity of the person making the affidavit and the
facts that qualify the person to make the affidavit].
- I believe that the statement to the judgment creditor and the reasons given in the garnishee's statement are true.
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#SWORN
#AFFIRMED at
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Signature
of deponent
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Signature
of witness
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Name of
witness
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Address of
witness
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Capacity of
witness
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[#Justice
of the peace #Solicitor #Barrister #Commissioner for affidavits
#Notary public]
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