IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI
IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI
AT KANSAS CITY AT INDEPENDENCE
______________________________________________________________ NO. _________________________________________________
CIRCUIT JUDGE CASE
VS.
ASSOCIATE CIRCUIT JUDGE CASE
______________________________________________________________ SMALL CLAIMS
INTERROGATORIES TO GARNISHEE
______________________________________________________________
______________________________________________________________
______________________________________________________________ _________________________________________________________
GARNISHEE JUDGMENT DEBTOR
INSTRUCTIONS: You are to answer interrogatories UNDER OATH within ten (10) days after the return date of the summons of garnishment and if you admit
below that you have in your possession property that is subject to garnishment, you must pay or deliver such property into the court within
that time, without further order of the court. NO FURTHER ORDERS OR INSTRUCTIONS WILL BE FORWARDED TO YOUR COMPANY.
Mail the Original to THE DEPARTMENT OF CIVIL RECORDS, Jackson County Courthouse.
415 E. 12th Street, Kansas City, Missouri 64106-2706
308 W. Kansas, Independence, Missouri 64050-3715,
and a COPY to the attorney for the judgment creditor (or the judgment creditor individually if there is no attorney) listed on the reverse side.
1. At the time of service of garnishment, or at any time thereafter until the return date stated in the Summons of Garnishment, have you had in your possession or under your control any property, money (excluding wages, salary, and commissions), or effects of the judgment debtor? If so, state what
property, how much, of what value, and what money or effects.
ANSWER:
2. At the time of service of garnishment, or at any time thereafter until the return date stated in the Summons of Garnishment, did you owe the judgment
debtor any money (including wages, salary, and commissions), or do you owe the judgment debtor any now?
ANSWER:
IF NOT YET DUE, WHEN WILL IT BECOME DUE?
If amount owed judgment debtor is for wages, salary, or commission, state:
a. Amount owed after deductions required by law $ ______________________________________
(Deductions required by law are limited to federal, state, and city
income and earnings taxes and FICA taxes).
b. Amount withheld pursuant to the garnishment $ ______________________________________
3. State the name and last known address of any person, other than the debtor, whom the garnishee knows claims or may claim an interest in or to the
property subject to garnishment.
4. Is the judgment debtor still within your employ? If not, state the date his employment terminated.
ANSWER:
5. At the time of service of the garnishment, or at any time thereafter until the return date stated in the Summons of Garnishment, will you or have you
since become or are you now bound in any contract to pay the judgment debtor money not yet due? If so, state the amount to be paid out and when
due and payable.
ANSWER:
6. If garnishee is a bank or other financial institution, state whether at the time the writ of garnishment was served or at any subsequent time did the debtor
have funds on deposit in an account in which all funds are deposited electronically on a recurring basis and reasonably identified as being funds on deposit that are exempt from garnishment pursuant to Section 513.430.1 (10)(a), (b) or (c), RSMo. Identify each account, state the reason for the believed exemption, and identify the entity electronically depositing those funds.
ANSWER:
COMPLETE AFFIDAVIT ON PAGE 2 AND RETURN WITH THIS PAGE
RETURN ORIGINAL DOCUMENTS TO THE COURT
PROVIDE COPY TO ATTORNEY/JUDGMENT CREDITOR
CIRCT 1665 – 10-2010 (1 OF 2)
STATE OF MISSOURI }
} S.S.
COUNTY OF JACKSON}
The undersigned, being duly sworn, on oath states that he/she has read the foregoing interrogatories and the answers given are true to the best of affiant’s
Knowledge and belief.
_______________________________________________________________
SIGNATURE OF GARNISHEE
The foregoing answers to interrogatories were subscribed and sworn to before me on ______________________________________.
_______________________________________________________________
NOTARY PUBLIC
My commission expires:
___________________________________
ATTORNEY FOR JUDGMENT CREDITOR:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
CIRCT 1665 – 10-2010 (PAGE 2 OF2)
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