IN THE MAGISTRATE COURT OF BIBB COUNTY

STATE OF GEORGIA

CURRENT CIVIL ACTION

PLAINTIFF FILE NO.

ORIGINAL CIVIL ACTION

ADDRESS FILE NO.

VS.

COURT WHERE ORIGINAL

DEFENDANT JUDGMENT ENTERED:

ADDRESS

PLAINTIFF’S AFFIDAVIT

State of Georgia

County of BIBB .

,being first duly sworn on oath or affirmation, states that

interrogatories in the above-styled action are propounded in aid of a judgment or execution issued by

a court in this state upon which the unpaid balance does not exceed $15,000.00.

PLAINTIFF OR AGENT

Sworn and subscribed before me

This day of , .

NOTARY PUBLIC OR ATTESTING OFFICIAL

NOTICE

YOU ARE REQUIRED TO PROVIDE COMPLETE ANSWERS TO THE BELOW STATED QUESTIONS

TO THE PLAINTIFF WITHIN 30 (THIRTY) DAYS AFTER SERVICE OF THESE INTERROGATORIES UPON YOU.

IF YOU DO NOT ANSWER, OR DO NOT ANSWER COMPLETELY YOU MAY BECOME SUBJECT TO THE SANCTIONS PROVIDED BY LAW FOR CONTEMPT OF COURT. IF YOU NEED FURTHER INSTRUCTIONS

OR IF YOU NEED ASSISTANCE IN ANSWERING THE QUESTIONS CONTACT THE COURT AT ONCE.

Witness the Honorable WILLIAM C. RANDALL , Judge of said Court.

DEPUTY CLERK, MAGISTRATE COURT OF

BIBB COUNTY

INTERROGATORIES

The plaintiff in the above styled action requests that you answer the following interrogatories

separately, fully, and under oath and serve such answers on said plaintiff at plaintiff’s address shown

above by mail or hand delivery within 30 (thirty) days after the service of these interrogatories.

OVER

(2)

MAGISTRATE COURT

POST JUDGMENT INTERROGATORIES

1. List the name, address and phone number of your employer(s).

2. Describe and state the location of each piece of real estate in which you own any interest.

3. Give the name, address and a description of the nature of any business venture in which

you own any interest.

4. List the names, addresses and phone numbers of all persons who owe money to you and

specify the amounts owed.

OVER

(3)

5. List the names and addresses of all banks or savings institutions where you have any

sums of money deposited and identify the accounts by number.

6. List and give the present location of all items of personal property owned by you that have

a value of more than $10.00 (ten dollars). If you need more space attach additional page(s).

VERIFICATION

STATE OF GEORGIA, COUNTY OF: .

, being first duly sworn on oath, says that the foregoing are true and

complete answers to the interrogatories propounded by the plaintiff to defendant.

Sworn and subscribed before me

This day of , .

NOTARY PUBLIC OR ATTESTING OFFICIAL DEFENDANT

CERTIFICATE OF SERVICE

This is to certify that I have served the plaintiff with a copy of this Post Judgment Interrogatories by mailing

a copy to (him) (her) in a properly addressed envelope with sufficient postage affixed to insure delivery by CERTIFIED MAIL.

So certified this day of , .

AFFIANT