The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

 
Name 
 
Address 
 
City, State, Zip 
 
Phone 

 
Email 

 

 
 
 
 
 
 

 
Check your email. You will receive information and 
documents at this email address.  
 

I am   [  ]  Plaintiff/Petitioner 

[  ]  Defendant/Respondent 

[  ]  Plaintiff/Petitioner’s Attorney  [  ]  Defendant/Respondent’s Attorney  (Utah Bar #:__________) 
[  ]  Plaintiff/Petitioner’s Licensed Paralegal Practitioner 
[  ]  Defendant/Respondent’s Licensed Paralegal Practitioner   

(Utah Bar #:__________) 

In the [  ] District   [  ] Justice Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

 

v. 

_____________________________________ 
Plaintiff/Petitioner 

_______________________________ 
Case Number 

Application for Writ of Garnishment 

_____________________________________ 
Defendant/Respondent 

_______________________________ 
Judge 

_______________________________ 
Commissioner (domestic cases) 

Instructions: You must attach the following records and forms if they are not already filed with the court. 

  Continuation pages, if any, to complete paragraphs that don’t have enough space. Write the 

paragraph number on the continuation page.  

  Writ of Garnishment, and Answers to Interrogatories for Property Other than Earnings (If applicable.). 
  Writ of Continuing Garnishment, and Answers to Interrogatories for Earnings (If applicable.). 
  Notice of Garnishment and Exemptions. 
  Reply and Request for Hearing (2 copies.). 
  Check payable to the garnishee for the fee required by statute (If this Application is electronically 

filed, the fee must be delivered to the garnishee when the Writ is served.). 

  Check payable to the Sheriff, Constable or Private Investigator for serving the Writ. 
  Check payable to the court for the filing fee. 

 

1503DCJ Approved May 21, 2018 / 
Revised September 19, 2019  
 

Application for Writ of Garnishment 

Page 1 of 5 

1. 

I request a (Choose one.): 

[  ]  Writ of Garnishment 

[  ]  Writ of Continuing Garnishment 

[  ]  Writ of Continuing Garnishment for Child Support 

be issued and served upon each of the garnishees named below, along with the 
attached forms. 

2. 

[  ]  This is an Application for a Writ of Continuing Garnishment and: (Choose one.) 

[  ]  The garnishee has verified the employment of the debtor. 

[  ]  The garnishee has not responded to my Request for Verification of 

Employment. 

[  ]  I have not requested verification of employment from the garnishee. 

3. 

The amount due is: 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

Filing, service and garnishee fees for other Writs (Attach receipts.)  $ 

4. 

The person who owes the money (judgment debtor) is: 

Total Amount Due  $ 

Amount of original judgment 

Post-judgment interest 

Cost to file Application for Writ 

Cost to serve this Writ 

Garnishee’s fee 

Subtotal 

Less payments made 

Name 

Address 
Social security number  
(Last 4 digits only, if known.) 
Driver’s license number and state of 
issuance (Last 4 digits only, if 
known.) 

Year and month of birth (If known.) 

 

 

 

 

 

1503DCJ Approved May 21, 2018 / 
Revised September 19, 2019  
 

Application for Writ of Garnishment 

Page 2 of 5 

5. 

I believe that the following people hold property of the judgment debtor. 

Is the property 
earnings? 

[  ] Yes    [  ] No 

 

 

 

 

Person holding property  
(Name, address, phone 
number.) 

Property description  
(If an account, include 
the location and last 
four digits of account 
number.) 

Estimated value of 
property 

$ 

Person holding property  
(Name, address, phone 
number.) 

Property description  
(If an account, include 
the location and last 
four digits of account 
number.) 

Estimated value of 
property 

$ 

Name  
 

Address 

Phone number 

 

 

 

 

 

Is the property 
earnings? 

[  ] Yes    [  ] No 

6. 

I believe that the following people claim an interest in the property. I request that 
the Writ of Garnishment be served upon each, along with the attached forms. 

1503DCJ Approved May 21, 2018 / 
Revised September 19, 2019  
 

Application for Writ of Garnishment 

Page 3 of 5 

Name  
 

Address 

Phone number 

 

 

 

I will serve a check payable to the garnishee for the required fee. (Utah Code 78A-2-
216 and Utah Rule of Civil Procedure 64D). 

laintiff/Petitioner or Defendant/Respondent  

I declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

ttorney or Licensed Paralegal Practitioner of record (if applicable) 

Signature ► 

Printed Name 

Signature ► 

Printed Name 

 

 

 

 

 

7. 

  P

 
Date 

    A

 

 
Date 

1503DCJ Approved May 21, 2018 / 
Revised September 19, 2019  
 

Application for Writ of Garnishment 

Page 4 of 5 

 

 

 

 

 
Date 

 

Certificate of Service 

I certify that I filed with the court and am serving a copy of this Application for Writ of Garnishment on the 
following people. 

Person’s Name 

Service Method 

Service Address 

Service 
Date 

 

 

 

 

 

 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email  
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

Signature ► 

Printed Name 

 

 

1503DCJ Approved May 21, 2018 / 
Revised September 19, 2019  
 

Application for Writ of Garnishment 

Page 5 of 5

Application for Writ of Garnishment

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from legacy.utcourts.gov (2023-03)
Page(s): 5
Fields(s): 109
Average fields per page: 21
Reading Level: Grade 12
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Application for Writ of Garnishment

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02