Section 3.26 Execution/Garnishment/Sequestration Application and Order

• Library: Creditors' Remedies 2014 Forms

This form is available at:

www.courts.mo.gov/file.jsp?id=2024

IN THE _______ JUDICIAL CIRCUIT COURT, ________, MISSOURI

Judge or Division:	Case Number:
Petitioner(s):	Please Issue: [ ] General Execution [ ]Garnishment [ ] Sequestration (Date File stamp)
v. Respondent(s):	For: [ ] Real Estate Levy [ ] Replevin [ ] Vehicle Levy [ ] Other Personal Property Levy [ ] Bank Account [ ] Wages	Requested Return/End Date: For Executions: [ ] 30 Days [ ] 60 Days [ ] 90 Days
Date Judgment Entered Against Debtor:	For Garnishments: [ ]30Days [ ] 60 Days [ ] 90 Days [ ] 120 Days [ ] 150 Days [ ] 180Days
Original Amount of Judgment:

Execution/Garnishment/Sequestration Application and Order (This form must be completed In full or your request will be returned unprocessed.)

To (County/City of St. Louis):		Amount Remaining Unpaid (To be completed by Applicant)
Debtor Name/Address:		Principal	$
		Interest	$
		Court Costs (paid by party/atty)	$
		Service Fee Paid (Including this Application)	$
Debtor SSN (last four digits):		Attorney Fees	$
Requested For:	Date:	Taxes	$
Attorney:	Missouri Bar No :	Child Support/Maint under 12 wks.	$
A judgment was entered on the above referenced date and remains unsatisfied. The garnishor knows or has good reason to believe that the garnishee is indebted to debtor, that the garnishee is obligated to make periodic payments to debtor, or that the garnishee has control or custody of property belonging to debtor. Signature:		Child Support/Maint over 12 wks.	$
		Subtotal	$
		To Be Completed by Clerk
		Costs Due to Court	$
		Sheriff's Commission	$
Address & Telephone Number:		Service Fee Unpaid	$
		Total Due	$

To be completed by Applicant:

Garnishee Name and Address

Garnishee ID # (court use only): ______________

Instructions for Service: Include applicable instructions such as description of property; location of bank account; for a sequestration, include political subdivision, department, and name and title of disbursing officer.

Writ of Execution (To be completed by Court Clerk) The State of Missouri to the Sheriff of any County in the State of Missouri Because a judgment was entered against the above debtor in this court and there is a balance, accrued interest, and costs as stated above unpaid from said judgment, you are commanded to execute this writ by following the instructions on the reverse side of this writ and on the return date shown below to certify to this court how you executed this writ. Make Checks Payable To: ______________ Mail Funds To: __________________
(Seal)	Issue (County):	Document ID:
	Date Issued:	Return Date:
	By (Clerk):

Summons and Instructions to Garnishee To the Above-Named Garnishee: You are notified that I attach all goods, personal property, money, credit, bonds, bills, notes, checks, choses in action, or other effects and all debts owed to the above named debtor that are in your possession or charge, or under your...