The garnishee shall serve on both the creditor and the debtor, within 20 days after service of the garnishment summons, a written disclosure of the garnishee's indebtedness, money, or other property owing to the debtor. However, if the garnishment is on earnings and the debtor has garnishable earnings, the garnishee shall serve the disclosure and earnings disclosure worksheet within ten days after the last payday to occur within the 90 days after the date of the service of this garnishment summons. "Payday" means the day upon which the garnishee pays earnings to the debtor in the ordinary course of business. If the debtor has no regular paydays, "payday" means the 15th day and the last day of each month. The amount of the garnishee's disclosure need not exceed 110 percent of the amount of the creditor's claim that remains unpaid, after subtracting the total of setoffs, defenses, exemptions, ownership claims, or other interests. The answers to the garnishment disclosure form may be served personally or by first class mail. If the disclosure is by a corporation, it shall be made by an officer, managing agent, or other authorized person having knowledge of the facts.
The disclosure must state:
(a) If an earnings garnishment disclosure, the amount of disposable earnings earned by the debtor within the debtor's pay periods as specified in section 571.921.
(b) If a nonearnings garnishment disclosure, a description of any personal property or any instrument or papers relating to this property belonging to the judgment debtor or in which the debtor is interested or other indebtedness of the garnishee to the debtor.
(c) If the garnishee asserts any setoff, defense, claim, or lien on disposable earnings, other indebtedness, money, or property, the garnishee shall disclose the amount and the facts concerning the same.
(d) Whether the debtor asserts any exemption, or any other objection, known to the garnishee against the right of the creditor to garnish the disposable earnings, other indebtedness, money, or property disclosed.
(e) If other persons assert claims to any disposable earnings, other indebtedness, money, or property disclosed, the garnishee shall disclose the names and addresses of these claimants and, so far as known by the garnishee, the nature of their claims.
(f) The garnishment disclosure forms and earnings disclosure worksheet must be the same or substantially similar to the following forms. If the garnishment affects earnings of the debtor, the creditor shall use the earnings garnishment disclosure form. If the garnishment affects any indebtedness, money, or property of the debtor, other than earnings, the creditor shall use the nonearnings garnishment disclosure form. Nothing contained in this paragraph limits the simultaneous use of the earnings and nonearnings garnishment disclosure forms.
EARNINGS DISCLOSURE FORM AND WORKSHEET
| State of Minnesota | District Court | |
| County of: . | Judicial District: . | |
| Court File Number: . | ||
| Case Type: . | ||
| Creditor's full name | ||
| . | Garnishment Earnings Disclosure | |
| and | For Non-Child Support Judgments | |
| Debtor's full name | ||
| . | ||
| Third Party (bank, employer, or other) | ||
| . |
This form is called a "Garnishment Earnings Disclosure" or "Disclosure." It is for the employer to fill out. The "debtor" is the person who owes money. The debtor gets a copy of this form for their own information. The debtor is also called a "judgment debtor."
The "creditor" is the party owed the money. The creditor is also called a "judgment creditor."
The "employer" is the "third party" or "garnishee." If the debtor asks how the calculations in this document were made, the employer must provide information about it.
Definitions
"Earnings": what is paid or payable to an employee, independent contractor or self-employed person for personal services (a job). Also called compensation. Compensation can be wages, salary, commission, bonus, payments, profit-sharing distributions, severance payment, fees or other. It includes periodic payments from a pension or retirement. It can also be compensation paid or payable to a producer for the sale of agricultural products. This can be things like milk or milk products, or fruit or other horticultural products. Or things produced in the operation of a family farm, a family farm corporation, or an authorized farm corporation. This is defined in section 500.24, subdivision 2.
"Disposable Earnings": the part of a person's earnings that are left after subtracting the amounts required by law to be withheld. Note: Amounts required by law to be withheld do not include things like health insurance, charitable contributions, or other voluntary wage deductions.
"Payday": the date when the employer pays earnings to the debtor for doing their job. If the debtor has no regular payday, then "payday" means the 15th and the last day of each month.
The Employer/Garnishee Must Answer The Following Questions:
1. Right now, do you owe money to the debtor for earnings?
| Yes ..... | No ..... |
2. Within 90 days from the date you were served with the garnishment, will you or may you owe money to the debtor for earnings?
| Yes ..... | No ..... |
3. Does the debtor earn more than the current Minnesota or federal minimum wage per week? (use the number that is more)
| Yes ..... | No ..... |
A. If you answer "No" to question 1, 2, or 3, you don't need to answer the rest of the questions. You don't have to do the Earnings Disclosure Worksheet. Sign the Earnings Disclosure Affirmation below and return this disclosure form to the creditor's attorney (or the creditor if not represented by an attorney). You must return it within 20 days after it was served on you.
B. If you answer "Yes" to question 1 or 2, and "Yes" to question 3, sign the Earnings Disclosure Affirmation below. You must return it to the creditor's attorney (or the creditor if not represented by an attorney) within 20 days. You must also fill out the rest of this form. Read the instructions for the Earnings Disclosure Worksheet.
Earnings Disclosure Affirmation
I, ........................ (person signing Affirmation), am the third party/employer or I am authorized by the third party/employer to complete this earnings disclosure and have done so truthfully and to the best of my knowledge.
| Date: . | |
| Signature of Third Party/Employer: | |
| . | |
| Title: . | |
| Phone: . |
Instructions for Completing the Earnings Disclosure Worksheet
For each payday that falls within 90 days from the date the garnishment was served on you, you must calculate the amount of earnings to be withheld. Enter the amounts on the Earnings Disclosure Worksheet.
You must:
1. Withhold the amount of earnings listed in column I on the Earnings Disclosure Worksheet each payday.
2. After 90 days, return this Earnings Disclosure Worksheet to the creditor's attorney (or the creditor if not represented by an attorney). Include all the money withheld. Sign the Affirmation at the end of the worksheet before returning.
3. Deliver a copy of the disclosure and worksheet to the debtor within 10 days after the last payday that falls within the 90-day period.
If the debt (judgment) is fully paid off or if the debtor's job ends before the 90-day period is over, you need to do the last disclosure and withholdings within 10 days of their last payday that you withheld money.
Calculating Percentage of Disposable Earnings
Note to Creditor: You must fill out this chart before sending this form to the employer. Use the current minimum wage found online at: https://www.dli.mn.gov/minwage.
Minimum Wage = $MW/hour.
| if the weekly gross earnings are: | then this percentage of the disposable earnings are withheld: | ||
| Less than [40 X MW] | 0% | ||
| [40 X MW + .01] to [60 X MW] | 10% | ||
| [60 X MW + .01] to [80 X MW] | 15% | ||
| [80 X MW + .01] or more | 25% |
Employer: Use this creditor's calculation chart to know what percentage of earnings should be withheld.
Earnings Disclosure Worksheet
| . | |
| Debtor's Name |
| A | B | C | |||
| Payday Date | Gross Earnings | Disposable Earnings | |||
| 1. | . | $ . | $ . | ||
| 2. | . | . | . | ||
| 3. | . | . | . | ||
| 4. | . | . | . | ||
| 5. | . | . | . | ||
| 6. | . | . | . | ||
| 7. | . | . | . | ||
Column A. Enter the debtor's payday.
Column B. Enter the debtor's gross earnings for each payday.
Column C. Enter the debtor's disposable earnings for each payday.
| D | E | F | |||
| % of withholding of Column C (Use the creditor's calculation chart) |
Greater of 40 X MN or Fed. Min. Wage | Column C minus Column E | |||
| 1. | . | . | . | ||
| 2. | . | . | . | ||
| 3. | . | . | . | ||
| 4. | . | . | . | ||
| 5. | . | . | . | ||
| 6. | . | . | . | ||
| 7. | . | . | . | ||
Column D. Enter the percentage of disposable earnings that will be withheld. Get this number from the creditor's calculation chart.
Column E. Calculate 40 times the current Minnesota minimum wage (or 40 times the current federal minimum wage) times the number of work weeks in each payday. Enter the bigger number here. Note: If a payday has extra days that are more than a full work week, count those extra days as part of a work week. Do this by dividing the number of extra workdays by the number of workdays in a normal week.
Column F. Subtract the amount in column E from the amount in column C and enter here.
| G | H | I | |||
| Lesser of Column D and Column F | Setoff, Lien, Adverse Interest, or Other Claims | Column G minus Column H | |||
| 1. | . | . | . | ||
| 2. | . | . | . | ||
| 3. | . | . | . | ||
| 4. | . | . | . | ||
| 5. | . | . | . | ||
| 6. | . | . | . | ||
| 7. | . | . | . | ||
| Total of Column I= | $ . | ||||
Column G. Look at column D and column F. Enter the smaller amount of the two here in column G.
Column H. Enter any amount claimed by you that would lower the amount of earnings that will go to the debtor. Things like:
(i) a setoff,
(ii) a defense,
(iii) a lien,
(iv) a claim, or
(v) any amount claimed by any other person as an exemption or adverse interest.
Note: You must describe your claim(s) and the claims of others, if known, in the spaces after this worksheet.
Enter zero in column H if there are no claims by you or others which would lower the amount of earnings owed to the debtor.
Note: Any debt that happened within 10 days before you got the first garnishment on a debt may not be set off against the earnings that are affected by this garnishment. Any wage assignment made by the debtor within 10 days before you got the first garnishment on a debt is void. Wage assignment is when a debtor voluntarily agrees to money being taken out of their earnings.
Column I. Subtract the amount in column H from the amount in column G and enter here. This is the amount of earnings that go to the creditor.
If you entered any amount in Column H for any payday, describe those claims below. It doesn't matter if they are your claims, or the claims of others. For claims by others, list the names and addresses of each, and describe their claims, if you know.
.
.
.
Earnings Worksheet Affirmation
I, ........................ (person signing Affirmation), am the third party/employer or I am authorized by the third party/employer to complete this earnings disclosure and have done so truthfully and to the best of my knowledge.
| Date: . | ||
| Third Party's Name: . | ||
| Third Party's Signature: . | ||
| Phone: . | Fax: . | |
| Email: . | ||
EARNINGS DISCLOSURE FORM AND WORKSHEET
FOR CHILD SUPPORT DEBTOR
| STATE OF MINNESOTA | DISTRICT COURT | |
| COUNTY OF . | . JUDICIAL DISTRICT | |
| . (Creditor) | ||
| . (Debtor) | GARNISHMENT | |
| . (Garnishee) | EARNINGS DISCLOSURE |
DEFINITIONS
"EARNINGS": For the purpose of execution, "earnings" means compensation paid or payable to an employee for personal services or compensation paid or payable to the producer for the sale of agricultural products; milk or milk products; or fruit or other horticultural products produced when the producer is operating a family farm, a family farm corporation, or an authorized farm corporation, as defined in section 500.24, subdivision 2, whether denominated as wages, salary, commission, bonus, or otherwise, and includes periodic payments pursuant to a pension or retirement, workers' compensation, or unemployment benefits.
"DISPOSABLE EARNINGS": Means that part of the earnings of an individual remaining after the deduction from those earnings of amounts required by law to be withheld. (Amounts required by law to be withheld do not include items such as health insurance, charitable contributions, or other voluntary wage deductions.)
"PAYDAY": For the purpose of execution, "payday(s)" means the date(s) upon which the employer pays earnings to the debtor in the ordinary course of business. If the judgment debtor has no regular payday, payday(s) means the 15th and the last day of each month.
THE GARNISHEE MUST ANSWER THE FOLLOWING QUESTION:
(1) Do you now owe, or within 90 days from the date the execution levy was served on you, will you or may you owe money to the debtor for earnings?
| Yes . | No . |
INSTRUCTIONS FOR COMPLETING THE
EARNINGS DISCLOSURE
A. If your answer to question 1 is "No," then you must sign the affirmation below and return this disclosure to the creditor's attorney (or the creditor if not represented by an attorney) within 20 days after it was served on you, and you do not need to answer the remaining questions.
B. If your answer to question 1 is "Yes," you must complete this form and the Earnings Disclosure Worksheet as follows:
For each payday that falls within 90 days from the date the garnishment summons was served on you, YOU MUST calculate the amount of earnings to be retained by completing steps 2 through 8 on page 2, and enter the amounts on the Earnings Disclosure Worksheet. UPON REQUEST, THE EMPLOYER MUST PROVIDE THE DEBTOR WITH INFORMATION AS TO HOW THE CALCULATIONS REQUIRED BY THIS DISCLOSURE WERE MADE.
Each payday, you must retain the amount of earnings listed in column G on the Earnings Disclosure Worksheet.
You must pay the attached earnings and return this earnings disclosure form and the Earnings Disclosure Worksheet to the creditor's attorney (or the creditor if not represented by an attorney) and deliver a copy to the debtor within ten days after the last payday that falls within the 90-day period. If the claim is wholly satisfied or if the debtor's employment ends before the expiration of the 90-day period, your disclosure should be made within ten days after the last payday for which earnings were attached.
For steps 2 through 8, "columns" refers to columns on the Earnings Disclosure Worksheet.
(2) COLUMN A. Enter the date of debtor's payday.
(3) COLUMN B. Enter debtor's gross earnings for each payday.
(4) COLUMN C. Enter debtor's disposable earnings for each payday.
(5) COLUMN D. Enter either 50, 55, 60, or 65 percent of disposable earnings, based on which of the following descriptions fits the child support judgment debtor:
(a) 50 percent of the judgment debtor's disposable income, if the judgment debtor is supporting a spouse or dependent child and the judgment is 12 weeks old or less (12 weeks to be calculated to the beginning of the work week in which the execution levy is received);
(b) 55 percent of the judgment debtor's disposable income, if the judgment debtor is supporting a spouse or dependent child, and the judgment is over 12 weeks old (12 weeks to be calculated to the beginning of the work week in which the execution levy is received);
(c) 60 percent of the judgment debtor's disposable income, if the judgment debtor is not supporting a spouse or dependent child and the judgment is 12 weeks old or less (12 weeks to be calculated to the beginning of the work week in which the execution levy is received); or
(d) 65 percent of the judgment debtor's disposable income, if the judgment debtor is not supporting a spouse or dependent child, and the judgment is over 12 weeks old (12 weeks to be calculated to the beginning of the work week in which the execution levy is received). (Multiply column C by .50, .55, .60, or .65, as appropriate.)
(6) COLUMN E. Enter here any amount claimed by you as a setoff, defense, lien, or claim, or any amount claimed by any other person as an exemption or adverse interest that would reduce the amount of earnings owing to the debtor. (Note: Any assignment of earnings made by the debtor to any party within ten days before the receipt of the first garnishment on a debt is void. Any indebtedness to you incurred by the debtor within the ten days before the receipt of the first garnishment on a debt may not be set off against amounts otherwise subject to the garnishment.)
You must also describe your claim(s) and the claims of others, if known, in the space provided below the worksheet and state the name(s) and address(es) of these persons.
Enter zero in column E if there are no claims by you or others that would reduce the amount of earnings owing to the judgment debtor.
(7) COLUMN F. Subtract the amount in column E from the amount in column D and enter here. This is the amount of earnings that you must remit for the payday for which the calculations were made.
AFFIRMATION
I, ................... (person signing Affirmation), am the garnishee or I am authorized by the garnishee to complete this earnings disclosure, and have done so truthfully and to the best of my knowledge.
| Dated: . | . | ||
| Signature | |||
| . | |||
| Title | |||
| . | |||
| Telephone Number | |||
| EARNINGS DISCLOSURE WORKSHEET | . | ||
| Debtor's Name |
| A | B | C | |||
| Payday Date | Gross Earnings | Disposable Earnings | |||
| 1. | . | $ . | $ . | ||
| 2. | . | . | . | ||
| 3. | . | . | . | ||
| 4. | . | . | . | ||
| 5. | . | . | . | ||
| 6. | . | . | . | ||
| 7. | . | . | . | ||
| 8. | . | . | . | ||
| 9. | . | . | . | ||
| 10. | . | . | . | ||
| D | E | F | |||
| Either 50, 55, 60, or 65% of Column C | Setoff, Lien, Adverse Interest, or Other Claims | Column D minus Column E | |||
| 1. | . | . | . | ||
| 2. | . | . | . | ||
| 3. | . | . | . | ||
| 4. | . | . | . | ||
| 5. | . | . | . | ||
| 6. | . | . | . | ||
| 7. | . | . | . | ||
| 8. | . | . | . | ||
| 9. | . | . | . | ||
| 10. | . | . | . | ||
| TOTAL OF COLUMN F $ . | |||||
*If you entered any amount in column E for any payday(s), you must describe below either your claims, or the claims of others. For amounts claimed by others, you must both state the names and addresses of such persons, and the nature of their claim, if known.
.
.
.
AFFIRMATION
I, ................. (person signing Affirmation), am the third party or I am authorized by the third party to complete this earnings disclosure worksheet, and have done so truthfully and to the best of my knowledge.
| . | ||
| Signature | ||
| Dated: . | . | (....) . |
| Title | Phone Number |
NONEARNINGS DISCLOSURE FORM
| State of Minnesota | District Court | |
| County of: . | Judicial District: . | |
| Court File Number: . | ||
| Case Type: . | ||
| Creditor's full name | ||
| . | Non-Earnings Disclosure | |
| against | For Non-Child Support Judgments | |
| Debtor's full name | ||
| . | ||
| and | ||
| Third Party (bank, employer, or other) | ||
| . |
This form is called a "Non-Earnings Disclosure" or "Disclosure." It is being sent to you because you might be holding property that belongs to the debtor, or you might owe money to the debtor.
You are the "third party" or "garnishee." The "debtor" is the person who owes money. The debtor is also called the "judgment debtor." The "creditor" is the person the debtor owes money to. The creditor is also called the "judgment creditor." The debtor owes $.................. to the creditor.
You must list any money or property you owe the debtor on the lines below and sign the affirmation. Write "none" on the line if that is your answer. You must then return this disclosure to the creditor (or the creditor's lawyer) within 20 days after you got it.
Fill in the date you got this disclosure:
| . (month) | . (day), | . (year) |
On the date you got this disclosure, you owed the debtor:
(1) Money. Write down the amount of money you owe the debtor (except earnings).
.
(2) Property. Write a short description of any personal property, instruments, or papers belonging to the debtor that you have in your possession. List the monetary value of each thing.
.
(3) Setoff. If you claim a setoff, defense, lien, or claim against the amount on lines (1) and (2) above enter that amount on the line below. State the facts about your claim. Note: Any payment the debtor makes to the garnishee within the 10 days before they get the first garnishment order on that debt can't be used to lower the amount that is being garnished.
.
(4) Exemption. Enter any amounts or property that the debtor claims is exempt on the line below.
.
(5) Adverse Interest. Enter on the line below any amounts of the debtor's property that other people claim they own or have interest in.
.
(6) Enter the total of lines (3), (4), and (5) on the line below.
.
(7) Enter the difference obtained (never less than zero) when line (6) is subtracted from the sum of lines (1) and (2) on the line below.
.
(8) Figure out 110 percent of the amount of the creditor's claim which is still unpaid. Enter it on the line below.
.
(9) Look at (7) and (8). Put the smaller number on the line below. Hold this amount only if it is $10 or more.
.
AFFIRMATION
I, .......................... (person signing Affirmation), am the garnishee or I am authorized by the garnishee to complete this nonearnings garnishment disclosure. I have done so truthfully and to the best of my knowledge.
| Date: . | |
| Name: . | |
| Signature: . | |
| Title: . | |
| Phone: . | Email: . |
Before or after the service of a written disclosure by a garnishee under subdivision 1, upon a showing by affidavit upon information and belief that an oral examination of the garnishee would provide a complete disclosure of relevant facts, any party to the garnishment proceedings may obtain an ex parte order requiring the garnishee, or a representative of the garnishee designated by name or by title, to appear for oral examination before the court or a referee appointed by the court. Notice of the examination must be given to all parties.
If a garnishee holds property, money, or other indebtedness by a title that is void as to the debtor's creditors, the property may be garnished although the debtor would be barred from maintaining an action to recover the property, money, or indebtedness. In this and all other cases where the garnishee denies liability, the creditor may move the court at any time before the garnishee is discharged, on notice to both the debtor and the garnishee for an order making the garnishee a party to the civil action and granting the creditor leave to file a supplemental complaint against the garnishee and the debtor. The supplemental complaint shall set forth the facts upon which the creditor claims to charge the garnishee. If probable cause is shown, the motion shall be granted. The supplemental complaint shall be served upon the garnishee and the debtor and any other parties. The parties served shall answer or respond pursuant to the Minnesota Rules of Civil Procedure for the District Courts, and if they fail to do so, judgment by default may be rendered against them pursuant to section 571.82.
Official Publication of the State of Minnesota
Revisor of Statutes