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571.75 GARNISHEE DISCLOSURE.
    Subdivision 1. Garnishee to disclose. 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 70 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.
    Subd. 2. Contents of disclosure. 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


(Creditor)


(Debtor)
GARNISHMENT


(Garnishee)
EARNINGS DISCLOSURE
DEFINITIONS
"EARNINGS": For the purpose of garnishment, "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.
"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 garnishment, "payday(s)" means the date(s) upon which
the employer pays earnings to the debtor in the ordinary course of business. If the debtor has no
regular payday, payday(s) means the fifteenth and the last day of each month.
THE GARNISHEE MUST ANSWER THE FOLLOWING QUESTIONS:
1. Do you now owe, or within 70 days from the date the garnishment summons was served
on you, will you or do you expect to owe money to the debtor for earnings?

Yes

No

    2. Does the debtor earn more than $........ per week? (This amount is the federal minimum
wage per week.)

Yes

No

INSTRUCTIONS FOR COMPLETING THE
EARNINGS DISCLOSURE
A. If your answer to either question 1 or 2 is "No," then you must sign the affirmation on
Page 2 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 answers to both questions 1 and 2 are "Yes," you must complete this form and the
Earnings Disclosure Worksheet as follows:
For each payday that falls within 70 days from the date the garnishment summons was
served on you, YOU MUST calculate the amount of earnings to be retained by completing
Steps 3 through 11, 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 I on the Earnings
Disclosure Worksheet.
You must 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 70-day period.
If the claim is wholly satisfied or if the debtor's employment ends before the expiration of
the 70-day period, your disclosure should be made within ten days after the last payday
for which earnings were attached.
For Steps 3 through 11, "Columns" refers to columns on the Earnings Disclosure Worksheet.

3.
COLUMN A.
Enter the date of debtor's payday.

4.
COLUMN B.
Enter debtor's gross earnings for each payday.

5.
COLUMN C.
Enter debtor's disposable earnings for each payday.


6.
COLUMN D.
Enter 25 percent of disposable earnings. (Multiply
Column C by .25.)








7.
COLUMN E.
Enter here 40 times the hourly federal minimum
wage ($..........) times the number of work weeks
included in each payday. (Note: If a pay period
includes days in excess of whole work weeks, the
additional days should be counted as a fraction of
a work week equal to the number of work days
in excess of a whole work week divided by the
number of work days in a normal work week.)


8.
COLUMN F.
Subtract the amount in Column E from the amount
in Column C, and enter here.


9.
COLUMN G.
Enter here the lesser of the amount in Column D
and the amount in Column F.












10.
COLUMN H.
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 which would reduce the
amount of earnings owing to the debtor. (Note:
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.
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.)




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 H if there are no claims by
you or others which would reduce the amount of
earnings owing to the debtor.




11.
COLUMN I.
Subtract the amount in Column H from the amount
in Column G and enter here. This is the amount of
earnings that you must retain 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
Gross
Disposable

Date
Earnings
Earnings

1.







2.







3.







4.







5.







6.







7.







8.







9.







10.







D
E
F



25% of
Column C
40 X Min.
Wage
Column
C minus
Column E

1.







2.







3.







4.







5.







6.







7.







8.







9.







10.







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.







8.







9.







10.







TOTAL OF COLUMN I
$

*If you entered any amount in Column H 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 these 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.
Dated: ...............................
Signature .............................
Title .................................
Telephone Number (...).................
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 70 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 70 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 70-day period. If the claim is wholly satisfied or if the debtor's employment
ends before the expiration of the 70-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
Gross
Disposable

Date
Earnings
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


(Creditor)

against


(Debtor)
NONEARNINGS DISCLOSURE

and


(Garnishee)
On the ......... day of .............., ............, the time of service of garnishment summons herein,
there was due and owing the debtor from the garnishee the following:
(1) Money. Enter on the line below any amounts due and owing the debtor, except earnings,
from the garnishee.


(2) Property. Describe on the line below any personal property, instruments, or papers
belonging to the debtor and in the possession of the garnishee.


(3) Setoff. Enter on the line below the amount of any setoff, defense, lien, or claim which
the garnishee claims against the amount set forth on lines (1) and (2) above. State the facts by
which the setoff, defense, lien, or claim is claimed. (Any indebtedness to a garnishee 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.)


(4) Exemption. Enter on the line below any amounts or property claimed by the debtor to
be exempt from execution.


(5) Adverse Interest. Enter on the line below any amounts claimed by other persons by
reason of ownership or interest in the debtor's property.


(6) Enter on the line below the total of lines (3), (4), and (5).


(7) Enter on the line below the difference obtained (never less than zero) when line (6) is
subtracted from the sum of lines (1) and (2).


(8) Enter on the line below 110 percent of the amount of the creditor's claim which remains
unpaid.


(9) Enter on the line below the lesser of line (7) and line (8). Retain 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, and have done so truthfully
and to the best of my knowledge.

Dated:





Signature




Title




Telephone Number
    Subd. 3. Oral disclosure. 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.
    Subd. 4. Supplemental complaint. 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.
History: 1990 c 606 art 3 s 7; 1991 c 156 s 19; 1991 c 199 art 1 s 82; 1994 c 488 s 8; 1998 c
254 art 1 s 107; 1999 c 107 s 66; 2000 c 343 s 4

Official Publication of the State of Minnesota
Revisor of Statutes