Shiawassee County, MI · Shiawassee County
Final Statement on Garnishment of Periodic Payments
Garnishees use this Michigan court form to report the total amount withheld under a periodic-payment garnishment writ and provide copies to the court and parties.
At a glance
- Issued by
- City of Shiawassee County · Shiawassee County, Shiawassee County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- shiawassee.net
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The garnishee completes this final statement when the writ ceases to be effective or the garnishee is no longer obligated to make periodic payments. It reports the total amount withheld and records when copies were mailed or delivered to the court, plaintiff, and defendant. The form instructs the garnishee to file it within 14 days under the circumstances described on the form.
Who needs it
A garnishee, including an employer that garnished periodic payments, completes and files this statement when the circumstances described on the form apply.
How to submit it
File the statement with the court and mail or deliver copies to the plaintiff and defendant within 14 days, as applicable under the instructions on the form.
About notarization
This document is signed and dated without a notary; the garnishee, agent, or attorney signs the statement and certificate of mailing.
How to submit this form
- 1
Download the Form
Download the Final Statement on Garnishment of Periodic Payments.
- 2
Complete the Statement
Enter the case and garnishee information, total amount withheld, statement date, and mailing or delivery dates.
- 3
Sign and Date
Have the garnishee, agent, or attorney sign and date the statement and certificate of mailing.
- 4
File and Send Copies
File the statement with the court and mail or deliver copies to the plaintiff and defendant as directed on the form.
Frequently asked questions
- What is the Final Statement on Garnishment of Periodic Payments?
- It reports the total amount withheld under a periodic-payment garnishment writ and records when copies were mailed or delivered to the court, plaintiff, and defendant.
- Who completes this garnishment statement?
- The garnishee completes the form. The form also says an employer-garnishee must file within 14 days after the writ ceases to be effective, regardless of employment-status changes.
- How do I submit the Final Statement on Garnishment of Periodic Payments?
- File it with the court and mail or deliver a copy to the plaintiff and defendant within 14 days, as applicable under the instructions printed on the form.
- Do I need a notary for the Final Statement on Garnishment of Periodic Payments?
- No. This form has no notary block; the garnishee, agent, or attorney signs and dates the statement and certificate of mailing.