ORS 18.832 Debt calculation form

A debt calculation form shall be prepared for each writ of garnishment issued. A copy of the form need not be served on the garnishee, but a copy must be delivered to the debtor along with a copy of the writ in the manner required by ORS 18.658.

A debt calculation form must be in substantially the following form: __________________________________________

) Plaintiff, ) DEBT

vs. ) Case No. ) ) Defendant. ) TO: (Debtor). The following amounts have been calculated to be owing from you to

. The amounts are owed by reason of: A judgment entered against you dated , 2 , in Case No. , Court, County. Other debt subject to garnishment under the law (provide details):

Original Debt Amount $ + Pre-adjudication Interest $ + Attorney Fees $ + Cost Bill $ + Post-adjudication Interest $ + Delivery Fee for Writ $ + Sheriff’s Fees other than Delivery Fees $ + Other (Explain. Attach additional sheets if necessary.) $ $ $ $ Total “Other” from additional sheets (if used) + Past Writ Issuance Fees $ + Past Delivery Fees $ + Transcript and Filing Fees for Other Counties $ = Subtotal $ LESS Payments Made on Debt $( ) = Total Amount Required to Satisfy Debt in Full $

I certify that I have read this Debt Calculation form and to the best of my knowledge, information and belief the amount shown as owing is correct. Creditor (Creditor must sign if writ issued by court administrator.) Garnishor (Attorney for Creditor or other person authorized by law to issue writ.) Address Telephone Number Oregon State Bar Number (if attorney) , 2 Date of Calculation __________________________________________