ORS 18.832: Debt calculation form.

(1) 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. (2) A debt calculation form must be in substantially the following form: ______________________________________________________________________________ ________ COURT COUNTY OF ________ ______ ) Plaintiff, ) DEBT ) CALCULATION vs. ) Case No. _____ ) ______ ) Defendant. ) TO: ________ (Debtor). The following amounts have been calculated to be owing from you to ________ (Creditor). 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): ______________________ ______________________ THE COURT ADMINISTRATOR HAS NOT CALCULATED ANY AMOUNTS FOR THE PURPOSE OF THIS FORM AND IS NOT LIABLE FOR ERRORS IN THIS FORM OR IN THE WRIT OF GARNISHMENT MADE BY THE CREDITOR OR GARNISHOR. 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 ______________________________________________________________________________ [2001 c.249 §60; 2003 c.576 §74]