Attorney(s): ______________________
Office Address & Tel. No:
________________________________
___________________________
Attorney for
_________________________________
Plaintiff(s) SUPERIOR COURT OF NEW JERSEY
LAW DIVISION, SPECIAL CIVIL PART
v. _________________ COUNTY
Docket No. __________________
__________________________________
Defendant(s)
CIVIL ACTION
NOTICE OF APPLICATION
FOR WAGE EXECUTION
To: ,
Name of Judgment-Debtor
_________________________________
_________________________________
Address
TAKE NOTICE that an application is being made by the judgment-creditor to the above-named court, located at
_________________________________, New Jersey for a Wage Execution Order to issue against your salary, to be
served on your employer, _____________________________ (name and address of employer), for: (a) 10% of your
gross salary when the same shall equal or exceed the amount of $217.50 per week; or (b) 25% of your disposable
earnings for that week; or (c) the amount, if any, by which your disposable weekly earnings exceed $217.50, whichever
shall be the least. Disposable earnings are defined as that portion of the earnings remaining after the deduction from the
gross earnings of any amounts required by law to be withheld. In the event the disposable earnings so defined are
$217.50 or less, no amount shall be withheld under this execution. In no event shall more than 10% of gross salary be
withheld. Your employer may not discharge, discipline or discriminate against you because your earnings have been
subjected to garnishment.
You may notify the Clerk of the Court and the attorneys for judgment- creditor, whose address appears above, in
writing, within ten days after service of this notice upon you, why such an Order should not be issued, and thereafter the
application for the Order will be set down for a hearing of which you will receive notice of the date, time and place.
If you do not notify the Clerk of the Court and judgment-creditor’s attorney, or the judgment-creditor if there is no
attorney, in writing of your objection, you will receive no further notice and the Order will be signed by the Judge as a
matter of course.
You also have a continuing right to object to the wage execution or apply for a reduction in the amount withheld even
after it has been issued by the Court. To object or apply for a reduction, file a written statement of your objection or
reasons for a reduction with the Clerk of the Court and send a copy to the creditor’s attorney or directly to the creditor if
there is no attorney. You will be entitled to a hearing within 7 days after you file your objection or application for a
reduction.
CERTIFICATION OF SERVICE
I served the within Notice upon the judgment-debtor __________________, on this date by sending it simultaneously
by regular and certified mail, return receipt requested, to the judgment-debtor's last known address, set forth above. I
certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me
are willfully false, I am subject to the punishment.
Date: , 20 ______________________________
Attorney for Judgment-Creditor
or Judgment-Creditor Pro Se
Effective 7/24/2009, CN 11236-English, (Appendix XI-I) Page 1
