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MON DC 008718-20 05/11/2021 Pg 1 of 3 Trans ID: SCP2021865358
Wage Execution
Superior Court of New Jersey Order and Execution Against Earnings
Law Division, Special Civil Part Pursuant to 15 U.S.C. 1673 and N.J.S.A. 2A:17-56
MONMOUTH County
Telephone Number 7323588700 Ext. Judgment Number VJ-1657-21
Docket Number: MON-DC-008718-20 Writ Number 1 Issued 05/11/2021
SYNERGY MEDICAL LABO
Plaintiff
vs
ARTHUR EVARISTO Name and Address of Employer Ordered to Make Deductions
CITY OF NEWARK
Designated Defendant 920 BROAD STREET ROOM 202
NEWARK NJ 07102
3 RAMBLING BROOK DRIVE
HOLMDEL NJ 07733
Unless the designated defendant is currently subject to withholding under another wage execution, the employer is ordered to
deduct from the earnings which the designated defendant receives and to pay over to the court officer named below, the lesser of the
following: (a) 10% of the gross weekly pay; or (b) 25% of disposable earnings for that week; or (c) the amount, if any, by which the
designated defendant's disposable weekly earnings exceed $217.50 per week, until the total amount due has been deducted or the
complete termination of employment. Upon either of these events, an immediate accounting is to be made to the court officer.
Disposable earnings are defined as that portion of the earnings remaining after the deduction from gross earnings of any amounts
required by law to be withheld. In the event the disposable earnings so defined are $217.50 or less, if paid weekly, or $435.00 or less,
if paid every two weeks, or $471.25 or less, if paid twice per month, or $942.50, or less, if paid monthly then no amount shall be
withheld under this execution. In no event shall more than 10% of gross salary be withheld and only one execution against the wages
of the designated defendant shall be satisfied at a time.
Please refer to the section of this form titled “How to Calculate Proper
Garnishment Amount”.
The employer shall immediately give the designated defendant a copy of this order. The designated defendant may object to
the wage execution or apply for a reduction in the amount withheld at any time. To object or apply for a reduction, a written statement
of the objection or reasons for a reduction must be filed with the Clerk of the Court and a copy must be sent to the creditor’s attorney
or directly to the creditor if there is no attorney.
A hearing will be held within 7 days after filing the objection or application for a
reduction. According to law, no employer may terminate an employee because of a garnishment.
Date 05/11/2021
Judgment Date 04/07/2021
Judgment Award. $ 3300.00 /S/ KERRY E HIGGINS
Court Costs & Stat Atty. Fees $ 163.00 Judge
Total Judgment Amount $ 3463.00
Interest from Prior Writs $ 0.00
Costs from Prior Writs $ 0.00 /S/ Michelle M. Smith
Subtotal A $ 3463.00 Michelle M. Smith
Credits from Prior Writs $ 0.00 Clerk of the Superior Court
Subtotal B $ 3463.00
New Miscellaneous Costs $ 0.00 Make payments at least monthly to Court Officer as set forth:
New Interest on this Writ $ 4.84
New Credits on this Writ $ 0.00 ESSEX COUNTY SE, RVICE
Execution Fees & Mileage $ 37.00 Court Officer
Subtotal C $ 3504.84
Court Officer Fee $ 350.48
Total due this date $ 3855.32
Revised effective 09/01/20, CN 11471 - Appendix XI-J page 1 of 3
MON DC 008718-20 05/11/2021 Pg 2 of 3 Trans ID: SCP2021865358
Plaintiff’s Attorney and Address: I RETURN this execution to the Court
Unsatisfied Satisfied Partly Satisfied
KAHN, PHILIP, A Amount Collected $
FEIN SUCH KAHN & SHEPARD PC Fee Deducted $
7 CENTURY DR STE 201 Amount Due to Attorney $
Date
PARSIPPANY NJ 070544609
973-538-4700
Court Officer: ESSEX COUNTY SE, RVICE
Revised effective 09/01/20, CN 11471 - Appendix XI-J page 2 of 3
MON DC 008718-20 05/11/2021 Pg 3 of 3 Trans ID: SCP2021865358
How to Calculate Proper Garnishment Amount
1. Gross pay per pay period $
2. Less amounts legally required to be deducted:
a. Federal Income Tax $
b. Social Security (FICA or OASDI) $
c. Medicare $
d. State Income Tax $
e. Unemployment Insurance (SUI) $
f. Temporary Disability Insurance (TDI) $
g. Family Leave Insurance (FLI) $
h. Workforce Development Fund/Supplement Workforce (WFD/SWF) $
i. Other $
3. Total allowable deductions (add lines a - i) $
4. Net pay (Subtract line 3 from line 1) $
5. Exemption Amount
If salary is paid: Subtract
Weekly $217.50
Every two weeks $435.00
Twice per month $471.25
Monthly $942.50
(Federal law prohibits any garnishment when net pay is smaller than the exemption amount on line 5) -
6. Equals the amount potentially subject to garnishment (subtract line 5 from line 4 and if less than zero,
enter zero) =
7. Take net pay (line 4) and multiply by .25 $ x .25 =
8. Take “gross pay” (line 1) and multiply by .10 $ x .10 =
9. Compare lines 6, 7 and 8 - the amount which may lawfully be deducted is the smallest amount on line 6, $
line 7, or line 8.
Source: 15 U.S.C. 1671 et seq.; 29 C.F.R. 870; N.J.S.A. 2A:17- 50 et seq.
[Note: Former Appendix XI-I adopted effective January 2, 1989; amended June 29, 1990, effective September 4, 1990; amended
July 14, 1992, effective September 1, 1992; redesignated as Appendix XI-J and amended July 13, 1994, effective September 1,
1994; amended September 27, 1996, effective October 1, 1996; amended July 30, 1997, effective September 1, 1997; amended July
28, 2004 to be effective September 1, 2004; amended July 3, 2007, to be effective July 24, 2007; amended July 2, 2008, to be
effective July 24, 2008; amended July 9, 2009 to be effective July 24, 2009; amended November 6, 2013 to be effective November
25, 2013; amended July 22, 2014 to be effective September 1, 2014; amended August 1, 2016 to be effective September 1, 2016;
amended March 7, 2017 to be effective immediately, amended July 31, 2020 to be effective September 1, 2020.
Revised effective 09/01/20, CN 11471 - Appendix XI-J page 3 of 3