Designee Of Agent

IN THE MAGISTRATE COURT OF LEE COUNTY, GEORGIA STATE OF GEORGIA Date Filed _________________ Plaintiff: _____________________________________________________________ Name _____________________________________________ Street CONTINUING GARNISHMENT _____________________________________________ City State Zip Code _____________________________________________ E-Mail Address _____________________________________________ Phone Number Bar Number vs. _____________________________________________ _____________________________________________ _____________________________________________ Defendant(s) Name, Address _____________________________________________ _____________________________________________ _____________________________________________ Garnishee Name, Address CASE #____________________ DESIGNEE OF AGENT Pursuant to O.C.G.A. § 15-10-43(i) and Uniform Magistrate Court Rule 31, this is to certify that _____ _____________________________is a full-time employee or officer of the above-named corporation, limited liability company, sole partnership, partnership, unincorporated association or other legal entity. I have been designated by said business to represent it in the above-styled civil action. I have the authority to act on its behalf and to bind it in the same manner as myself to any and all matters related to this case. Under penalty of perjury, signed this ________day of _____________ , 20 _______ . Sworn to and subscribed before me this _____day of __________________ , 20 ____ . ________________________________________ Signature Deputy Clerk/Notary Public ________________________________________ Printed Name of Designee ________________________________________ ________________________________________ Address ________________________________________ ________________________________________ Phone Number Email American LegalNet, Inc. www.FormsWorkFlow.com