FORM 72G
rule 72.04(8)
ORDER THAT PERSON INDEBTED TO OR EMPLOYER OF JUDGMENT DEBTOR GIVE STATEMENT
[heading as in originating process]
[Follow Form 60C except as below.]
	HOW OBTAINED:
	Summons by [judgment creditor] dated [date] in aid of an application for an attachment of earnings order against [judgment debtor] in respect of a judgment dated [date] for $[amount] together with costs.
	OTHER MATTERS:
	It was made to appear to the Court that [person indebted] is [indebted to / is the employer of] [judgment debtor].
	THE COURT ORDERS THAT:
[Person indebted] give to the Court on or before [date] a statement in writing signed by him or on his behalf containing the following particulars of his indebtedness to the [judgment debtor] that became payable during the period [date] to [date].
(complete appropriately)