Claim Of Exemption To Writ Of Garnishment With Notice

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Civil Action No. Plaintiff(s), v. Defendant(s). ___________________________________________________________________________ CLAIM OF EXEMPTION TO WRIT OF GARNISHMENT WITH NOTICE ___________________________________________________________________________ Instruction to Judgment Debtor: Use this form to claim your property is exempt from Garnishment. Name: __________________________________________ Phone Number ______________________ Street Address: ______________________________________________________________________ Mailing Address, if different: ____________________________________________________________ City:______________________________ State:________________________ Zip Code: ___________ I believe the following property is exempt: Description of Property Being Held: _____________________________________________________ Value of Property Being Held: Amount of Value I Claim is Exempt: applicable): $ _____________________ $ _____________________ I claim the Property is Exempt because (Please write the Exemption(s) listed in the Writ of Garnishment with Notice, if ________________________________________________________________________________ ____________________________________________________________________________________ ___________________________________________________________________________________ I certify that the above is correct to the best of my knowledge and belief and that I sent a copy of this document by certified mail (return receipt requested) or by E-Service to both the Garnishee and to the Judgment Creditor, or if the Judgment Creditor is represented by Counsel, certified mail (return receipt requested) to the Judgment Creditor's Attorney or E-Service to the Judgment Creditor's Attorney. The person/place that was garnished Address: ________________________________________ ________________________________________________ Subscribed under affirmation or oath before me on ______________________(date) My commission expires: ____________________________ ________________________________________________ Notary Public American LegalNet, Inc. www.FormsWorkFlow.com Judgment Creditor or Attorney Address: ___________________________________ ___________________________________________ ___________________________________________ Signature of Judgment Debtor or Judgment Debtor's Counsel and Reg. Number