Claim Of Exemption From Garnishment {4-809}

CIVIL FORM 4-809 Supreme Court Approved November 6, 1995 1 4-809 2 3 [1-065.2, 2-802, 3-802] 4 5 STATE OF NEW MEXICO 6 IN THE ___________________ COURT No. _________ 7 __________________________ COUNTY 8 9 10 __________________________________, Plaintiff 11 12 against 13 14 __________________________________, Defendant 15 16 __________________________________, Garnishee 17 18 CLAIM OF EXEMPTION FROM GARNISHMENT 19 20 Judgment debtor claims the following exemptions: 21 22 ( check box next to exemption ) 23 24 a. [ ] social security benefits (OASDI, SSI); 25 26 b. [ ] public assistance benefits (AFDC, welfare, GA); 27 28 c. [ ] life, accident or health insurance proceeds; 29 30 d. [ ] workers compensation awards; 31 32 e. [ ] unemployment compensation benefits; 33 34 f. [ ] veterans benefits; 35 36 g. [ ] pensions and retirement funds; 37 38 h. [ ] crime victims reparation fund payments; 39 40 i. [ ] allowances to surviving spouse and children from41 deceaseds estate subject to the limitations of 42 Sections 45-2-401 and 45-2-402 NMSA 1978; 43 44 j. [ ] the minimum amount of shares necessary fo r45 certain non-profit coop er ative associations as 46 provided by Section 53-4-28 NMSA 1978; 47 48 k. [ ] fraternal benefit society payments as provided by49 Section 59A-44-18 NMSA 1978. April 29, 1996 <<<<<<<<<********>>>>>>>>>>>>> 2 CIVIL FORM 4-809 Supreme Court Approved November 6, 1995 1 A completed and signed copy of this form must be returned to the 2 Clerk of the Court whose address is 3 4 _________________________________ 5 6 _________________________________ 7 8 A completed and signed copy of the claim of exemption form shall 9 be served on the judgment creditor and the garnishee named 10 a bove. If the judgment creditor disputes a claimed exempti on,11 a court hearing will be scheduled to consider the disputed 12 exemptions. At this hearing you must bring evidence supporting 13 each of your claims of exemption. 14 15 ____________________ _______________________________ 16 Date Signature of judgment debtor 17 18 _______________________________ 19 Printed name of judgment debtor 20 21 _______________________________ 22 Number and street or P.O. box 23 24 _______________________________ 25 City, State, zip code 26 27 _______________________________ 28 Telephone number 29 30 31 [As amended, effective July 1, 1992; January 1, 1995; January 1, 32 1996.] 33 April 29, 1996