Claim of Exemption Sample Form
by Robin from Ocala, Florida, Marion County
What type of form is required to file an affidavit for exemption of personal property from levy from civil judgment?
I am interested in filing an affidavit for exemption of personal property but am unable to locate the form.
Please advise if there is a website where I can download or locate this form.
Answer to Florida Civil Law Question
Dear Robin,
Pursuant to Florida Statutes - 77.041. Notice to
individual defendant for claim of exemption from garnishment; procedure
for hearing.--
To keep your wages, money, and other property from being garnished, or
to get back anything already taken, you must complete a form for Claim
of Exemption and Request for Hearing as set forth below and have the
form notarized.
You must file the form with the Clerk's office
within 20 days after the date you receive this notice or you may lose
important rights.
You must also mail or deliver a copy of this
form to the Plaintiff and the Garnishee at the addresses listed in the
Writ of Garnishment.
You have 20 days from the time the you received the judgement in order to file your exemption.
Be sure to have the form notarized and send a copy to the Plaintiffs.
Claim of Exemption and Request for Hearing
The following is a sample of the body of a Claim of Exemption & Request for Hearing form.
This is a sample form, so you can and should edit it to fit your needs. Make sure the style matches your case exactly.
The style is the top of the form that includes the court, the county, the case number and court division, as well as the Plaintiffs and Defendants name.
----Sample Form----
(Attach Case Style)
CLAIM OF EXEMPTION AND REQUEST FOR HEARING
I claim exemptions from garnishment under the following categories as checked:
_____ 1. Head of family wages. (You must check a. or b. below.)
_____
a. I provide more than one-half of the support for a child or other
dependent and have net earnings of $500 or less per week.
_____
b. I provide more than one-half of the support for a child or other
dependent, have net earnings of more than $500 per week, but have not
agreed in writing to have my wages garnished.
_____ 2. Social Security benefits.
_____ 3. Supplemental Security Income benefits.
_____ 4. Public assistance (welfare).
_____ 5. Workers' Compensation.
_____ 6. Unemployment Compensation.
_____ 7. Veterans' benefits.
_____ 8. Retirement or profit-sharing benefits or pension money.
_____ 9. Life insurance benefits or cash surrender value of a life insurance policy or proceeds of annuity contract.
_____ 10. Disability income benefits.
_____ 11. Prepaid College Trust Fund or Medical Savings Account.
_____ 12. Other exemptions as provided by law. (Explain) ______________
_____________________________________________________
_____________________________________________________.
I request a hearing to decide the validity of my claim. Notice of the hearing should be given to me at:
Name: ___________________________
Address: _________________________
_________________________
Telephone: _______________________
E-mail: ___________________________
The statements made in this request are true to the best of my knowledge and belief.
I certify that a copy of this document was [√ / one only] ( ) mailed ( ) faxed and mailed ( ) hand-delivered to the person(s) listed below on
{date}_________________.
Other party or his/her attorney:
Name: ____________________
Address: __________________
__________________________
Fax Number: _______________
_________________________________
Defendant's signature
Date: ____________________________
STATE OF FLORIDA COUNTY OF _________________
Sworn and subscribed to before me this __________ day of (month and year) , by (name of person making statement)
Notary Public/Deputy Clerk
Personally Known _____ OR
Produced Identification _____
Type of Identification Produced __________________
----End Sample Claim of Exemption Form----
You can
copy and paste the above sample into your favorite word processor and
edit it to suit your needs.
Alternatively, you can purchase our fillable PDF Claim of Exemption form for immediate download ($2.95).
Legal Advice and Florida Court Forms
Notice: We provide these answers
to the general public and our website visitors as a means to further
their online legal research. These answers are merely suggestions and
should not be regarded as legal advice.
Legal Documents Preparation Services
Your legal documents ready to file at a price you can afford!
Our Petition Preparer Service can have all your documents professionally prepared after a brief interview with our experienced Legal Document Specialists.
Your court papers will be in your hands and ready to file in as little as three days! We guarantee our work. Just ask us for a quote.
Legal Documents Preparation Services
Your legal documents ready to file at a price you can afford!
Our Petition Preparer Service can have all your documents professionally prepared after a brief interview with our experienced Legal Document Specialists.
Your court papers will be in your hands and ready to file in as little as three days! We guarantee our work. Just ask us for a quote.
|
