Fill and Sign the Claim Exemption Form 497299620

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) : TELEPHONE NO.: ––––– ––––– ––––– ––––– ––––– ATTORNEY FOR (Name): ––––– FOR RECORDER'S USE ONLY NAME OF COURT, JUDICIAL DISTRICT OR BRANCH COURT, IF ANY: ––––– ––––– PLAINTIFF: ––––– ––––– DEFENDANT: ––––– ––––– NOTICE OF HEARING ON CLAIM OF EXEMPTION (Wage Garnishment  Enforcement of Judgment) LEVYING OFFICER FILE NO.: ––––– COURT CASE NO.: ––––– 1. TO: Name and address of levying officer Name and address of judgment debtor ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– Claimant, if other than judgment Judgment debtor's attorney (name and address): (name and address): ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– 2. A hearing to determine the claim of exemption of judgment debtor other claimant will be held as follows: a. date: ––––– time: ––––– dept.: ––––– div.: ––––– rm.: ––––– b. address of court: ––––– ––––– ––––– ––––– 3. The judgment creditor will not appear at the hearing and submits the issue on the papers filed with the court. Date: ––––– ––––– 4 (TYPE OR PRINT NAME) (SIGNATURE OF JUDGMENT CREDITOR OR ATTORNEY) If you do not attend the hearing, the court may determine your claim based on the Claim of Exemption, Financial Statement (when one is required), Notice of Opposition to Claim of Exemption, and other evidence that may be presented. (Proof of service on reverse) WG-010/EJ-175 Form Adopted by the Judicial Council of California WG-010/WJ-175 [Rev. January 1,2007]] NOTICE OF HEARING ON CLAIM OF EXEMPTION (Wage Garnishment  Enforcement of Judgment) CCP 703.550, 706.105 electronic form ã 1999- 2007 WWW.LawCA.com Law Publishers SHORT TITLE: ––––– LEVYING OFFICER FILE NO.: ––––– COURT CASE NUMBER: ––––– PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party to this cause. I am a resident of or employed in the county where the mailing occurred. My residence or business address is (specify) : ––––– ––––– ––––– ––––– I servfed the attached Notice of Hearing on Claim of Exemption and the attached Notice of Opposition to Claim of Exemption by enclosing true copies in a sealed envelope addressed to each person whose name and address is given below and depositing the envelope in the United States mail with the postage fully prepaid. (1) Date of deposit: ––––– (2) Place of deposit (city and state) : ––––– ––––– ––––– NAME AND ADDRESS OF EACH PERSON TO WHOM NOTICE WAS MAILED ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ––––– ––––– 4 (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) PROOF OF SERVICE - PERSONAL DELIVERY I am over the age of 18 and not a party to this cause. My residence or business address is (specify) : ––––– ––––– ––––– I served the attached Notice of Hearing on Claim of Exemption and the attached Notice of Opposition to Claim of Exemption by personally delivering copies to the person served as shown below. PERSONS SERVED Name Delivery At Date: Time: Address: ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ––––– ––––– 4 (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) WG-010/EJ-175 WG-010/WJ-175 [Rev. January 1,2007] NOTICE OF HEARING ON CLAIM OF EXEMPTION (Wage Garnishment  Enforcement of Judgment) Page two s