Fill and Sign the Colorado Exemption Form

 County Court  District Court _____________________________County, Colorado Court Address: Plaintiff(s)/Petitioner(s): v. Defendant(s)/Respondent(s): COURT USE ONLY Judgment Debtor’s Attorney or Judgment Debtor (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom 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: $ _____________________ I claim the Property is Exempt because (Please write the Exemption(s) listed in the Writ of Garnishment with Notice, if applicable): __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.  By checking this box, I am acknowledging that I have made a change to the original content of this form. 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 Judgment Creditor or Attorney Address: ________________________________________ Address: ___________________________________ ________________________________________________ ___________________________________________ Subscribed under affirmation or oath ___________________________________________ before me on ______________________ (date) Signature of Judgment Debtor or Judgment Debtor’s Counsel and Reg. Number My commission expires: ____________________________ ________________________________________________ Notary Public/Deputy Clerk FORM 30SC R1-18 CLAIM OF EXEMPTION TO WRIT OF GARNISHMENT WITH NOTICE