Fill and Sign the I Believe the Following Property is Exempt Form

FORM 30SC R1-18 CLAIM OF EXEMPTION TO WRIT OF GARNISHMENT WITH NOTICE County Court  District Court _____________________________County, ColoradoCourt 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 FORM 30SC R1-18 CLAIM OF EXEMPTION TO WRIT OF GARNISHMENT WITH NOTICEAddress: ________________________________________ Address: ___________________________________________________________________________________ ___________________________________________Subscribed under affirmation or oath ___________________________________________before me on ______________________(date) Signature of Judgment Debtor orJudgment Debtor’s Counsel and Reg. NumberMy commission expires: ____________________________________________________________________________ Notary Public/Deputy Clerk