Fill and Sign the Original of This Form and a Notice of Hearing on Claim of Exemption Must Be Filed with the Court

TELEPHONE NO.: ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): FOR COURT USE ONLY ATTORNEY FOR (Name): NAME OF COURT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF: DEFENDANT: COURT CASE NO.: LEVYING OFFICER FILE NO.: NOTICE OF OPPOSITION TO CLAIM OF EXEMPTION (Enforcement of Judgment) — DO NOT USE THIS FORM FOR WAGE GARNISHMENTS — The original of this form and a Notice of Hearing on Claim of Exemption \ must be filed with the court. A copy of this Notice of Opposition and the Notice of Hearing must be filed with the levying officer. A copy of this Notice of Opposition and the Notice of Hearing must be se\ rved on the judgment debtor and other claimant at least 10 days before the hearing. TO THE LEVYING OFFICER: 2. Name and address of judgment debtor Name and address of claimant (if other than judgment debtor) 3. 4. The notice of filing claim of exemption states it was mailed on (date): 5. The item or items claimed as exempt are not exempt under the statutes relied upon in the Claim of Exemption. not exempt because the judgment debtor's equity is greater than the amou\ nt provided in the exemption. other (specify) : a. b. c. 6. The facts necessary to support item 5 are continued on the attachment labeled Attachment 6. as follows: I declare under penalty of perjury under the laws of the State of Califo\ rnia that the foregoing is true and correct. Date: {SIGNATURE OF DECLARANT) {TYPE OR PRINT NAME) Form Approved by the Judicial Council of California EJ-170 [New July 1, 1983] NOTICE OF OPPOSITION TO CLAIM OF EXEMPTION (Enforcement of Judgment) CCP 703.550 1. Name and address of judgment creditor Social Security Number (if known): ........................................................................\ ..........................