[NOT FOR WAGE GARNISHMENT] RETURN TO LEVYING OFFICER. DO NOT FILE WITH COURT ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR LEVYING OFFICER USE ONLY (Levying Officer Name and Address) EJ-160 TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: LEVYING OFFICER FILE NUMBER: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CLAIM OF EXEMPTION (Enforcement of Judgment) Copy all the information required above (except the top left space) from the Notice of Levy. The top left space is for your name or your attorney's name and address. The original and one copy of this form must be filed with the levying officer. DO NOT FILE WITH THE COURT. 1. My name is: 2. Papers should be sent to: me. my attorney (I have filed with the court and served on the judgment creditor a request that papers be sent to my attorney and my attorney has consented in writing on the request to receive these papers.) at the address shown above following (specify): 3. I am not the judgment debtor named in the notice of levy. The name and last known address of the judgment debtor is (specify): FOR COURT USE ONLY CASE NUMBER: 4. The property I claim to be exempt is (describe): 5. The property is claimed to be exempt under the following code and section (specify): 6. The facts which support this claim are (describe): 7. 8. The claim is made pursuant to a provision exempting property to the extent necessary for the support of the judgment debtor and the spouse and dependents of the judgment debtor. A Financial Statement form is attached to this claim. The property claimed to be exempt is a motor vehicle, the proceeds of an execution sale of a motor vehicle, or the proceeds of insurance or other a. indemnification for the loss, damage, or destruction of a motor vehicle. tools, implements, materials, uniforms, furnishings, books, equipment, a commercial motor vehicle, a vessel, b. or other personal property used in the trade, business or profession of the judgment debtor or spouse. c. all other property of the same type owned by the judgment debtor, either alone or in combination with others, is (describe): 9. The property claimed to be exempt consists of the loan value of unmatured life insurance policies (including endowment and annuity policies) or benefits from matured life insurance policies (including endowment and annuity policies). All other property of the same type owned by the judgment debtor or the spouse of the judgment debtor, either alone or in combination with others, is (describe): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) Form Approved by the Judicial Council of California EJ-160 [Rev. January 1, 2009] (SIGNATURE OF DECLARANT) Page 1 of 1 Code of Civil Procedure, § 703.520 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com CLAIM OF EXEMPTION (Enforcement of Judgment)