171 164 B (Rev 12 /1 7 ) IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE C O UNTY, ILLINOIS ) ) ) Judgment Creditor ) vs. ) ) ) G e n No. Judgment Debtor ) JUDGMENT DEBTOR IN NON - WAGE GARNISHMENT PROCEEDINGS I, the Judgment Debtor moves this Court to find the following property to be exempt. N ecessary wearing apparel , Bible, School Books F amily pictures Personal property, including money in a bank account, not in excess of $4,000 in value. 1 motor vehicle not of value in excess of $2,400. Implements, professional books or tools of the debtor's trade not in excess of $1,500 in value Professionally pres c ribed health aids Money f rom the sale of exempt property Equity in a house, mobile home, condominium, building or lot of land occupied as a residence by myself not in excess of $15,000 in value Illinois College Savings Pool account funds S ocial S ecurity benefit U nemployment compensation P ublic assistance benefit V eteran's benefit Di sability, illness, or unemployment benefit A limony, support, or separate maintenance My rig ht to receive, or property that is traceable to any of the following : (1) crime victim's reparation award ; (2) a payment on account of the wrongful death of an individual of whom I was a dependent; ( 3) a payment under a life insurance contract that insured the life of an individual of whom I was a dependent; (4) a payment under a revocable or irrevocable trust which named an individual of whom I was a dependent as a beneficiary. A payment, not to exceed $15,000 in value, on account of pers onal bodily injury of myself debtor or an individual of whom I was a dependent A ny restitution payments made to persons pursuant to the federal Civil Liberties Act of 1988 and the Aleutian and Pribilof Island Restitution Act, P.L. 100 - 383. M on ie s or property to be exempt for the following reason(s): Wherefore, the Judgment Debtor prays that his/her mon ies or property be declared to be exempt . Date: , 20 Judgment Debtor or Attorney Prepared by: Name: Pro Se Address: City: State: Phone: Zip Code: ARDC #: E - mail address: American LegalNet, Inc. www.FormsWorkFlow.com