My Name Address City, State, Zip Phone Email I am the [ ] Plaintiff/Petitioner [ ] Defendant/Respondent [ ] Attorney for the [ ] Plaintiff/Petitioner [ ] Defendant/Respondent and my Utah Bar number is _________ In the [ ] District [ ] Justice Court of ________________ County, Utah Court Address ______________________________________________________ Reply and Request for Hearing _____________________________________ _______________________________ Plaintiff/Petitioner Case Number v. _______________________________ Judge _____________________________________ _______________________________ Defendant/Respondent Commissioner (1) [] I have read the Notice of Garnishment and Exemptions form. I understand that, by filing this form, I cannot object to the judgment that I owe money to the creditor. I am filing this form because I believe that the creditor has improperly garnished some of my money or property to pay the judgment. [] I request that this matter be scheduled for a hearing. (2) (3) The garnished property is: [ ] Funds in an account [ ] Wages Reply and Request for Hearing Approved Board of District Court Judges October 17, 2008 Revised April 7, 2015 Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com [ ] Other Property (4) [ ] The Writ of Garnishment was issued improperly because: (5) [] The Answers to Interrogatories are inaccurate because: (6) [] All [or this part: $__________________] of the property is exempt because it is: [ ] Benefits because of disability, illness or unemployment. [ ] Medical care benefits. [ ] Veteran's benefits. [ ] Social security benefits. [ ] Supplemental security income benefits (SSI). [ ] Workers' compensation benefits. [ ] Retirement benefits. [ ] Public assistance. [ ] Money for child support, alimony or separate maintenance. [ ] Compensatory damages from bodily injury or wrongful death. [ ] The proceeds of a life insurance contract or trust. [ ] Exempt wages. [ ] Owned by another person. [ ] Other. Explain: Reply and Request for Hearing Approved Board of District Court Judges October 17, 2008 Revised April 7, 2015 Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com (7) [] The judgment creditor owes me money because: (8) [] I claim ownership of all or part of the money or property taken, and I am not one of the persons against whom a judgment was entered. Explain. I have not included any non-public information in this document. I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true. Sign here Date Typed or Printed Name Reply and Request for Hearing Approved Board of District Court Judges October 17, 2008 Revised April 7, 2015 Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com Certificate of Service I certify that I served a copy of this document on the following people. Person's Name [ [ [ [ [ (Other Party or Attorney) (Clerk of Court) Method of Service ] Mail ] Hand Delivery ] Fax (Person agreed to service by fax.) ] Email (Person agreed to service by email.) ] Left at business (With person in charge or in receptacle for deliveries.) and discretion residing there.) Served at this Address Served on this Date [ ] Left at home (With person of suitable age [ [ [ [ [ [ [ [ ] Mail ] Hand Delivery ] Electronic File ] Mail ] Hand Delivery ] Fax (Person agreed to service by fax.) ] Email (Person agreed to service by email.) ] Left at business (With person in charge or in receptacle for deliveries.) and discretion residing there.) [ ] Left at home (With person of suitable age [ [ [ [ [ ] Mail ] Hand Delivery ] Fax (Person agreed to service by fax.) ] Email (Person agreed to service by email.) ] Left at business (With person in charge or in receptacle for deliveries.) and discretion residing there.) [ ] Left at home (With person of suitable age Sign here Date Typed or Printed Name Reply and Request for Hearing Approved Board of District Court Judges October 17, 2008 Revised April 7, 2015 Page 4 of 4 American LegalNet, Inc. www.FormsWorkFlow.com