IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT ) ) ) ) ) ) ) ) ) Plaintiff(s), vs. CASE NO. CLAIM OF EXEMPTION FROM GARNISHMENT Defendant(s). I claim an increased exemption amount because: I swear or affirm under penalty of perjury that my earnings alone support my household. (AS 09.38.050(b)) I have not received my legal exemptions. (Please explain.) Other (Please explain.) Date Signature of Debtor Debtor's Name (Please print) Mailing Address Daytime Phone City State ZIP Subscribed and sworn to or affirmed before me at on . (date) (SEAL) , Alaska Clerk of Court, Notary Public, or other person authorized to administer oaths. My commission expires I certify that on , a copy of this claim and form CIV-516 were sent to: Debtor Creditor/Atty: Court Bookkeeper Clerk: CIV-531 (7/10)(st.4) CLAIM OF EXEMPTION FROM GARNISHMENT AS 09.38.050(b) AS 09.38.030(a) American LegalNet, Inc. www.FormsWorkFlow.com