FORM 30 SC R 1 - 1 8 CLAIM OF EXEMPTION TO WRIT OF GARNISHMENT WITH NOTICE County Court District Court County, Colorado Court Address: Plaintiff(s)/Petitioner(s): v. Defendant(s)/Respondent(s): COURT USE ONLY (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom CLAIM OF EXEMPTION TO WRIT OF GARNISHMENT WITH NOTICE Instruction to Judgment D ebtor : Use this form to claim your property is exempt from Garnishment. Name: Phone Number Street Address: Mailing Address, if different: C ity: State: Zip Code: I believe the following property is exempt: Description of Property Being Held: Value of Property Being Held: $ Amount of Value I Claim is Exempt: $ I claim the Property is Exempt because (Please write the Exemptio n(s) listed in the Writ of Garnishment with Notice, if applicable): By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. I certify that the above is correct to the best of my knowledge and belief and that I sent a copy of this document by certified mail ( return receipt requested ) or by E - Service to both th e Garnishee and to the Ju dgment Creditor, or if the Judg ment Creditor is represented by Counsel, certified mail (return receipt requested) to the Judgment E - T he person/place that was garnished J udgment Creditor or Attorney Address: Address: Sub scribed under affirmation or oath before me on (date) Signature of Judgment Debtor or My commission expires: Notary Public/Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com