AOC-150.2 Doc. Code: GACW & Rev. 5-03 GACN Page 1 of 1 Commonwealth of Kentucky Court of Justice www.kycourts.net KRS 425.501 Name: VS. Name: Case No. AFFIDAVIT TO CHALLENGE GARNISHMENT [ ] WAGE [ ] NON-WAGE Court County PLAINTIFF DEFENDANT Affiant is the Judgment Debtor in the above-styled case and states that certain money/property belonging to Affiant, which is exempt from garnishment, has been garnisheed. The amount of money/property exempted is $__________________________. The money/property is exempt because: __________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ WHEREFORE, the Judgment Debtor prays that the garnishment of money/property be set aside and that all exempt money/property garnisheed be released to the Judgment Debtor. Signature of Affiant: _______________________________________ 1. Subscribed and sworn to before me this ______ day of ___________________, 2______. My commission expires: _____________________, 2______. ______________________________________________ Notary/Clerk __________________________________________Title 2. NOTICE TO JUDGMENT CREDITOR OR CREDITOR'S ATTORNEY (to be completed by Circuit Court Clerk) You are hereby ordered to continue to hold and safely keep any funds due the Judgment Debtor to the extent of the amount due as shown on the Order of Garnishment plus costs until further Order of the Court. This document is intended to constitute notice to you of the Debtor's challenge of the garnishment action. A hearing has been set for _____________________ , 2_______, at ____________ [ ] a.m. [ ] p.m. at which you may appear to respond. If this time is inconvenient, this office must be promptly notified for rescheduling. Date ________________________, 2______ _________________________________________ Clerk By: ______________________________________ D.C. INSTRUCTIONS FOR COMPLETING AFFIDAVIT TO CHALLENGE GARNISHMENT Give the form to the completed Circuit Court Clerk. DO NOT DETACH any copies from the form. If you printed this from the Internet, you must submit the signed original and two (2) copies to the Clerk. American LegalNet, Inc. www.FormsWorkFlow.com Distribution: Original to Case File Copy to Judgment Creditor/Creditor's Attorney Copy to Judgment Debtor