DISTRICT COURT OF MARYLAND FOR City/County Located at Court Address Plaintiff/Judgment Creditor Case No. Defendant/Judgment Debtor vs. Address City, State, Zip Address City, State, Zip AND Garnishee Address GARNISHEE'S CONFESSION OF ASSETS OF PROPERTY OTHER THAN WAGES (Md. Rules 3-645 and 3-645.1) THE GARNISHEE reports that assets (other than wages and protected amounts under 31 C.F.R. Part 212) belonging to the Defendant, as of the day of , , the date upon which the attachment in this case was Year served, are being held by the garnishee and consist of the following: No assets of any defendant held. Savings account (number, name and amount) # # Name The account includes a protected amount. $ $ $ Name The account includes a protected amount. # Name The account includes a protected amount. Checking account (number, name and amount) # Name The account includes a protected amount. # # Name The account includes a protected amount. Name The account includes a protected amount. $ $ $ Other debts due any defendant or any other property belonging to any defendant (name, nature and value) Name Nature $ Name Name Nature Nature $ $ Name Nature $ (If additional space is needed, attach sheet.) The property held by the garnishee consists of only of a protected amount pursuant to 31 C.F.R. Part 212 and the garnishee requests a judgment in favor of the garnishee terminating the garnishment. Date Telephone Number Fax E-mail Signature of Garnishee/Attorney/Attorney I.D. Printed Name Address City, State, Zip I HEREBY CERTIFY that I mailed or delivered a copy of this document to the Plaintiff or Attorney for Plaintiff and to the Defendant or Attorney for the Defendant. Date Signature of Garnishee or Attorney Attorney I.D. American LegalNet, Inc. www.FormsWorkFlow.com DC-CV-061 (Rev. 12/2014) NOTICE TO JUDGMENT DEBTOR CONCERNING EXEMPTIONS As a result of the judgment entered against you, the bank or other person holding your money or property has been ordered by this Court to hold your money or property that does not constitute a protected amount pursuant to 31 C.F.R. Part 212 subject to further order of the Court. You may be entitled to claim an exemption of all or part of your money or property, but in order to do so you must file a motion with the Court as soon as possible. If you do not file a motion within 30 days of when the Garnishee was served, your property may be turned over to the Judgment Creditor. You may include in your motion a request for a hearing. If you file a motion claiming an exemption, the Court will hear or decide your claim for exemption promptly. Some Federal benefit payments may be automatically protected from garnishment and will not be held in response to the writ of garnishment. Any claim for exemption for a non-protected amount must be filed with the Court no later than 30 days after service of the writ of garnishment on the garnishee. You have the right under the Annotated Code of MD to claim an exemption of certain kinds of personal property such as: wearing apparel, books, tools, instruments or appliances (in an amount not to exceed $5,000) that are necessary for the practice of any trade or profession except those kept for sale, lease or barter; money payable in the event of sickness, accident, injury or death of any person including compensation for loss of future earnings (however, disability income benefits are not exempt if the judgment is for necessities contracted for after the disability is incurred); professionally prescribed health aids for the debtor or dependent of the debtor; debtor's interest not to exceed $1,000 in value, in household furnishings, household goods, wearing apparel, appliances, books, animals kept as pets and other items that are held primarily for the personal, family or household use of the debtor or any dependent of the debtor. IN ADDITION, WITHIN THIRTY DAYS AFTER THE DATE OF SERVICE OF THE WRIT OF GARNISHMENT ON THE BANK OR OTHER PERSON HOLDING YOUR MONEY OR PROPERTY, YOU MAY ELECT TO EXEMPT A TOTAL OF $6,000. (This exemption does not apply to an Attachment Before Judgment.) You may be entitled to claim an exemption under the Annotated Code of MD of certain money such as: benefits under state public assistance programs; employee pensions; teacher's retirement pensions; unemployment insurance benefits; worker's compensation; pension benefits for state police; benefits from a fraternal benefit society; and proceeds from life insurance or annuity contracts. Also, you may be entitled to claim an exemption under federal law of certain money such as: Social Security disability benefits; Supplemental Security Income benefits; annuity payments based on retired or retainer pay from the Armed Forces; Civil Service retirement and disability funds; annuities to widows and surviving dependent children of judges; federal worker's compensation; and federal retirement pensions. YOU MAY ALSO BE ENTITLED TO PROTECT OTHER MONEY OR PROPERTY NOT MENTIONED ABOVE. TO PROTECT YOUR RIGHTS FULLY, IT IS IMPORTANT THAT YOU ACT PROMPTLY. IF YOU HAVE ANY QUESTIONS, YOU SHOULD CONSULT A LAWYER. American LegalNet, Inc. www.FormsWorkFlow.com