JGM403 State ENG Rev 7/15www.mncourts.gov/formsPage 1 of 2State of Minnesota District Court County of:Select County Judicial District: Court File Number: Case Type:Civil Creditor (first, middle, last) Debtor (first, middle, last)vs. Financial Institution / GarnisheeCreditor's Notice of Objection And Notice of Hearing on Exemption Claim (Minn. Stat. 247247 550.143, subd. 7; 551.05, subd. 5; 571.914, subd. 2) Debtor Name: Debtor Address:NOTICE OF HEARING The Creditor objects to your exemption claim. The hearing is to resolve your exemption claim. Hearing Date: Hearing Time: Hearing Place:The Creditor objects to your claim of exemption from (levy of execution/garnishment) for the following reasons: Note: Bring with you to the hearing all documents and materials supporting your exemption claim. Failure to do so could delay the court's decision. If the Creditor receives all documents and materials supporting your exemption claim before the hearing date, the Creditor may agree with your exemption claim and you might be able to avoid a hearing. Because a court hearing will be held on your claim that your funds are protected, your financial institution will retain the funds until it receives an order from the court or upon mutual agreement between you and your Creditor. American LegalNet, Inc. www.FormsWorkFlow.com JGM403 State ENG Rev 7/15www.mncourts.gov/formsPage 2 of 2 Dated: Signature/s/ County and State where signed Name: Address: City/State/Zip: Telephone: E-mail address: American LegalNet, Inc. www.FormsWorkFlow.com