IN THE JUSTICE COURT OF RENO TOWNSHIP COUNTY OF WASHOE, STATE OF NEVADA ________________ ________________ _____________________________________ Case No._______________ Dept. No._______________ _____________________________________ Plaintiff, AFFIDAVIT CLAIMING EXEMPTION FROM EXECUTION Vs. _____________________________________ _____________________________________ _______ Defendant./ STATE OF NEVADA ) COUNTY OF WASHOE ) I, _________________________________________, being duly sworn according to law deposes and says: That the Wages ________ Bank Account ________ other personal property __________ taken from me by ______________________________ judgment creditor, is exempt from execution for the following reasons:________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________. It is requested that these Wages ________ Bank Account _________ other personal property _______ Be returned, or released to be within 5 judicial days (plus 3 straight days if this notice was mailed to plaintiff), upon receipt of this affidavit unless the judgment creditor files a motion for a hearing on the exemption within that time. _____________________________________ Date _________________________________________ Defendant Subscribed and Sworn before me on _______________________________, 2____. _________________________________________ Address City, State, Zip _____________________________________ Notary Public or Deputy Clerk _________________________________________ Phone # American LegalNet, Inc. www.FormsWorkflow.com