WRIT OF EXECUTION – (MONEY JUDGEMENTS) Rules P.R.C.P. 3101 to 3149 No. __________ Term 19_______J.D. _______________________________________ No. __________ Term 19_______E.D. Vs. _______________________________________ GARNISHEE: COMMONWEALTH OF PENNSYLVANIA, COUNTY OF ____________________________ TO THE SHERIFF OF _________________________ COUNTY, PENNSYLVANIA To satisfy the judgment, interest and costs against ________________________ __________________________________________________________________ Defendant(s): (1) You are directed to levy upon the property of the defendant(s) and to sell his, her (or their) interest therein; (2) You are also directed to attach the property of the defendant not levied upon in the possession of _________________________________________ as Garnishee(s) and to notify the Garnishee(s) that (a) an attachment has been issued; (b) the garnishee(s) is enjoined from paying any debt to or for the account of the defendant(s) and from delivering any property of the defendant(s) or otherwise disposing thereof. (3) If property of the defendant not levied upon and subject to attachment is found in the possession of anyone other than the named garnishee(s), you are directed to notify him that he has been added as a garnishee and is enjoined as above stated. Amount due: Interest: Additional costs: Total: Dated:_______________ (Seal) ______________________________________________ Prothonotary, Court of Common Pleas of Luzerne County, Pennsylvania By:_______________________________________________ Deputy American LegalNet, Inc. www.FormsWorkflow.com IN THE COURT OF COMMON PLEAS OF LUZERNE COUNTY Plaintiff, CIVIL ACTION – LAW vs. Defendant. NO. OF WRIT OF EXECUTION NOTICE This paper is a Writ of Execution. It has been issued because there is a Judgment against you. It may cause your property to be held or taken to pay the Judgment. You may have legal rights to present your property from being taken. A lawyer can advise you more specifically of these rights. If you wish to exercise your rights, you must act promptly. The law provides that certain property cannot be taken. Such property is said to be exempt. There is a debtor’s exemption of $300.00. There are other exemptions which may be applicable to you. Attached is a summary of some of the major exemptions. You may have other exemptions or other rights. If you have an exemption, you should do the following promptly: (1) Fill out the attached claim form and demand for a prompt hearing. (2) Deliver the form or mail it to the Sheriff’s Office at the address noted. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. 410 Bicentennial Building 15 Public Square Wilkes-Barre, PA 18701 (570) 825-8567 or 145 East Broad Street Hazleton, PA 18201 (570) 455-9512 American LegalNet, Inc. www.FormsWorkflow.com MAJOR EXEMPTIONS UNDER PENNSYLVANIA AND FEDERAL LAW 1. $300.00 statutory exemption 2. Bibles, school books, sewing machines, uniforms and equipment 3. Most wages and unemployment compensation 4. Social Security benefits 5. Certain retirement funds and accounts 6. Certain veteran and armed forces benefits 7. Certain insurance proceeds 8. Such other exemptions as may be provided by law American LegalNet, Inc. www.FormsWorkflow.com IN THE COURT OF COMMON PLEAS OF LUZERNE COUNTY Plaintiff, CIVIL ACTION – LAW vs. Defendant. NO. OF CLAIM FOR EXEMPTION TO THE SHERIFF: I, the above-named Defendant, claim exemption of property from levy or attachment: 1. From personal property in my possession which has been levied upon, a. I desire that my $300.00 statutory exemption be (i) Set aside in kind (specify property to be set aside in kind): (ii) paid in cash following the sale of the property levied upon; or b. I claim the following exemption (specify property and basis of exemption): 2. From my property which is in the possession of a third party, I claim the following exemptions: a. My $300.00 statutory exemption ( ) in cash; ( ) in kind (specify property): b. Social Security benefits on deposit in the amount of money c. Other (specify amount and basis of exemption): I request a prompt Court hearing to determine the exemption. Notice of the hearing should be given to me at Name: Address: Telephone Number: I verify that the statements made in this Claim for Exemption are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Date:___________________________ _____________________________________________ Defendant THIS CLAIM TO BE FILED WITH THE OFFICE OF THE SHERIFF OF: Luzerne County Sheriff’s Office Luzerne County Courthouse, 200 North River Street Wilkes-Barre, PA 18711 American LegalNet, Inc. www.FormsWorkflow.com