IN THE CHANCERY COURT FOR HAMILTON COUNTY, TENNESSEE MOTION TO QUASH GARNISHMENT/EXECUTION AND CLAIM EXEMPTION RIGHTS PART: FILE N0. The Judgment Debtor hereby requests an Order to quash the execution or garnishment of the Judgment Debtor's money/property and that the money/property of the Judgment Debtor be released or returned. As grounds for the release/return of the money/property, the Judgment Debtor would show that the property is exempt under federal or state law because it is one or more of the following (check each applicable item): Social Security benefits SSI (Supplemental Security Income) benefits Exempt governmental pension Exempt health care aids Unemployment benefits Exempt insurance benefits AFDC benefits Exempt "tools of trade" Veterans benefits Wages garnished exceed allowable amounts under law Other (specify):______________________________________________________________________ Judgment Debtor further states the above money or property was garnished from the following bank (or other third party): ___________________________________________________________________________ Insert name of your bank or other garnishee, if applicable. ________-________-________ (________)______________________ Judgment Debtor's Social Security # Judgment Debtor's Address Judgment Debtor's Phone # _______________________________________ Signature of Judgment Debtor ____________________________________________________________________________________________________________ CERTIFICATE OF SERVICE I, the undersigned Judgment Debtor, hereby certify that a true and correct copy of this document has been personally delivered or mailed by First Class Mail, postage prepaid, to the Judgment Creditor or said Judgment Creditor's attorney, ___________________________________________________________________________________, at their last known address of ___________________________________________________________________________________________________________ , on this _________ day of _____________________, 20_______. NOTE: You may obtain the address of the Judgment Creditor or Judgment Creditor's attorney from the Clerk & Master's Office. _______________________________________ Judgment Debtor NOTICE OF HEARING (To be completed by Clerk) Pursuant to Section 12 of Chapter 934 of the Public Acts of 1988, a hearing (within 14 days of the filing of this motion) is scheduled at ________ o'clock ____.M., on the __________ day of __________________, 20______. ___________________________________________ Deputy Clerk Form 044, Rev. 2011.02.28 American LegalNet, Inc. www.FormsWorkFlow.com