UNITED STATES DISTRICT COURT FOR THE DISTRICT OF UTAH DIVISION *Plaintiff,*REQUEST FOR *HEARING*vs.**CIVIL NO.Defendant,** I.Respond to these items if funds in your account were garnished:A.[ ] I believe that the Writ of Garnishment was issued improperly. (Explain)B.[ ] I believe that the Answers to Interrogatories are inaccurate. (Explain)C.[ ] The funds in my account are exempt from garnishment becausethey are: (Check applicable boxes):[ ] Social Security Benefits[ ] Pensions[ ] Supplemental Security Income (SSI)[ ] Alimony/child support[ ] Veterans' Benefits[ ] Public Assistance (welfare) [ ] Unemployment Benefits[ ] Owned by another person[ ] Workers' Compensation Benefits[ ] Partly owned by me[ ] Wages/income from personal services[ ] Other (describe) D. Check one box:[ ]All funds in my account are exempt.[ ]I believe that $ of the amount in my account is exempt. (Fill in the dollar amount you believe is exempt.) American LegalNet, Inc. www.FormsWorkFlow.com E.Check if applicable[ ]I claim ownership of all or part of the money or property taken and I amnot one of the persons against whom a judgment has been entered. F.Check if applicable[ ]I have attached copies of the documents that show that my money isexempt.II.Respond to these items if all or part of your wages were garnished.A.[ ]I believe that the writ of garnishment was issued improperly. (Explain)B.[ ]I believe that the Answers to Interrogatories are inaccurate. (Explain)C.[ ]I believe that all or part of my wages are exempt from garnishment. (Explain) American LegalNet, Inc. www.FormsWorkFlow.com THE STATEMENTS MADE IN THIS REQUEST ARE TRUE TO THE BEST OFMY KNOWLEDGE AND BELIEF, AND I HEREBY REQUEST THAT THIS MATTERBE SET FOR A HEARING. I HAVE SENT A COPY OF THIS REQUEST FORHEARING TO THE GARNISHEE.DATED THIS DAY OF , 20.(PleaseName: type orAddress: print) Telephone:Signature: American LegalNet, Inc. www.FormsWorkFlow.com