FO RM H-5 UNITED STATES DISTRICT COURT UNITED STATES BANK RUPTCY COU RT SOU TH ERN DIST RICT OF W EST VIRG INIA In re Case No. __________________ Chapter ___________________ Debtor(s), Plaintiff(s), v. A.P. _____________________ Defendant(s), v. Employer. NOTICE OF POSSIBILITY OF EXEMPTIONS TO SUGGESTEE EXECUTION To: _________________________________________________________ NOT ICE IS HERE BY G IVEN that in the above-styled case, a suggestee execution (garnishee) has been filed by the plaintiff for salary, wages, or commission owed to you by __________________________________________________________________ (name of employer) Please refer to the attached document for details of the suggestee execution requested by the p laintiff. NOT ICE IS FURTHER G IVEN that under the laws of the State of West Virginia or the United States of America, there exist certain exemption rights that may be available to you which would relieve you of the obligation to pay all or part of this judgm ent by m eans o f the suggestion re quested by the plaintiff. Yo u may c onsult an attorn ey for more sp ecific informatio n on the nature and kind of these exemp tions to see whether or not you are eligible to claim any of these exemptions. If you are eligible for such exemptions, your attorney (or you, if you have no attorney) may file a Request for Exemption with the United States Marshal, Robert C. Byrd United States Courthouse, 300 V irginia Street East, Charleston, West Virginia, stating specifically your reason for an exemption and requesting a hearing to determine your exemption rights. This Request for Exemption should be filed within twenty (20) days of rece iving this notice. A copy of your Request for Exem ption should also be sent to plaintiff's attorney, whose name and address are listed below: ____________________________________________________________________________________________ Date: UNITED STATES BANK RUPTCY CLERK by (Seal of the Court) _________________________________ Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com