Exemption Form {JGM-401} | Pdf Fpdf Docx | Minnesota

 Minnesota   Statewide   District Court   Judgment Enforcement 
Exemption Form {JGM-401} | Pdf Fpdf Docx | Minnesota

Last updated: 1/16/2026

Exemption Form {JGM-401}

Start Your Free Trial $ 15.99
200 Ratings
What you get:
  • Instant access to fillable Microsoft Word or PDF forms.
  • Minimize the risk of using outdated forms and eliminate rejected fillings.
  • Largest forms database in the USA with more than 80,000 federal, state and agency forms.
  • Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
  • Trusted by 1,000s of Attorneys and Legal Professionals

Description

JGM401 - EXEMPTION FORM. This is a Minnesota District Court form used by a debtor to claim that some or all money frozen by a bank levy, garnishment, or other collection action is legally protected from creditors. This form allows the debtor to identify exempt funds, such as wages, government benefits, child support, retirement payments, insurance proceeds, and other protected income. The form requires the debtor to explain why the funds are exempt, list applicable benefit programs, and attach supporting documents like bank statements or benefit notices. Completed copies must be sent to the creditor (or creditor’s attorney) and the bank or third party holding the funds. Minn. Stat. §§§ 550.143, subd. 3c; 551.05, subd. 1d; 571.912, subd. 3. www.FormsWorkflow.com

Related forms

Our Products