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Claim Of Exemption And Request For Hearing Law 818 - Florida
| Claim Of Exemption And Request For Hearing Form. This is a Florida form and can be used in General Brevard Local County . |
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IN THE CIRCUIT C OURT, EIGHTEENTH J UDICIA L CIRCUIT, BREVA RD COUNTY, F LOR IDA IN THE COUNTY COURT, BR EVA RD COUNTY, F LOR IDA DIVISION CAS E NUM BER CIVIL CRIM INA L C LAIM OF EXEM PTION J UVENILE AND REQUES T FOR HEARING TR AFFIC PLAINTIF F DEFENDA NT CLOCK IN GARNISHEE I c laim exemptions from garnishment under the following c ateg orie s as chec ked: 1 . Head of family wages. (You must c hec k a. or b. below ) a. I prov.ide m ore than one-half of t he support f or a child or ot her depe ndent a nd have net earnings of $ 50 0 or less per wee k. b. I provide more than one-half of t he s upport f or a child or ot her depende nt, hav e ne t ea rnings of more t han $5 0 0 per w eek, but have not a greed in w riting to have m y wages garnis hed. 2 . S oc ial S ecurity bene fits. 3 . S upplem ent al S ecurity Income benefits . 4 . Public assist anc e (w elfa re). 5 . Workers Compensa tion. 6 . Une mploym ent Com pensat ion. 7 . V eterans benef its. 8 . R etirement or profit -sharing benefit s or pension money . 9 . Life insuranc e benefits or c ash surrender v alue of a life insurance policy or procee ds of annuity cont rac t . 1 0. Disability inc om e be nef its. 1 1. Prepaid College Trust Fund or M edical S avings Acc ount. 1 2. Other exemptions as provided by law (explain) I request a hearing to decide the validity of my claim . Notice of the hearing should be giv en t o m e at : A ddress: T elephone Number: ( ) T he s tatements made in this reques t are true to the best of my knowledge and be lief. Defenda nt s S ignature Date S TATE OF FLORIDA COUNT Y OF __________________________ S worn and subsc ribed to bef ore me this ________ day of ______________________________, 2 0______, by __________________________________________________________ Notary Public /Deputy Clerk Personally Known ____ OR Produced Identif ication ____ Ty pe of Identific at ion Produced _________________LA W 8 18 (New 6/02) ) <<<<<<<<<********>>>>>>>>>>>>> 2 Certificate of Mailing I cert ify that a c opy hereof has bee n furnis hed to _____________________________________________, Plaint iff, by ___ hand deliv ery ___ mail ___ fax this ________ day of _________________________________, 20 ______ and t o ___________________________________________________________________________________, Garnishee, by ___ hand deliv ery ___ mail ___ fax this _______ day of __________________________________, 20 ______. Defendants S ignature LA W 8 18 (New 6/02)
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