Claim of Exemption From Garnishment {4-809}

STATE OF NEW MEXICO COUNTY OF BERNALILLO IN THE METROPOLITAN COURT ____________________________, Plaintiff, v. ____________________________, Defendant, ____________________________, Garnishee. No. __________________________ CLAIM OF EXEMPTION FROM GARNISHMENT Judgment debtor claims the following exemptions: (check box next to exemption) a. b. c. d. e. f. g. h. i. j. k. social security benefits (OASDI, SSI); public assistance benefits (AFDC, welfare, GA); life, accident or health insurance proceeds; workers' compensation awards; unemployment compensation benefits; veterans' benefits; pensions and retirement funds; crime victims' reparation fund payments; allowances to surviving spouse and children from deceased's estate subject to the limitations of Sections 45-2-401 and 45-2-402 NMSA 1978; the minimum amount of shares necessary for certain non-profit cooperative associations as provided by Section 53-4-28 NMSA 1978; fraternal benefit society payments as provided by Section 59A-44-18 NMSA 1978. A completed and signed copy of this form must be returned to the Clerk of the Court whose address is: Bernalillo County Metropolitan Court 401 Lomas NW Albuquerque, NM 87102 A completed and signed copy of the Claim of Exemption form shall be served on the judgment creditor and the garnishee named above. If the judgment creditor disputes a claimed exemption, Rule 4-809 as amended, effective 07/01/92;01/01/95;01/01/96 CV-013-1 Claim of Exemption from Garnishment (Rev. 02/09; 11/09) American LegalNet, Inc. www.FormsWorkFlow.com a court hearing will be scheduled to consider the disputed exemptions. At this hearing you must bring evidence supporting each of your claims of exemption. ____________________________ Date ___________________________________ Signature of judgment debtor ___________________________________ Printed name of judgment debtor ___________________________________ Address (Number and Street or P.O. Box) ___________________________________ City, state and zip code (print) ___________________________________ Telephone number Rule 4-809 as amended, effective 07/01/92;01/01/95;01/01/96 CV-013-2 Claim of Exemption from Garnishment (Rev. 02/09; 11/09) American LegalNet, Inc. www.FormsWorkFlow.com 2