Free ______________________County, Colorado - Colorado

! County Court ! District Court
______________________County, Colorado Court address: Plaintiff(s): v. Defendant(s): Judgment Debtor's Attorney or Judgment Debtor (Name and Address): COURT USE ONLY Case Number:

Phone Number: E-mail: FAX Number: Atty.Reg. #: Division Courtroom OBJECTION TO CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS
NOTICE TO JUDGMENT DEBTOR: THIS FORM MUST BE USED TO OBJECT TO THE CALCULATION OF EXEMPT EARNINGS My Name _____________________________________________________________Phone _________________________ Address _____________________________________________________________________________________________
(Street, City, State, Zip Code)

1.

I object to the Garnishee's Calculation of the Amount of Exempt Earnings because I BELIEVE THAT THE CORRECT CALCULATION IS: Gross Earnings for My Pay Period from ___________________thru _________________ Less Deductions Required by Law (For Example, Withholding Taxes, FICA) Disposable Earnings (Gross Earnings Less Deductions) Less Statutory Exemption (Use Exemption Chart on Writ) Net Amount Subject to Garnishment Less Wage/Income Assignment(s) During Pay Period (If Any) AMOUNT WHICH SHOULD HAVE BEEN WITHHELD $ ____________ - $ ____________ = $ ____________ - $ ____________ = $ ____________ - $ ____________ = $ ____________

2.

The earnings garnished are pension or retirement benefits/deferred compensation/health, accident or disability insurance AND THEY ARE TOTALLY EXEMPT BECAUSE: _________________________________________________________ I understand that I must make a good faith effort to resolve my dispute with the Garnishee. I ! have ! have not attempted to resolve this dispute with the Garnishee. Name of Person I Talked to: _________________________________________________ Position: ________________________________________________________________ Phone Number: ___________________________________________________________ TO GARNISHEE: BY FILING THIS OBJECTION, YOU ARE DIRECTED TO SEND MY NONEXEMPT EARNINGS TO THE COURT AT THE ADDRESS NOTED INSTEAD OF TO THE PARTY DESIGNATED IN PARAGRAPH `e', PAGE 1, ON THE WRIT OF CONTINUING GARNISHMENT. THE COURT WILL HOLD MY NONEXEMPT EARNINGS IN ITS REGISTRY UNTIL MY OBJECTION IS RESOLVED. I certify that I mailed a copy of this document by certified mail, return receipt requested, to: THE GARNISHEE Address: ________________________________________ ________________________________________________ Subscribed under oath on (date) ______________________ ________________________________________________
Notary Public/Deputy Clerk

JUDGMENT CREDITOR OR ATTORNEY Address: ___________________________________ ___________________________________________

___________________________________________
Signature of Judgment Debtor

My commission expires: ____________________________

C.R.C.P. NO. 28

R8/01

OBJECTION TO CALCULATION OF THE AMOUNT OF EXEMPT EARNINGS