Free ______________________County, Colorado - Colorado

! County Court ! District Court
_____________________________County, Colorado Court Address:

Plaintiff(s)/Petitioner(s):
v.

Defendant(s)/Respondent(s): Judgment Debtor's Attorney or Judgment Debtor (Name and Address):

COURT USE ONLY Case Number:

Phone Number: FAX Number:

E-mail: Atty. Reg. #: Division Courtroom CLAIM OF EXEMPTION TO WRIT OF GARNISHMENT WITH NOTICE

NOTICE TO JUDGMENT DEBTOR: THIS FORM MUST BE USED TO CLAIM YOUR PROPERTY IS EXEMPT FROM GARNISHMENT My Name _________________________________________________ Phone Number ___________________ Address ___________________________________________________________________________________
(Street, City, State, Zip Code)

I BELIEVE THE FOLLOWING PROPERTY IS EXEMPT: Description of Property Being Held: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Value of Property Being Held: Amount of Value I Claim is Exempt: $ _____________________ $ _____________________

I claim the Property is Exempt because (Please write the Exemption(s) listed in the Writ of Garnishment with Notice, if applicable): __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ I certify that I mailed a copy of this document by certified mail, return receipt requested, to:
THE PERSON/PLACE THAT WAS GARNISHED 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. 30

R8/01

CLAIM OF EXEMPTION TO WRIT OF GARNISHMENT WITH NOTICE