Free Judgment Debtor's Claim for Exemption - Missouri


File Size: 101.3 kB
Pages: 1
Date: June 17, 2009
File Format: PDF
State: Missouri
Category: Court Forms - Local
Author: whitecan
Word Count: 183 Words, 2,125 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.stlouisco.com/circuitcourt/DebtorsExemption.pdf

Download Judgment Debtor's Claim for Exemption ( 101.3 kB)


Preview Judgment Debtor's Claim for Exemption
Office of the Sheriff
St. Louis County 7900 Carondelet Avenue Clayton, MO 63105

JUDGMENT DEBTOR'S CLAIM FOR EXEMPTION
IN THE CIRCUIT COURT OF ST. LOUIS COUNTY, MISSOURI

Jim Buckles, Sheriff

Date: ________________ Cause Number: ________________

Garnishment Number: ________________
_______________________________________________

Plaintiff/Petitioner
vs. _______________________________________________

Judgment Debtor I, _____________________________________, hereby notify the Sheriff of St. Louis County, Missouri, that I am claiming my exemption of the below named items in accordance with the exemption laws of the State of Missouri, found in Chapter 513 of the Revised Statutes of Missouri.



Head of Household (Section 513.440 RSMo) $1,250.00 Number of dependent children under the age of (18) ______ @ $350.00/child $___________ Section 513.430 RSMo, ALL FUNDS or $_____________ per month as follows:



Social Security Disability



Child Support Unemployment



SSI



Retirement/Pension

Other _____________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________ ________________________________
Judgment Debtor's Signature

NOTE TO JUDGMENT DEBTOR: The plaintiff (or plaintiff's attorney) has ten (10) days in which to notify the Sheriff of any objection to the exemptions claimed above. Subscribed and sworn to before me this _________day of _______________________, 20______. ___________________________________ Notary Public
Form Web Page

My Commission Expires: _______________

(314) 615-4724

FACSIMILE: (314) 615-2548

TTY: (314) 615-4567