Free Challenge to Garnishment - Oregon

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 THIS FORM MAY NOT BE USED TO CHALLENGE THE VALIDITY OF THE DEBT. 18 I/We claim that the following described property or money is exempt from execution or is not 19 subject to garnishment: ___________________________________________________________ 20 ______________________________________________________________________________ 21 I/We believe this property is exempt from or not subject to garnishment because (the Notice of 22 Exempt Property that you received lists most types of property that you can claim as exempt from 23 or not subject to garnishment):______________________________________________________ 24 ______________________________________________________________________________ 25 I/We claim that the total amount owed is: __________________________________________ 26 ______________________________________________________________________________ 27 ______________________________________________________________________________ 28 CHALLENGE TO GARNISHMENT - Page 1 of 2 FC(12/29/03) (1) To claim such exemptions from garnishment as are permitted by law. (2) To assert that property is not garnishable property under ORS 18.618. (3) To assert that the amount specified in the writ of garnishment as being subject to garnishment is greater than the total amount owed. THIS FORM MAY BE USED BY PERSONS OTHER THAN THE DEBTOR ONLY TO CLAIM AN INTEREST IN THE PROPERTY THAT IS GARNISHED. THIS FORM MAY BE USED BY THE DEBTOR ONLY FOR THE FOLLOWING PURPOSES: ______________________________ Plaintiff, vs. ______________________________ Defendant. ) ) ) ) ) ) ) CHALLENGE TO GARNISHMENT Case No. _____________________ IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE THIRD JUDICIAL DISTRICT

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I am a person other than the Debtor and I have the following interest in the property: _______ ______________________________________________________________________________ ______________________________________________________________________________ Name: _____________________________ Signature: __________________________ Address: ___________________________ Telephone Number: __________________ (Required) Name:________________________________ Signature:______________________________ Address: _______________________________ Telephone Number: ______________________ (Required)

TO BE COMPLETED BY GARNISHOR: Name of Garnishor: ___________________ Name of Garnishee: _________________________ Address of Garnishor: _________________ Address of Garnishee: _________________________ ___________________________________ __________________________________________ Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: 9 I selected this document for myself, and I completed it without paid assistance. 9 I paid or will pay money to _________________ for assistance in preparing this form. ___________________________________ Signature

CHALLENGE TO GARNISHMENT - Page 2 of 2

FC(12/29/03)