<a id="pl.1.3"></a><var>1.3</var>procedures, and exemptions;amending Minnesota Statutes 2008, sections <br/>
<a id="pl.1.4"></a><var>1.4</var>550.143; 550.37, subdivision 14; 551.05; 571.71; 571.72, by adding subdivisions; <br/>
<a id="pl.1.5"></a><var>1.5</var>571.911; 571.912; 571.913; 571.914; 571.925.<br/>
<a id="pl.1.6"></a><var>1.6</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br/>
<br/>
<a id="bill.0.1.0"></a><a id="pl.1.7"></a><var>1.7</var>    Section 1. Minnesota Statutes 2008, section 550.143, is amended to read:<br/>
<a id="pl.1.8"></a><var>1.8</var><b>550.143 LEVY ON FUNDS AT A FINANCIAL INSTITUTION.</b><br/>
<a id="pl.1.9"></a><var>1.9</var>    Subdivision 1. <b>Procedure.</b> When the sheriff is levying upon funds at a financial <br/>
<a id="pl.1.10"></a><var>1.10</var>institution, this section must be complied with, in addition to the general provisions set <br/>
<a id="pl.1.11"></a><var>1.11</var>forth in section 
         <statute_ref>550.135</statute_ref>.<br/>
<a id="pl.1.12"></a><var>1.12</var>    Subd. 2. <b>Disclosure form.</b> Along with the writ of execution, the notice, instructions, <br/>
<a id="pl.1.13"></a><var>1.13</var>and the exemption notice described in subdivision 3, the sheriff shall serve upon the <br/>
<a id="pl.1.14"></a><var>1.14</var>financial institution an execution disclosure form which must be substantially in the <br/>
<a id="pl.1.15"></a><var>1.15</var>following form:<br/>
<table>
<col width="50px"/>
<col width="30"/>
<col width="2.5"/>
<col width="32.5"/>
<tr>
<td><a id="pl.1.16"></a><var>1.16</var><br/>
</td>
<td>STATE OF MINNESOTA<br/>
</td>
<td></td>
<td align="right">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.1.17"></a><var>1.17</var><br/>
</td>
<td>COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td><span>
                     							.....
                     						</span>JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.1.18"></a><var>1.18</var><br/>
</td>
<td><span>
                     							.....
                     						</span>(Judgment Creditor)<br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.1.19"></a><var>1.19</var><br/>
</td>
<td>against<br/>
</td>
<td></td>
<td align="right">FINANCIAL INSTITUTIONS<br/>
</td>
</tr>
<tr>
<td><a id="pl.1.20"></a><var>1.20</var><br/>
</td>
<td><span>
                     							.....
                     						</span>(Judgment Debtor)<br/>
</td>
<td></td>
<td align="right">EXECUTION <br/>
</td>
</tr>
<tr>
<td><a id="pl.1.21"></a><var>1.21</var><br/>
</td>
<td>and<br/>
</td>
<td></td>
<td align="right">DISCLOSURE<br/>
</td>
</tr>
<tr>
<td><a id="pl.1.22"></a><var>1.22</var><br/>
</td>
<td><span>
                     							.....
                     						</span>(Third Party)<br/>
</td>
<td></td>
<td></td>
</tr>
</table><a id="pl.1.23"></a><var>1.23</var>On the ..... day of ............., ......., the time of service of execution herein, there was <br/>
<a id="pl.1.24"></a><var>1.24</var>due and owing the judgment debtor from the third party the following:<br/>
<a id="pl.2.1"></a><var>2.1</var>(1) Money. Enter on the line below any amounts due and owing the judgment debtor, <br/>
<a id="pl.2.2"></a><var>2.2</var>except earnings, from the third party.<br/>
<span>
            							.....
            						</span><a id="pl.2.3"></a><var>2.3</var><br/>
<a id="pl.2.4"></a><var>2.4</var>(2) Setoff. Enter on the line below the amount of any setoff, defense, lien, or claim <br/>
<a id="pl.2.5"></a><var>2.5</var>which the third party claims against the amount set forth on line (1). State the facts by <br/>
<a id="pl.2.6"></a><var>2.6</var>which such setoff, defense, lien, or claim is claimed. (Any indebtedness to a third party <br/>
<a id="pl.2.7"></a><var>2.7</var>incurred by the judgment debtor within ten days prior to the receipt of the first execution <br/>
<a id="pl.2.8"></a><var>2.8</var>levy on a debt is void as to the judgment creditor.)<br/>
<span>
            							.....
            						</span><a id="pl.2.9"></a><var>2.9</var><br/>
<a id="pl.2.10"></a><var>2.10</var>(3) Exemption. Enter on the line below any amounts or property claimed by the <br/>
<a id="pl.2.11"></a><var>2.11</var>judgment debtor to be exempt from execution.<br/>
<span>
            							.....
            						</span><a id="pl.2.12"></a><var>2.12</var><br/>
<a id="pl.2.13"></a><var>2.13</var>(4) Adverse Interest. Enter on the line below any amounts claimed by other persons <br/>
<a id="pl.2.14"></a><var>2.14</var>by reason of ownership or interest in the judgment debtor's property.<br/>
<span>
            							.....
            						</span><a id="pl.2.15"></a><var>2.15</var><br/>
<a id="pl.2.16"></a><var>2.16</var>(5) Enter on the line below the total of lines (2), (3), and (4).<br/>
<span>
            							.....
            						</span><a id="pl.2.17"></a><var>2.17</var><br/>
<a id="pl.2.18"></a><var>2.18</var>(6) Enter on the line below the difference obtained (never less than zero) when line <br/>
<a id="pl.2.19"></a><var>2.19</var>(5) is subtracted from the amount on line (1).<br/>
<span>
            							.....
            						</span><a id="pl.2.20"></a><var>2.20</var><br/>
<a id="pl.2.21"></a><var>2.21</var>(7) Enter on the line below 110 percent of the amount of the judgment creditor's <br/>
<a id="pl.2.22"></a><var>2.22</var>claim which remains unpaid.<br/>
<span>
            							.....
            						</span><a id="pl.2.23"></a><var>2.23</var><br/>
<a id="pl.2.24"></a><var>2.24</var>(8) Enter on the line below the lesser of line (6) and line (7). You are hereby <br/>
<a id="pl.2.25"></a><var>2.25</var>instructed to remit this amount only if it is $10 or more.<br/>
<span>
            							.....
            						</span><a id="pl.2.26"></a><var>2.26</var><br/>

<a id="pl.2.29"></a><var>2.29</var>by the third party to complete this nonearnings disclosure, and have done so truthfully <br/>
<a id="pl.2.30"></a><var>2.30</var>and to the best of my knowledge.<br/>
<table>
<col width="50px"/>
<col width="25"/>
<col width="10"/>
<col width="30"/>
<tr>
<td><a id="pl.2.31"></a><var>2.31</var><br/>
</td>
<td>Dated: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.2.32"></a><var>2.32</var><br/>
</td>
<td></td>
<td></td>
<td>Signature<br/>
</td>
</tr>
<tr>
<td><a id="pl.2.33"></a><var>2.33</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.2.34"></a><var>2.34</var><br/>
</td>
<td></td>
<td></td>
<td>Title<br/>
</td>
</tr>
<tr>
<td><a id="pl.3.1"></a><var>3.1</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.3.2"></a><var>3.2</var><br/>
</td>
<td></td>
<td></td>
<td>Telephone Number<br/>
</td>
</tr>
</table><a id="pl.3.3"></a><var>3.3</var>    Subd. 3. <b>Notice, instructions, and </b><b>exemption notice.</b> If the levy is on funds of a <br/>
<a id="pl.3.4"></a><var>3.4</var>judgment debtor who is a natural person and if the funds to be levied are held on deposit at <br/>
<a id="pl.3.5"></a><var>3.5</var>any financial institution, the judgment creditor or its attorney shall provide the sheriff with <br/>
<a id="pl.3.6"></a><var>3.6</var>a notice, instructions, and two copies of an exemption notice, which must be substantially <br/>
<a id="pl.3.7"></a><var>3.7</var>in the form set forth below. The sheriff shall serve the notice, instructions, and both copies <br/>
<a id="pl.3.8"></a><var>3.8</var>of the exemption notice on the financial institution, along with the writ of execution. <br/>
<a id="pl.3.9"></a><var>3.9</var>Failure of the sheriff to serve the notice, instructions, and the exemption notices renders <br/>
<a id="pl.3.10"></a><var>3.10</var>the levy void, and the financial institution shall take no action. However, if this subdivision <br/>
<a id="pl.3.11"></a><var>3.11</var>is being used to execute on funds that have previously been garnished in compliance with <br/>
<a id="pl.3.12"></a><var>3.12</var>section 
         <statute_ref>571.71</statute_ref>, the judgment creditor is not required to serve additional exemption notices. <br/>
<a id="pl.3.13"></a><var>3.13</var>In that event, the execution levy shall only be effective as to the funds that were subject <br/>
<a id="pl.3.14"></a><var>3.14</var>to the prior garnishment. Upon receipt of the writ of execution, notice, instructions, and <br/>
<a id="pl.3.15"></a><var>3.15</var>exemption notices, the financial institution shall retain as much of the amount due under <br/>
<a id="pl.3.16"></a><var>3.16</var>section 
         <statute_ref>550.04</statute_ref> as the financial institution has on deposit owing to the judgment debtor, but <br/>
<a id="pl.3.17"></a><var>3.17</var>not more than 110 percent of the amount remaining due on the judgment.<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.3.18"></a><var>3.18</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.3.19"></a><var>3.19</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td colspan="2"><span>
                     							.....
                     						</span>JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.3.20"></a><var>3.20</var><br/>
<a id="pl.3.21"></a><var>3.21</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment <br/>
Creditor)<br/>
</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.3.22"></a><var>3.22</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment Debtor)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.3.23"></a><var>3.23</var><br/>
</td>
<td>TO: Debtor<br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="right" colspan="2">EXEMPTION NOTICE<br/>
</td>
</tr>
</table><a id="pl.3.24"></a><var>3.24</var>An order for attachment, garnishment summons, or levy of execution (strike <br/>
<a id="pl.3.25"></a><var>3.25</var>inapplicable language) has been served on ............. (Bank or other financial institution <br/>
<a id="pl.3.26"></a><var>3.26</var>where you have an account.)<br/>
<a id="pl.3.27"></a><var>3.27</var>Your account balance is $........<br/>
<a id="pl.3.28"></a><var>3.28</var>The amount being held is $........<br/>
<a id="pl.3.29"></a><var>3.29</var>However, all or a portion of the funds in your account will normally be exempt from <br/>
<a id="pl.3.30"></a><var>3.30</var>creditors' claims if they are in one of the following categories:<br/>
<a id="pl.3.31"></a><var>3.31</var>(1) relief based on need. This includes the Minnesota Family Investment Program <br/>
<a id="pl.3.32"></a><var>3.32</var>(MFIP), Emergency Assistance (EA), Work First Program, Medical Assistance (MA), <br/>
<a id="pl.3.33"></a><var>3.33</var>General Assistance (GA), General Assistance Medical Care (GAMC), Emergency General <br/>
<a id="pl.3.34"></a><var>3.34</var>Assistance (EGA), Minnesota Supplemental Aid (MSA), MSA Emergency Assistance <br/>
<a id="pl.3.35"></a><var>3.35</var>(MSA-EA), Supplemental Security Income (SSI), and Energy Assistance;<br/>
<a id="pl.3.36"></a><var>3.36</var>(2) Social Security benefits (Old Age, Survivors, or Disability Insurance);<br/>
<a id="pl.3.37"></a><var>3.37</var>(3) unemployment benefits, workers' compensation, or veterans' benefits;<br/>
<a id="pl.4.1"></a><var>4.1</var>(4) an accident, disability, or retirement pension or annuity;<br/>
<a id="pl.4.2"></a><var>4.2</var>(5) life insurance proceeds;<br/>
<a id="pl.4.3"></a><var>4.3</var>(6) the earnings of your minor child and any child support paid to you; or<br/>
<a id="pl.4.4"></a><var>4.4</var>(7) money from a claim for damage or destruction of exempt property (such as <br/>
<a id="pl.4.5"></a><var>4.5</var>household goods, farm tools, business equipment, a mobile home, or a car).<br/>
<a id="pl.4.6"></a><var>4.6</var>The following funds are also exempt:<br/>
<a id="pl.4.7"></a><var>4.7</var>(8) all earnings of a person in category (1);<br/>
<a id="pl.4.8"></a><var>4.8</var>(9) all earnings of a person who has received relief based on need, or who has been <br/>
<a id="pl.4.9"></a><var>4.9</var>an inmate of a correctional institution, within the last six months;<br/>
<a id="pl.4.10"></a><var>4.10</var>(10) 75 percent of every debtor's after tax earnings; and<br/>
<a id="pl.4.11"></a><var>4.11</var>(11) all of a judgment debtor's after tax earnings below 40 times the federal <br/>
<a id="pl.4.12"></a><var>4.12</var>minimum wage.<br/>
<a id="pl.4.13"></a><var>4.13</var>TIME LIMIT ON EXEMPTIONS AFTER DEPOSIT IN BANK:<br/>
<a id="pl.4.14"></a><var>4.14</var>Categories (10) and (11): 20 days<br/>
<a id="pl.4.15"></a><var>4.15</var>Categories (8) and (9): 60 days<br/>
<a id="pl.4.16"></a><var>4.16</var>All others: no time limit, as long as funds are traceable to the exempt source. (In <br/>
<a id="pl.4.17"></a><var>4.17</var>tracing funds, the first-in, first-out method is used. This means money deposited first <br/>
<a id="pl.4.18"></a><var>4.18</var>is spent first.) The money being sought by the judgment creditor is being held in your <br/>
<a id="pl.4.19"></a><var>4.19</var>account to give you a chance to claim an exemption.<br/>
<a id="pl.4.20"></a><var>4.20</var>TO CLAIM AN EXEMPTION:<br/>
<a id="pl.4.21"></a><var>4.21</var>Fill out, sign, and mail or deliver one copy of the attached exemption claim form to <br/>
<a id="pl.4.22"></a><var>4.22</var>the institution which sent you this notice and mail or deliver one copy to the judgment <br/>
<a id="pl.4.23"></a><var>4.23</var>creditor's attorney. In the event that there is no attorney for the judgment creditor, then <br/>
<a id="pl.4.24"></a><var>4.24</var>the notice shall be sent directly to the judgment creditor. The address for the judgment <br/>
<a id="pl.4.25"></a><var>4.25</var>creditor's attorney or the judgment creditor is set forth below. <b>Both copies must be </b><br/>
<a id="pl.4.26"></a><var>4.26</var><b>mailed or delivered on the same day.</b><br/>
<a id="pl.4.27"></a><var>4.27</var><b>NOTE: You may help resolve your claim faster if you send to the creditor's </b><br/>
<a id="pl.4.28"></a><var>4.28</var><b>attorney written proof or documents that show why your money is exempt. If </b><br/>
<a id="pl.4.29"></a><var>4.29</var><b>you have questions regarding the documents to send as proof of an exemption, </b><br/>
<a id="pl.4.30"></a><var>4.30</var><b>call the creditor's attorney. If you do not send written proof and the creditor's </b><br/>
<a id="pl.4.31"></a><var>4.31</var><b>attorney has questions about your exemption claim, the creditor's attorney </b><br/>
<a id="pl.4.32"></a><var>4.32</var><b>may object to your claim which may result in a further delay in releasing your </b><br/>
<a id="pl.4.33"></a><var>4.33</var><b>exempt funds.</b><br/>
<a id="pl.4.34"></a><var>4.34</var>If the financial institution does not get the exemption claim back from you within 14 <br/>
<a id="pl.4.35"></a><var>4.35</var>days of the date they mailed or gave it to you, they will be free to turn the money over to <br/>
<a id="pl.5.1"></a><var>5.1</var>the sheriff or the judgment creditor. If you are going to claim an exemption, do so as soon <br/>
<a id="pl.5.2"></a><var>5.2</var>as possible, because your money may be held until it is decided.<br/>
<a id="pl.5.3"></a><var>5.3</var>IF YOU CLAIM AN EXEMPTION:<br/>
<a id="pl.5.4"></a><var>5.4</var>(1) nonexempt money can be turned over to the judgment creditor or sheriff;<br/>
<a id="pl.5.5"></a><var>5.5</var>(2) the financial institution will keep holding the money claimed to be exempt; and<br/>
<a id="pl.5.6"></a><var>5.6</var>(3) seven days after receiving your exemption claim, the financial institution will <br/>
<a id="pl.5.7"></a><var>5.7</var>release the money to you unless before then it receives an objection to your exemption <br/>
<a id="pl.5.8"></a><var>5.8</var>claim.<br/>
<a id="pl.5.9"></a><var>5.9</var>IF THE JUDGMENT CREDITOR OBJECTS TO YOUR EXEMPTION CLAIM:<br/>
<a id="pl.5.10"></a><var>5.10</var>the institution will hold the money until a court decides if your exemption claim is <br/>
<a id="pl.5.11"></a><var>5.11</var>valid, BUT ONLY IF the institution gets a copy of your court motion papers asserting <br/>
<a id="pl.5.12"></a><var>5.12</var>the exemption WITHIN TEN DAYS after the objection is personally served on you, or <br/>
<a id="pl.5.13"></a><var>5.13</var>within 13 days from the date the objection is mailed to you. You may wish to consult an <br/>
<a id="pl.5.14"></a><var>5.14</var>attorney at once if the creditor objects to your exemption claim.<br/>
<a id="pl.5.15"></a><var>5.15</var>MOTION TO DETERMINE EXEMPTION:<br/>
<a id="pl.5.16"></a><var>5.16</var>At any time after your funds have been held, you may ask for a court decision on the <br/>
<a id="pl.5.17"></a><var>5.17</var>validity of your exemption claim by filing a request for hearing which may be obtained <br/>
<a id="pl.5.18"></a><var>5.18</var>at the office of the court administrator of the above court.<br/>
<a id="pl.5.19"></a><var>5.19</var>PENALTIES:<br/>
<a id="pl.5.20"></a><var>5.20</var>If you claim an exemption in bad faith, or if the judgment creditor wrongly objects <br/>
<a id="pl.5.21"></a><var>5.21</var>to an exemption in bad faith, the court may order the person who acted in bad faith to pay <br/>
<a id="pl.5.22"></a><var>5.22</var>costs, actual damages, attorney fees, and an additional amount of up to $100.<br/>
<table>
<col width="50px"/>
<col width="27.5"/>
<col width="37.5"/>
<tr>
<td><a id="pl.5.23"></a><var>5.23</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.5.24"></a><var>5.24</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.5.25"></a><var>5.25</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.5.26"></a><var>5.26</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.5.27"></a><var>5.27</var><br/>
<a id="pl.5.28"></a><var>5.28</var><br/>
</td>
<td></td>
<td>Name and address of (Attorney for) Judgment <br/>
Creditor<br/>
</td>
</tr>
</table><a id="pl.5.29"></a><var>5.29</var>EXEMPTION:<br/>
<a id="pl.5.30"></a><var>5.30</var>(a) Amount of exemption claim.<br/>
<a id="pl.5.31"></a><var>5.31</var>/ / I claim ALL the funds being held are exempt.<br/>
<a id="pl.5.32"></a><var>5.32</var>/ / I claim SOME of the funds being held are exempt.<br/>
<table>
<col width="50px"/>
<col width="10"/>
<col width="55"/>
<tr>
<td><a id="pl.5.33"></a><var>5.33</var><br/>
</td>
<td></td>
<td>The exempt amount is $ <br/>
<span>
                     							.....
                     						</span></td>
</tr>
</table><a id="pl.5.34"></a><var>5.34</var>(b) Basis for exemption.<br/>
<a id="pl.5.35"></a><var>5.35</var>Of the 11 categories listed above, I am in category number ............ (If more than one <br/>
<a id="pl.5.36"></a><var>5.36</var>category applies, you may fill in as many as apply.) The source of the exempt funds is <br/>
<a id="pl.5.37"></a><var>5.37</var>the following:<br/>
<table>
<col width="50px"/>
<col width=""/>
<tr>
<td><a id="pl.6.1"></a><var>6.1</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.6.2"></a><var>6.2</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.6.3"></a><var>6.3</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
</table><a id="pl.6.4"></a><var>6.4</var>(If the source is a type of relief based on need, list the case number and county:<br/>
<a id="pl.6.5"></a><var>6.5</var>case number: ...............;<br/>
<a id="pl.6.6"></a><var>6.6</var>county: ....................)<br/>
<a id="pl.6.7"></a><var>6.7</var>I hereby authorize any agency that has distributed relief to me or any correctional <br/>
<a id="pl.6.8"></a><var>6.8</var>institution in which I was an inmate to disclose to the above named creditor or its attorney <br/>
<a id="pl.6.9"></a><var>6.9</var>only whether or not I am or have been a recipient of relief based on need or an inmate of a <br/>
<a id="pl.6.10"></a><var>6.10</var>correctional institute within the last six months.<br/>
<a id="pl.6.11"></a><var>6.11</var>I have mailed or delivered a copy of the exemption notice to the judgment creditor <br/>
<a id="pl.6.12"></a><var>6.12</var>or judgment creditor's attorney if represented at the address indicated above.<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="12.5"/>
<col width="32.5"/>
<tr>
<td><a id="pl.6.13"></a><var>6.13</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.6.14"></a><var>6.14</var><br/>
</td>
<td></td>
<td></td>
<td>DEBTOR<br/>
</td>
</tr>
<tr>
<td><a id="pl.6.15"></a><var>6.15</var><br/>
</td>
<td>DATED: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.6.16"></a><var>6.16</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.6.17"></a><var>6.17</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.6.18"></a><var>6.18</var><br/>
</td>
<td></td>
<td></td>
<td>DEBTOR ADDRESS<br/>
</td>
</tr>
<tr>
<td><a id="pl.6.19"></a><var>6.19</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.6.20"></a><var>6.20</var><br/>
</td>
<td></td>
<td></td>
<td>DEBTOR TELEPHONE NUMBER<br/>
</td>
</tr>
</table><a id="pl.6.21"></a><var>6.21</var>    Subd. 3a. <b>Form of notice.</b> The notice required by subdivision 3 must be provided as <br/>
<a id="pl.6.22"></a><var>6.22</var>a separate form and must be substantially in the following form:<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.6.23"></a><var>6.23</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.6.24"></a><var>6.24</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td align="right" colspan="2"><span>
                     							.....
                     						</span>JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.6.25"></a><var>6.25</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Creditor)<br/>
</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.6.26"></a><var>6.26</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Debtor)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.6.27"></a><var>6.27</var><br/>
<a id="pl.6.28"></a><var>6.28</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Financial <br/>
institution)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
</table>

<a id="pl.6.32"></a><var>6.32</var><b>Your account balance is $.......</b><br/>
<a id="pl.6.33"></a><var>6.33</var><b>The amount being held is $.......</b><br/>
<a id="pl.6.34"></a><var>6.34</var>The amount being held will be frozen for 14 days from the date of this notice.<br/>
<a id="pl.6.35"></a><var>6.35</var><b>Some of your money in your account may be protected (the legal word is </b><br/>
<a id="pl.6.36"></a><var>6.36</var><b>exempt). You may be able to get it sooner than 14 days if you act quickly and follow </b><br/>
<a id="pl.6.37"></a><var>6.37</var><b>the instructions on the next page.</b><br/>
<a id="pl.7.1"></a><var>7.1</var>The attached exemption form lists some different sources of money in your account <br/>
<a id="pl.7.2"></a><var>7.2</var>that may be protected. If your money is from one or more of these sources, place a <br/>
<a id="pl.7.3"></a><var>7.3</var>check on the line on the form next to the sources of your money. If it is from one of <br/>
<a id="pl.7.4"></a><var>7.4</var>these sources, the Creditor cannot take it.<br/>
<a id="pl.7.5"></a><var>7.5</var>BUT,<b> you must follow the instructions and return the exemption form and </b><br/>
<a id="pl.7.6"></a><var>7.6</var><b>copies of your bank statements from the last 60 days</b> to have the bank unfreeze your <br/>
<a id="pl.7.7"></a><var>7.7</var>money. If you do not follow the instructions, your financial institution will give the money <br/>
<a id="pl.7.8"></a><var>7.8</var>to the Sheriff. If that happens and it is protected, you can still get it back from the Creditor <br/>
<a id="pl.7.9"></a><var>7.9</var>later, but that is not as easy to do as filling in the form now.<br/>

<a id="pl.7.12"></a><var>7.12</var>in a separate form and must be substantially in the following form:<br/>

<a id="pl.7.15"></a><var>7.15</var>1. Fill out both of the attached exemption forms in this packet.<br/>
<a id="pl.7.16"></a><var>7.16</var><b>If you check one of the lines, you should also give proof that shows that some </b><br/>
<a id="pl.7.17"></a><var>7.17</var><b>or all of the money in your account is from one or more of the protected sources. </b><br/>
<a id="pl.7.18"></a><var>7.18</var><b>Creditors may ask for a hearing if they question your exemptions. To avoid a hearing:</b><br/>
<a id="pl.7.19"></a><var>7.19</var><b>Case numbers should be added to the form. Copies of documents should be </b><br/>
<a id="pl.7.20"></a><var>7.20</var><b>sent with the form.</b><br/>
<a id="pl.7.21"></a><var>7.21</var><b>NOTICE: YOU MUST SEND TO THE CREDITOR'S ATTORNEY (OR TO </b><br/>
<a id="pl.7.22"></a><var>7.22</var><b>THE CREDITOR, IF NO ATTORNEY) COPIES OF YOUR BANK STATEMENTS </b><br/>
<a id="pl.7.23"></a><var>7.23</var><b>FOR THE PAST 60 DAYS BEFORE THE LEVY. Keep a copy of your bank </b><br/>
<a id="pl.7.24"></a><var>7.24</var><b>statements in case there are questions about your claim. If you do not send to the </b><br/>
<a id="pl.7.25"></a><var>7.25</var><b>creditor's attorney (or to the creditor, if no attorney) bank statements with your </b><br/>
<a id="pl.7.26"></a><var>7.26</var><b>exemption claim, the financial institution may release your money to the sheriff.</b><br/>
<a id="pl.7.27"></a><var>7.27</var>2. <b>Sign</b> the exemption forms. <b>Make one copy to keep for yourself.</b><br/>
<a id="pl.7.28"></a><var>7.28</var>3. <b>Mail or deliver</b> the other copies of the form by (insert date).<br/>
<a id="pl.7.29"></a><var>7.29</var><b>BOTH COPIES MUST BE MAILED OR DELIVERED THE SAME DAY.</b><br/>
<a id="pl.7.30"></a><var>7.30</var>One copy of the form and the copies of your bank statements go to:<br/>
<table>
<col width="50px"/>
<col width="37.5"/>
<tr>
<td><a id="pl.7.31"></a><var>7.31</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.7.32"></a><var>7.32</var><br/>
</td>
<td>(Insert name of creditor or creditor's attorney)<br/>
</td>
</tr>
<tr>
<td><a id="pl.7.33"></a><var>7.33</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.7.34"></a><var>7.34</var><br/>
</td>
<td>(Insert address of creditor or creditor's attorney) <br/>
</td>
</tr>
</table><a id="pl.7.35"></a><var>7.35</var>One copy goes to:<br/>
<table>
<col width="50px"/>
<col width="37.5"/>
<tr>
<td><a id="pl.8.1"></a><var>8.1</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.8.2"></a><var>8.2</var><br/>
</td>
<td>(Insert name of bank)<br/>
</td>
</tr>
<tr>
<td><a id="pl.8.3"></a><var>8.3</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.8.4"></a><var>8.4</var><br/>
</td>
<td>(Insert address of bank)<br/>
</td>
</tr>
</table>

<a id="pl.8.7"></a><var>8.7</var>14 days after the date of this letter some or all of your money may be turned over <br/>
<a id="pl.8.8"></a><var>8.8</var>to the creditor or to the sheriff.<br/>
<a id="pl.8.9"></a><var>8.9</var><b>If You Send in the Exemption Form and Bank Statements:</b><br/>
<a id="pl.8.10"></a><var>8.10</var>Any money that is NOT protected can be turned over to the sheriff.<br/>
<a id="pl.8.11"></a><var>8.11</var><b>If the Creditor Does Not Object:</b><br/>
<a id="pl.8.12"></a><var>8.12</var>The financial institution will unfreeze your money six business days after the <br/>
<a id="pl.8.13"></a><var>8.13</var>institution gets your completed form.<br/>
<a id="pl.8.14"></a><var>8.14</var><b>If the Creditor Objects:</b><br/>
<a id="pl.8.15"></a><var>8.15</var>The money you have said is protected on the form will be held by the bank. The <br/>
<a id="pl.8.16"></a><var>8.16</var>creditor has six business days to object (disagree) and ask the court to hold a hearing. You <br/>
<a id="pl.8.17"></a><var>8.17</var>will receive a Notice of Objection and a Notice of Hearing.<br/>
<a id="pl.8.18"></a><var>8.18</var>The financial institution will hold the money until a court decides whether your <br/>
<a id="pl.8.19"></a><var>8.19</var>money is protected or not. Some reasons a creditor may object are because you did not <br/>
<a id="pl.8.20"></a><var>8.20</var>send copies of your bank statements or other proof of the benefits you received. Be sure to <br/>
<a id="pl.8.21"></a><var>8.21</var>include these when you send your exemption form.<br/>
<a id="pl.8.22"></a><var>8.22</var>You may want to talk to a lawyer for advice about this process. If you are low <br/>
<a id="pl.8.23"></a><var>8.23</var>income you can call Legal Aid.<br/>
<a id="pl.8.24"></a><var>8.24</var><b>PENALTIES:</b><br/>
<a id="pl.8.25"></a><var>8.25</var>If you claim that your money is protected and a court decides you made that claim <br/>
<a id="pl.8.26"></a><var>8.26</var>in bad faith, the court can order you to pay costs, actual damages, attorney fees, and an <br/>
<a id="pl.8.27"></a><var>8.27</var>additional amount of up to $100. For example, it may be bad faith if you claim you receive <br/>
<a id="pl.8.28"></a><var>8.28</var>government benefits that you do not receive.<br/>
<a id="pl.8.29"></a><var>8.29</var>If the creditor made a bad faith objection to your claim that your money is protected, <br/>
<a id="pl.8.30"></a><var>8.30</var>the court can order them to pay costs, actual damages, attorney fees, and an additional <br/>
<a id="pl.8.31"></a><var>8.31</var>amount of up to $100.<br/>
<a id="pl.8.32"></a><var>8.32</var>    Subd. 3c. <b>Form of exemption form.</b> The exemption form required by this <br/>
<a id="pl.8.33"></a><var>8.33</var>subdivision must be sent as a separate form and must be in substantially the following <br/>
<a id="pl.8.34"></a><var>8.34</var>form:<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.8.35"></a><var>8.35</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.8.36"></a><var>8.36</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td align="right" colspan="2"><span>
                     							.....
                     						</span>JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.9.1"></a><var>9.1</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Creditor)<br/>
</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.9.2"></a><var>9.2</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Debtor)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.9.3"></a><var>9.3</var><br/>
<a id="pl.9.4"></a><var>9.4</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Financial <br/>
institution)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
</table>

<table>
<col width="50px"/>
<col width="2"/>
<col width="26.5"/>
<col width="1.5"/>
<tr>
<td><a id="pl.9.6"></a><var>9.6</var><br/>
</td>
<td>A.<br/>
</td>
<td colspan="2"><b>HOW MUCH MONEY IS PROTECTED</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.7"></a><var>9.7</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">I claim ALL of the money being frozen by the bank is protected.<br/>
</td>
</tr>
<tr>
<td><a id="pl.9.8"></a><var>9.8</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">I claim SOME of the money is protected. The amount I claim is protected is $.......<br/>
</td>
</tr>
<tr>
<td><a id="pl.9.9"></a><var>9.9</var><br/>
</td>
<td>B.<br/>
</td>
<td colspan="2"><b>WHY THE MONEY IS PROTECTED</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.10"></a><var>9.10</var><br/>
<a id="pl.9.11"></a><var>9.11</var><br/>
</td>
<td></td>
<td colspan="2">My money is protected because I get it from one or more of the following places: <br/>
<b>(Check all that apply)</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.12"></a><var>9.12</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Government benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.13"></a><var>9.13</var><br/>
</td>
<td></td>
<td colspan="2">Government benefits include, but are not limited to, the following:<br/>
</td>
</tr>
<tr>
<td><a id="pl.9.14"></a><var>9.14</var><br/>
</td>
<td></td>
<td colspan="2"><b>MFIP</b> - Minnesota family investment program, <br/>
</td>
</tr>
<tr>
<td><a id="pl.9.15"></a><var>9.15</var><br/>
</td>
<td></td>
<td colspan="2"><b>MFIP Diversionary Work Program,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.16"></a><var>9.16</var><br/>
</td>
<td></td>
<td colspan="2"><b>Work participation cash benefit,</b> <br/>
</td>
</tr>
<tr>
<td><a id="pl.9.17"></a><var>9.17</var><br/>
</td>
<td></td>
<td colspan="2"><b>GA</b> - general assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.9.18"></a><var>9.18</var><br/>
</td>
<td></td>
<td colspan="2"><b>EA</b> - emergency assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.9.19"></a><var>9.19</var><br/>
</td>
<td></td>
<td colspan="2"><b>MA</b> - medical assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.9.20"></a><var>9.20</var><br/>
</td>
<td></td>
<td colspan="2"><b>GAMC</b> - general assistance medical care,<br/>
</td>
</tr>
<tr>
<td><a id="pl.9.21"></a><var>9.21</var><br/>
</td>
<td></td>
<td colspan="2"><b>EGA</b> - emergency general assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.9.22"></a><var>9.22</var><br/>
</td>
<td></td>
<td colspan="2"><b>MSA</b> - Minnesota supplemental aid,<br/>
</td>
</tr>
<tr>
<td><a id="pl.9.23"></a><var>9.23</var><br/>
</td>
<td></td>
<td colspan="2"><b>MSA-EA</b> - MSA emergency assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.9.24"></a><var>9.24</var><br/>
</td>
<td></td>
<td colspan="2"><b>Food Support,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.25"></a><var>9.25</var><br/>
</td>
<td></td>
<td colspan="2"><b>SSI - Supplemental Security Income,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.26"></a><var>9.26</var><br/>
</td>
<td></td>
<td colspan="2"><b>MinnesotaCare,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.27"></a><var>9.27</var><br/>
</td>
<td></td>
<td colspan="2"><b>Medicare part B premium payments,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.28"></a><var>9.28</var><br/>
</td>
<td></td>
<td colspan="2"><b>Medicare part D extra help,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.29"></a><var>9.29</var><br/>
</td>
<td></td>
<td colspan="2"><b>Energy or fuel assistance.</b><br/>
</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.9.30"></a><var>9.30</var><br/>
</td>
<td colspan="3"><b>LIST SOURCE(S) OF FUNDING IN YOUR ACCOUNT</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.31"></a><var>9.31</var><br/>
</td>
<td colspan="3"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.32"></a><var>9.32</var><br/>
</td>
<td colspan="3"><b>LIST THE CASE NUMBER AND COUNTY</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.33"></a><var>9.33</var><br/>
</td>
<td></td>
<td colspan="2">Case Number: <br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.9.34"></a><var>9.34</var><br/>
</td>
<td></td>
<td colspan="2">County: <br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.9.35"></a><var>9.35</var><br/>
</td>
<td></td>
<td colspan="2"><b>Government benefits also include:</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.36"></a><var>9.36</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Social Security benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.37"></a><var>9.37</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Unemployment benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.38"></a><var>9.38</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Workers' compensation</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.39"></a><var>9.39</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Veterans benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.40"></a><var>9.40</var><br/>
<a id="pl.9.41"></a><var>9.41</var><br/>
<a id="pl.9.42"></a><var>9.42</var><br/>
</td>
<td></td>
<td colspan="2"><b>If you receive any of these government benefits, include copies of any </b><br/>
<b>documents you have that show you receive Social Security, unemployment, </b><br/>
<b>workers' compensation, or veterans benefits.</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.9.43"></a><var>9.43</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Other assistance based on need</b><br/>
</td>
</tr>
</table><a id="pl.10.1"></a><var>10.1</var>You may have assistance based on need from another source that is not on the list. If you <br/>
<a id="pl.10.2"></a><var>10.2</var>do, check this box, and fill in the source of your money on the line below:<br/>
<a id="pl.10.3"></a><var>10.3</var>Source: <br/>
<span>
            							.....
            						</span><a id="pl.10.4"></a><var>10.4</var><b>Include copies of any documents you have that show the source of this money.</b><br/>
<table>
<col width="50px"/>
<col width="2"/>
<col width="26.5"/>
<col width="1.5"/>
<tr>
<td><a id="pl.10.5"></a><var>10.5</var><br/>
</td>
<td><b>EARNINGS</b><br/>
</td>
<td colspan="2"></td>
</tr>
<tr>
<td><a id="pl.10.6"></a><var>10.6</var><br/>
</td>
<td></td>
<td colspan="2"><b>ALL or SOME of your earnings (wages) may also be protected.</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.10.7"></a><var>10.7</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>All of your earnings (wages) are protected if:</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.10.8"></a><var>10.8</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You get government benefits (see list of government benefits)<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.9"></a><var>10.9</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You currently receive other assistance based on need<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.10"></a><var>10.10</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You have received government benefits in the last six months<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.11"></a><var>10.11</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You were in jail or prison in the last six months<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.12"></a><var>10.12</var><br/>
<a id="pl.10.13"></a><var>10.13</var><br/>
<a id="pl.10.14"></a><var>10.14</var><br/>
<a id="pl.10.15"></a><var>10.15</var><br/>
</td>
<td></td>
<td colspan="2"><b>If you check one of these lines,</b> your wages are only protected for 60 days after <br/>
they are deposited in your account so <b>you MUST send the creditor a copy of </b><br/>
<b>BANK STATEMENTS</b> that show what was in your account <b>for the 60 days right </b><br/>
<b>before the bank froze your money</b>.<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.16"></a><var>10.16</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Some of your earnings (wages) are protected.</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.10.17"></a><var>10.17</var><br/>
<a id="pl.10.18"></a><var>10.18</var><br/>
<a id="pl.10.19"></a><var>10.19</var><br/>
</td>
<td></td>
<td colspan="2">If all of your earnings are not exempt, then some of your earnings are still protected <br/>
for 20 days after they were deposited in your account. The amount protected is the <br/>
larger amount of:<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.20"></a><var>10.20</var><br/>
</td>
<td></td>
<td colspan="2">75 percent of your wages (after taxes are taken out); or<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.21"></a><var>10.21</var><br/>
</td>
<td></td>
<td colspan="2">(insert the sum of the current federal minimum wage) multiplied by 40.<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.22"></a><var>10.22</var><br/>
</td>
<td></td>
<td colspan="2"><b>OTHER EXEMPT FUNDS</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.10.23"></a><var>10.23</var><br/>
<a id="pl.10.24"></a><var>10.24</var><br/>
</td>
<td></td>
<td colspan="2">The money from the following are also completely protected after they are <br/>
deposited in your account.<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.25"></a><var>10.25</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>An accident, disability, or retirement pension or annuity</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.10.26"></a><var>10.26</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Payments to you from a life insurance policy</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.10.27"></a><var>10.27</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Earnings of your child who is under 18 years of age</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.10.28"></a><var>10.28</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Child support</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.10.29"></a><var>10.29</var><br/>
<a id="pl.10.30"></a><var>10.30</var><br/>
<a id="pl.10.31"></a><var>10.31</var><br/>
<a id="pl.10.32"></a><var>10.32</var><br/>
</td>
<td valign="top"><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Money paid to you from a claim for damage or destruction of property</b> <br/>
Property includes household goods, farm tools or machinery, tools for your job, <br/>
business equipment, a mobile home, a car, a musical instrument, a pew or burial lot, <br/>
clothes, furniture, or appliances.<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.33"></a><var>10.33</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Death benefits paid to you</b><br/>
</td>
</tr>
</table><a id="pl.10.34"></a><var>10.34</var>I give permission to any agency that has given me cash benefits to give information <br/>
<a id="pl.10.35"></a><var>10.35</var>about my benefits to the above-named creditor, or its attorney. The information will <b>ONLY</b> <br/>
<a id="pl.10.36"></a><var>10.36</var>concern whether I get benefits or not, or whether I have gotten them in the past six months.<br/>
<a id="pl.10.37"></a><var>10.37</var>If I was an inmate in the last six months, I give my permission to the correctional <br/>
<a id="pl.10.38"></a><var>10.38</var>institution to tell the above-named creditor that I was an inmate there.<br/>
<a id="pl.10.39"></a><var>10.39</var><b>YOU MUST SIGN AND SEND THIS FORM BACK TO THE CREDITOR'S </b><br/>
<a id="pl.10.40"></a><var>10.40</var><b>ATTORNEY (OR TO THE CREDITOR, IF NO ATTORNEY) AND THE BANK. </b><br/>
<a id="pl.10.41"></a><var>10.41</var><b>REMEMBER TO INCLUDE A COPY OF YOUR BANK STATEMENTS FOR </b><br/>
<a id="pl.11.1"></a><var>11.1</var><b>THE PAST 60 DAYS. FILL IN THE BLANKS BELOW AND GO BACK TO THE </b><br/>
<a id="pl.11.2"></a><var>11.2</var><b>INSTRUCTIONS TO MAKE SURE YOU DO IT CORRECTLY.</b><br/>
<a id="pl.11.3"></a><var>11.3</var>I have mailed or delivered a copy of this form to:<br/>
<table>
<col width="50px"/>
<col width="37.5"/>
<tr>
<td><a id="pl.11.4"></a><var>11.4</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.11.5"></a><var>11.5</var><br/>
</td>
<td>(Insert name of creditor or creditor's attorney)<br/>
</td>
</tr>
<tr>
<td><a id="pl.11.6"></a><var>11.6</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.11.7"></a><var>11.7</var><br/>
</td>
<td>(Insert address of creditor or creditor's attorney)<br/>
</td>
</tr>
</table><a id="pl.11.8"></a><var>11.8</var>I have also mailed or delivered a copy of this exemption form to my bank at the <br/>
<a id="pl.11.9"></a><var>11.9</var>address listed in the instructions.<br/>
<table>
<col width="50px"/>
<col width="5"/>
<col width="15"/>
<tr>
<td><a id="pl.11.10"></a><var>11.10</var><br/>
</td>
<td>DATED: <br/>
<span>
                     							.....
                     						</span></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.11.11"></a><var>11.11</var><br/>
</td>
<td></td>
<td>DEBTOR<br/>
</td>
</tr>
<tr>
<td><a id="pl.11.12"></a><var>11.12</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.11.13"></a><var>11.13</var><br/>
</td>
<td></td>
<td>DEBTOR ADDRESS<br/>
</td>
</tr>
<tr>
<td><a id="pl.11.14"></a><var>11.14</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.11.15"></a><var>11.15</var><br/>
</td>
<td></td>
<td>DEBTOR TELEPHONE NUMBER<br/>
</td>
</tr>
</table><a id="pl.11.16"></a><var>11.16</var>    Subd. 4. <b>Effect of exemption notice.</b> Within two business days after receipt of the <br/>
<a id="pl.11.17"></a><var>11.17</var>writ of execution and, notice, instructions, and two copies of the exemption notices notice, <br/>
<a id="pl.11.18"></a><var>11.18</var>the financial institution shall serve upon the judgment debtor the notice, instructions, <br/>
<a id="pl.11.19"></a><var>11.19</var>and two copies of the exemption notice. The financial institution shall serve the notice <br/>
<a id="pl.11.20"></a><var>11.20</var>these forms by first class mail to the last known address of the judgment debtor. If no <br/>
<a id="pl.11.21"></a><var>11.21</var>claim of exemption is received by the financial institution within 14 days after the notice, <br/>
<a id="pl.11.22"></a><var>11.22</var>instructions, and exemption notices are mailed to the judgment debtor, the funds remain <br/>
<a id="pl.11.23"></a><var>11.23</var>subject to the execution levy and shall be remitted to the sheriff within seven six business <br/>
<a id="pl.11.24"></a><var>11.24</var>days. If the judgment debtor elects to claim an exemption, the judgment debtor shall <br/>
<a id="pl.11.25"></a><var>11.25</var>complete the exemption notice, sign it under penalty of perjury, and deliver one copy to <br/>
<a id="pl.11.26"></a><var>11.26</var>the financial institution and one copy to the attorney for the judgment creditor within <br/>
<a id="pl.11.27"></a><var>11.27</var>14 days of the date postmarked on the correspondence mailed to the debtor containing <br/>
<a id="pl.11.28"></a><var>11.28</var>the exemption notices. The judgment debtor is also required to include copies of bank <br/>
<a id="pl.11.29"></a><var>11.29</var>statements for the prior 60 days with the exemption notice delivered to the attorney for the <br/>
<a id="pl.11.30"></a><var>11.30</var>judgment creditor. In the event that there is no attorney for the judgment creditor, then the <br/>
<a id="pl.11.31"></a><var>11.31</var>notice and bank statements must be sent directly to the judgment creditor. Failure of the <br/>
<a id="pl.11.32"></a><var>11.32</var>judgment debtor to deliver the executed exemption notice or copies of the required bank <br/>
<a id="pl.11.33"></a><var>11.33</var>statements for the prior 60 days does not constitute a waiver of any claimed right to an <br/>
<a id="pl.11.34"></a><var>11.34</var>exemption. Upon timely receipt of a claim of exemption, funds not claimed to be exempt <br/>
<a id="pl.11.35"></a><var>11.35</var>by the debtor remain subject to the execution levy. All money claimed to be exempt shall <br/>
<a id="pl.11.36"></a><var>11.36</var>be released to the judgment debtor upon the expiration of seven six business days after <br/>
<a id="pl.11.37"></a><var>11.37</var>the date postmarked on the envelope containing the executed exemption notice mailed to <br/>
<a id="pl.12.1"></a><var>12.1</var>the financial institution, or the date of personal delivery of the executed exemption notice <br/>
<a id="pl.12.2"></a><var>12.2</var>to the financial institution, unless within that time the judgment creditor interposes an <br/>
<a id="pl.12.3"></a><var>12.3</var>objection to the exemption.<br/>
<a id="pl.12.4"></a><var>12.4</var>    Subd. 5. <b>Objection </b><b>to exemption claim</b><b> and request for hearing</b><b>.</b> (a) An objection <br/>
<a id="pl.12.5"></a><var>12.5</var>shall be interposed within six business days of receipt by the creditor of an exemption <br/>
<a id="pl.12.6"></a><var>12.6</var>claim from the debtor, by mailing or delivering one copy of the written objection Notice of <br/>
<a id="pl.12.7"></a><var>12.7</var>Objection and Notice of Hearing to the financial institution and one copy of the written <br/>
<a id="pl.12.8"></a><var>12.8</var>objection Notice of Objection and Notice of Hearing to the judgment debtor along with a <br/>
<a id="pl.12.9"></a><var>12.9</var>copy of the judgment debtor's claimed exemption form. Both copies of an objection to an <br/>
<a id="pl.12.10"></a><var>12.10</var>exemption claim shall be mailed or delivered on the same date. The financial institution <br/>
<a id="pl.12.11"></a><var>12.11</var>may rely on the date of mailing or delivery of a notice to it in computing any time periods <br/>
<a id="pl.12.12"></a><var>12.12</var>in this section. The written objection Notice of Objection and Notice of Hearing must be <br/>
<a id="pl.12.13"></a><var>12.13</var>substantially in the form specified in subdivision 7.<br/>
<a id="pl.12.14"></a><var>12.14</var>(b) The court administrator may charge a fee of $1 for the filing of a Notice of <br/>
<a id="pl.12.15"></a><var>12.15</var>Objection and Notice of Hearing. Upon the filing of a Notice of Objection and Notice of <br/>
<a id="pl.12.16"></a><var>12.16</var>Hearing, the court administrator shall schedule the matter for hearing no sooner than five <br/>
<a id="pl.12.17"></a><var>12.17</var>business days but no later than seven business days from the date of filing. A debtor may <br/>
<a id="pl.12.18"></a><var>12.18</var>request continuance of the hearing by notifying the creditor and the court. The court shall <br/>
<a id="pl.12.19"></a><var>12.19</var>schedule the continued hearing within seven days of the original hearing date.<br/>
<a id="pl.12.20"></a><var>12.20</var>(c) An order stating whether the debtor's funds are exempt must be issued by the <br/>
<a id="pl.12.21"></a><var>12.21</var>court within three days of the date of the hearing.<br/>
<a id="pl.12.22"></a><var>12.22</var>    Subd. 6. <b>Duties of financial institution if objection is made to exemption claim.</b><br/>
<a id="pl.12.23"></a><var>12.23</var>Upon receipt of a written objection Notice of Objection and Notice of Hearing from <br/>
<a id="pl.12.24"></a><var>12.24</var>the judgment creditor or its attorney within the specified seven-day six-day period, the <br/>
<a id="pl.12.25"></a><var>12.25</var>financial institution shall retain the funds claimed to be exempt. Unless the financial <br/>
<a id="pl.12.26"></a><var>12.26</var>institution receives a request for hearing and notice of hearing from the judgment debtor <br/>
<a id="pl.12.27"></a><var>12.27</var>asserting exemption rights within ten days after receipt of a written objection to the <br/>
<a id="pl.12.28"></a><var>12.28</var>exemption, the funds remain subject to the execution levy as if no claim of exemption <br/>
<a id="pl.12.29"></a><var>12.29</var>had been made and shall be remitted to the sheriff within seven days. If a request for <br/>
<a id="pl.12.30"></a><var>12.30</var>hearing and notice of hearing to determine the validity of a claim of exemption is received <br/>
<a id="pl.12.31"></a><var>12.31</var>by the financial institution within the period provided, it The financial institution shall <br/>
<a id="pl.12.32"></a><var>12.32</var>retain the funds claimed to be exempt until otherwise ordered by the court or upon mutual <br/>
<a id="pl.12.33"></a><var>12.33</var>agreement of the parties.<br/>
<a id="pl.12.34"></a><var>12.34</var>    Subd. 7. <b>Form of </b><b>Notice of Objection</b><b> and Notice of Hearing</b><b>.</b> (a) The written <br/>
<a id="pl.12.35"></a><var>12.35</var>objection to the judgment debtor's claim of exemption Written Objection and Notice of <br/>
<a id="pl.12.36"></a><var>12.36</var>Hearing must be in substantially the following form:<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.13.1"></a><var>13.1</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.13.2"></a><var>13.2</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td colspan="2"><span>
                     							.....
                     						</span> JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.13.3"></a><var>13.3</var><br/>
<a id="pl.13.4"></a><var>13.4</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment <br/>
Creditor)<br/>
</td>
<td></td>
<td></td>
<td align="right">OBJECTION <br/>
TO<br/>
</td>
</tr>
<tr>
<td><a id="pl.13.5"></a><var>13.5</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment Debtor)<br/>
</td>
<td></td>
<td align="right" colspan="2">EXEMPTION CLAIM<br/>
</td>
</tr>
<tr>
<td><a id="pl.13.6"></a><var>13.6</var><br/>
<a id="pl.13.7"></a><var>13.7</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="3">(Garnishee) (Third <br/>
Party)<br/>
</td>
<td></td>
<td></td>
</tr>
</table><a id="pl.13.8"></a><var>13.8</var>The judgment creditor objects to your claim for exemption from garnishment, <br/>
<a id="pl.13.9"></a><var>13.9</var>levy of execution, order for attachment (strike inapplicable language) for the following <br/>
<a id="pl.13.10"></a><var>13.10</var>reason(s): <br/>
<span>
            							.....
            						</span><span>
            							.....
            						</span><a id="pl.13.11"></a><var>13.11</var><br/>
<span>
            							.....
            						</span><a id="pl.13.12"></a><var>13.12</var><br/>
<a id="pl.13.13"></a><var>13.13</var>Because of this objection, your financial institution will retain the funds you claimed <br/>
<a id="pl.13.14"></a><var>13.14</var>to be exempt for an additional ten days. If you wish to request a hearing on your exemption <br/>
<a id="pl.13.15"></a><var>13.15</var>claim, you need to do so within ten days from the date the objection was personally served <br/>
<a id="pl.13.16"></a><var>13.16</var>on you, or within 13 days of the date the objection was mailed to you. You may request a <br/>
<a id="pl.13.17"></a><var>13.17</var>hearing by completing the attached form and filing it with the court administrator.<br/>
<a id="pl.13.18"></a><var>13.18</var>1. The court administrator's office shall provide clerical assistance to help with the <br/>
<a id="pl.13.19"></a><var>13.19</var>writing and filing of a Request for Hearing by any person not represented by counsel. The <br/>
<a id="pl.13.20"></a><var>13.20</var>court administrator may charge a fee of $1 for the filing of a Request for Hearing.<br/>
<a id="pl.13.21"></a><var>13.21</var>2. Upon the filing of a Request for Hearing, the court administrator shall schedule <br/>
<a id="pl.13.22"></a><var>13.22</var>the matter for a hearing no later than five business days from the date of filing. The court <br/>
<a id="pl.13.23"></a><var>13.23</var>administrator shall forthwith send a completed copy of the request, including the hearing <br/>
<a id="pl.13.24"></a><var>13.24</var>date, time, and place to the adverse party and to the financial institution by first class mail.<br/>
<a id="pl.13.25"></a><var>13.25</var>3. If it is possible that the financial institution might not receive the request mailed <br/>
<a id="pl.13.26"></a><var>13.26</var>from the court administrator within ten days, then you may want to personally deliver a <br/>
<a id="pl.13.27"></a><var>13.27</var>copy of the request to the financial institution after you have filed your request with the <br/>
<a id="pl.13.28"></a><var>13.28</var>court.<br/>
<a id="pl.13.29"></a><var>13.29</var>4. An order stating whether your funds are exempt shall be issued by the court <br/>
<a id="pl.13.30"></a><var>13.30</var>within three days of the date of the hearing.<br/>
<a id="pl.13.31"></a><var>13.31</var>If you do not file a Request for Hearing within ten days of the date the objection was <br/>
<a id="pl.13.32"></a><var>13.32</var>personally served on you, or within 13 days from the date the objection was mailed to you, <br/>
<a id="pl.13.33"></a><var>13.33</var>your financial institution may turn your funds over to your creditor.<br/>
<a id="pl.13.34"></a><var>13.34</var>If you file a Request for Hearing and your financial institution receives it within ten <br/>
<a id="pl.13.35"></a><var>13.35</var>days of the date it received this objection, your financial institution will retain your funds <br/>
<a id="pl.13.36"></a><var>13.36</var>claimed to be exempt until otherwise ordered by the court.<br/>
<table>
<col width="50px"/>
<col width="42.5"/>
<col width="22.5"/>
<tr>
<td><a id="pl.14.1"></a><var>14.1</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.14.2"></a><var>14.2</var><br/>
</td>
<td></td>
<td>Judgment Creditor or Attorney<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.14.3"></a><var>14.3</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.14.4"></a><var>14.4</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td align="right" colspan="2"><span>
                     							.....
                     						</span> JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.14.5"></a><var>14.5</var><br/>
</td>
<td colspan="2"><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.14.6"></a><var>14.6</var><br/>
</td>
<td>(Creditor)<br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.14.7"></a><var>14.7</var><br/>
<a id="pl.14.8"></a><var>14.8</var><br/>
<a id="pl.14.9"></a><var>14.9</var><br/>
<a id="pl.14.10"></a><var>14.10</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td align="right" colspan="2">CREDITOR'S NOTICE OF <br/>
OBJECTION AND NOTICE OF <br/>
HEARING ON EXEMPTION <br/>
CLAIM<br/>
</td>
</tr>
<tr>
<td><a id="pl.14.11"></a><var>14.11</var><br/>
</td>
<td colspan="2"><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.14.12"></a><var>14.12</var><br/>
</td>
<td>(Debtor)<br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.14.13"></a><var>14.13</var><br/>
</td>
<td colspan="2"><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.14.14"></a><var>14.14</var><br/>
</td>
<td colspan="2">(Financial Institution)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.14.15"></a><var>14.15</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td colspan="3">(DEBTOR)<br/>
</td>
</tr>
<tr>
<td><a id="pl.14.16"></a><var>14.16</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td colspan="3"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.14.17"></a><var>14.17</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td colspan="3">ADDRESS<br/>
</td>
</tr>
<tr>
<td><a id="pl.14.18"></a><var>14.18</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td colspan="3"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.14.19"></a><var>14.19</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td colspan="3"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width=""/>
<col width=""/>
<tr>
<td><a id="pl.14.20"></a><var>14.20</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.14.21"></a><var>14.21</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.14.22"></a><var>14.22</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.14.23"></a><var>14.23</var><br/>
<a id="pl.14.24"></a><var>14.24</var><br/>
</td>
<td>(CREDITOR OR CREDITOR'S <br/>
ATTORNEY)<br/>
</td>
<td></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width=""/>
<col width=""/>
<tr>
<td><a id="pl.14.25"></a><var>14.25</var><br/>
</td>
<td></td>
<td><b>NOTICE OF HEARING</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.14.26"></a><var>14.26</var><br/>
<a id="pl.14.27"></a><var>14.27</var><br/>
<a id="pl.14.28"></a><var>14.28</var><br/>
</td>
<td></td>
<td>The creditor objects to your exemption <br/>
claim. This hearing is to resolve your <br/>
exemption claim.<br/>
</td>
</tr>
<tr>
<td><a id="pl.14.29"></a><var>14.29</var><br/>
</td>
<td>Hearing Date:<br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.14.30"></a><var>14.30</var><br/>
</td>
<td>Time:<br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.14.31"></a><var>14.31</var><br/>
</td>
<td>Hearing Place:<br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
</table><a id="pl.14.32"></a><var>14.32</var>The creditor objects to your claim of exemption from levy of execution for the <br/>
<a id="pl.14.33"></a><var>14.33</var>following reason(s):<br/>
<table>
<col width="50px"/>
<col width=""/>
<tr>
<td><a id="pl.14.34"></a><var>14.34</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.14.35"></a><var>14.35</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.14.36"></a><var>14.36</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
</table><a id="pl.14.37"></a><var>14.37</var><b>(Note: Bring with you to the hearing all documents and materials supporting </b><br/>
<a id="pl.14.38"></a><var>14.38</var><b>your exemption claim.</b> Failure to do so could delay the court's decision.)<br/>
<a id="pl.14.39"></a><var>14.39</var>If the creditor receives all documents and materials supporting your exemption <br/>
<a id="pl.14.40"></a><var>14.40</var>claim before the hearing date, the creditor may agree with your exemption claim and <br/>
<a id="pl.14.41"></a><var>14.41</var>you might still be able to avoid a hearing.<br/>
<a id="pl.15.1"></a><var>15.1</var>Because a court hearing will be held on your claim that your funds are protected, <br/>
<a id="pl.15.2"></a><var>15.2</var>your financial institution will retain the funds until it receives an order from the court or <br/>
<a id="pl.15.3"></a><var>15.3</var>upon mutual agreement between you and your creditor.<br/>
<a id="pl.15.4"></a><var>15.4</var>    Subd. 8. <b>Request for hearing and notice for hearing.</b> The request for hearing <br/>
<a id="pl.15.5"></a><var>15.5</var>accompanying the objection notice must be in substantially the following form:<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.15.6"></a><var>15.6</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.15.7"></a><var>15.7</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td colspan="2"><span>
                     							.....
                     						</span> JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.15.8"></a><var>15.8</var><br/>
<a id="pl.15.9"></a><var>15.9</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment <br/>
Creditor)<br/>
</td>
<td></td>
<td align="right" colspan="2">REQUEST FOR HEARING<br/>
</td>
</tr>
<tr>
<td><a id="pl.15.10"></a><var>15.10</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment Debtor)<br/>
</td>
<td></td>
<td></td>
<td align="right">AND<br/>
</td>
</tr>
<tr>
<td><a id="pl.15.11"></a><var>15.11</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Third Party)<br/>
</td>
<td></td>
<td align="right" colspan="2">NOTICE FOR HEARING<br/>
</td>
</tr>
</table><a id="pl.15.12"></a><var>15.12</var>I hereby request a hearing to resolve the exemption claim which has been made <br/>
<a id="pl.15.13"></a><var>15.13</var>in this case regarding funds in the account of ............. (Judgment Debtor) at the ......... <br/>
<a id="pl.15.14"></a><var>15.14</var>(Financial Institution).<br/>
<a id="pl.15.15"></a><var>15.15</var>    I believe the property being held is exempt because<br/>
<span>
            							.....
            						</span><a id="pl.15.16"></a><var>15.16</var>    <br/>
<span>
            							.....
            						</span><a id="pl.15.17"></a><var>15.17</var><br/>
<table>
<col width="50px"/>
<col width="23.5"/>
<col width="4"/>
<col width="37.5"/>
<tr>
<td><a id="pl.15.18"></a><var>15.18</var><br/>
</td>
<td>Dated: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.15.19"></a><var>15.19</var><br/>
</td>
<td></td>
<td></td>
<td>(JUDGMENT DEBTOR)<br/>
</td>
</tr>
<tr>
<td><a id="pl.15.20"></a><var>15.20</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.15.21"></a><var>15.21</var><br/>
</td>
<td></td>
<td></td>
<td>(ADDRESS)<br/>
</td>
</tr>
<tr>
<td><a id="pl.15.22"></a><var>15.22</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.15.23"></a><var>15.23</var><br/>
</td>
<td></td>
<td></td>
<td>(DEBTOR PHONE NUMBER)<br/>
</td>
</tr>
<tr>
<td><a id="pl.15.24"></a><var>15.24</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.15.25"></a><var>15.25</var><br/>
</td>
<td>HEARING DATE: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td>TIME: <br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.15.26"></a><var>15.26</var><br/>
</td>
<td>HEARING PLACE: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
</tr>
</table><a id="pl.15.27"></a><var>15.27</var>(Note to both parties: Bring with you to the hearing all documents and materials <br/>
<a id="pl.15.28"></a><var>15.28</var>relevant to the exemption claim and objection. Failure to do so could delay the court's <br/>
<a id="pl.15.29"></a><var>15.29</var>decision.)<br/>
<a id="pl.15.30"></a><var>15.30</var>    Subd. 9. <b>Release of funds.</b> At any time during the procedure specified in this <br/>
<a id="pl.15.31"></a><var>15.31</var>section, the judgment debtor or the judgment creditor may, by a writing dated after the <br/>
<a id="pl.15.32"></a><var>15.32</var>service of the execution, direct the sheriff or the financial institution to release the funds in <br/>
<a id="pl.15.33"></a><var>15.33</var>question to the other party. Upon receipt of a release, the sheriff or the financial institution <br/>
<a id="pl.15.34"></a><var>15.34</var>shall release the funds as directed.<br/>
<a id="pl.15.35"></a><var>15.35</var>    Subd. 10. <b>Subsequent proceedings; bad faith claims.</b> If in subsequent proceedings <br/>
<a id="pl.15.36"></a><var>15.36</var>brought by the judgment debtor or the judgment creditor, the claim of exemption is not <br/>
<a id="pl.15.37"></a><var>15.37</var>upheld, and the court finds that it was asserted in bad faith, the judgment creditor shall be <br/>
<a id="pl.16.1"></a><var>16.1</var>awarded actual damages, costs, and reasonable attorney fees resulting from the additional <br/>
<a id="pl.16.2"></a><var>16.2</var>proceedings, and an amount not to exceed $100. If the claim of exemption is upheld, and <br/>
<a id="pl.16.3"></a><var>16.3</var>the court finds that the judgment creditor disregarded the claim of exemption in bad faith, <br/>
<a id="pl.16.4"></a><var>16.4</var>the judgment debtor shall be awarded costs, reasonable attorney fees, actual damages, and <br/>
<a id="pl.16.5"></a><var>16.5</var>an amount not to exceed $100. The underlying judgment must be modified to reflect <br/>
<a id="pl.16.6"></a><var>16.6</var>assessment of damages, costs, and attorney fees. However, if the party in whose favor a <br/>
<a id="pl.16.7"></a><var>16.7</var>penalty assessment is made is not actually indebted to the party's attorney for fees, the <br/>
<a id="pl.16.8"></a><var>16.8</var>attorney's fee award shall be made directly to the attorney and, if not paid, an appropriate <br/>
<a id="pl.16.9"></a><var>16.9</var>judgment in favor of the attorney shall be entered. Upon motion of any party in interest, <br/>
<a id="pl.16.10"></a><var>16.10</var>on notice, the court shall determine the validity of any claim of exemption, and may make <br/>
<a id="pl.16.11"></a><var>16.11</var>any order necessary to protect the rights of those interested. No financial institution is <br/>
<a id="pl.16.12"></a><var>16.12</var>liable for damages for complying with this section. Both copies of an exemption claim <br/>
<a id="pl.16.13"></a><var>16.13</var>or an objection to an exemption claim must be mailed or delivered on the same date. <br/>
<a id="pl.16.14"></a><var>16.14</var>The financial institution may rely on the date of mailing or delivery of a notice to it in <br/>
<a id="pl.16.15"></a><var>16.15</var>computing any time periods in this section.<br/>
<br/>
<a id="bill.0.2.0"></a><a id="pl.16.16"></a><var>16.16</var>    Sec. 2. Minnesota Statutes 2008, section 550.37, subdivision 14, is amended to read:<br/>
<a id="pl.16.17"></a><var>16.17</var>    Subd. 14. <b>Public assistance.</b> All relief government assistance based on need, <br/>
<a id="pl.16.18"></a><var>16.18</var>and the earnings or salary of a person who is a recipient of relief government assistance <br/>
<a id="pl.16.19"></a><var>16.19</var>based on need, shall be exempt from all claims of creditors including any contractual <br/>
<a id="pl.16.20"></a><var>16.20</var>setoff or security interest asserted by a financial institution. For the purposes of this <br/>
<a id="pl.16.21"></a><var>16.21</var>chapter, relief government assistance based on need includes MFIP, work first, general <br/>
<a id="pl.16.22"></a><var>16.22</var>assistance medical care, supplemental security income, medical assistance, Minnesota <br/>
<a id="pl.16.23"></a><var>16.23</var>supplemental assistance, and general assistance but is not limited to Minnesota family <br/>
<a id="pl.16.24"></a><var>16.24</var>investment program, general assistance medical care, Supplemental Security Income, <br/>
<a id="pl.16.25"></a><var>16.25</var>medical assistance, MinnesotaCare, payment of Medicare part B premiums or receipt of <br/>
<a id="pl.16.26"></a><var>16.26</var>part D extra help, MFIP diversionary work program, work participation cash benefit, <br/>
<a id="pl.16.27"></a><var>16.27</var>Minnesota supplemental assistance, emergency Minnesota supplemental assistance, <br/>
<a id="pl.16.28"></a><var>16.28</var>general assistance, emergency general assistance, emergency assistance or county crisis <br/>
<a id="pl.16.29"></a><var>16.29</var>funds, energy or fuel assistance, and food support. The salary or earnings of any debtor <br/>
<a id="pl.16.30"></a><var>16.30</var>who is or has been an eligible recipient of relief government assistance based on need, or <br/>
<a id="pl.16.31"></a><var>16.31</var>an inmate of a correctional institution shall, upon the debtor's return to private employment <br/>
<a id="pl.16.32"></a><var>16.32</var>or farming after having been an eligible recipient of relief government assistance based on <br/>
<a id="pl.16.33"></a><var>16.33</var>need, or an inmate of a correctional institution, be exempt from attachment, garnishment, <br/>
<a id="pl.16.34"></a><var>16.34</var>or levy of execution for a period of six months after the debtor's return to employment or <br/>
<a id="pl.16.35"></a><var>16.35</var>farming and after all public assistance for which eligibility existed has been terminated. <br/>
<a id="pl.17.1"></a><var>17.1</var>The exemption provisions contained in this subdivision also apply for 60 days after deposit <br/>
<a id="pl.17.2"></a><var>17.2</var>in any financial institution, whether in a single or joint account. In tracing the funds, the <br/>
<a id="pl.17.3"></a><var>17.3</var>first-in first-out method of accounting shall be used. The burden of establishing that funds <br/>
<a id="pl.17.4"></a><var>17.4</var>are exempt rests upon the debtor. Agencies distributing relief government assistance and <br/>
<a id="pl.17.5"></a><var>17.5</var>the correctional institutions shall, at the request of creditors, inform them whether or not <br/>
<a id="pl.17.6"></a><var>17.6</var>any debtor has been an eligible recipient of relief government assistance based on need, or <br/>
<a id="pl.17.7"></a><var>17.7</var>an inmate of a correctional institution, within the preceding six months.<br/>
<br/>
<a id="bill.0.3.0"></a><a id="pl.17.8"></a><var>17.8</var>    Sec. 3. Minnesota Statutes 2008, section 551.05, is amended to read:<br/>
<a id="pl.17.9"></a><var>17.9</var><b>551.05 ATTORNEY'S SUMMARY EXECUTION UPON FUNDS AT A </b><br/>
<a id="pl.17.10"></a><var>17.10</var><b>FINANCIAL INSTITUTION.</b><br/>
<a id="pl.17.11"></a><var>17.11</var>    Subdivision 1. <b>Procedure.</b> When levying upon funds at a financial institution, <br/>
<a id="pl.17.12"></a><var>17.12</var>this section must be complied with, in addition to the general provisions specified in <br/>
<a id="pl.17.13"></a><var>17.13</var>section 
         <statute_ref>551.04</statute_ref>.<br/>
<a id="pl.17.14"></a><var>17.14</var>    Subd. 1a. <b>Notice, instructions, and </b><b>exemption notice.</b> If the writ of execution is <br/>
<a id="pl.17.15"></a><var>17.15</var>being used by the attorney to levy funds of a judgment debtor who is a natural person and <br/>
<a id="pl.17.16"></a><var>17.16</var>if the funds to be levied are held on deposit at any financial institution, the attorney for the <br/>
<a id="pl.17.17"></a><var>17.17</var>judgment creditor shall serve with the writ of execution a notice, instructions, and two <br/>
<a id="pl.17.18"></a><var>17.18</var>copies of an exemption notice. The notice, instructions, and exemption notice must be <br/>
<a id="pl.17.19"></a><var>17.19</var>substantially in the form set forth below. Failure of the attorney for the judgment creditor <br/>
<a id="pl.17.20"></a><var>17.20</var>to send the exemption notice these forms renders the execution levy void, and the financial <br/>
<a id="pl.17.21"></a><var>17.21</var>institution shall take no action. However, if this subdivision is being used to execute on <br/>
<a id="pl.17.22"></a><var>17.22</var>funds that have previously been garnished in compliance with section 
         <statute_ref>571.71</statute_ref>, the attorney <br/>
<a id="pl.17.23"></a><var>17.23</var>for judgment creditor is not required to serve an additional exemption notice. In that event, <br/>
<a id="pl.17.24"></a><var>17.24</var>the execution levy shall only be effective as to the funds that were subject to the prior <br/>
<a id="pl.17.25"></a><var>17.25</var>garnishment. Upon receipt of the writ of execution and exemption notices, the financial <br/>
<a id="pl.17.26"></a><var>17.26</var>institution shall retain as much of the amount due under section 
         <statute_ref>550.04</statute_ref> as the financial <br/>
<a id="pl.17.27"></a><var>17.27</var>institution has on deposit owing to the judgment debtor, but not more than 100 percent of <br/>
<a id="pl.17.28"></a><var>17.28</var>the amount remaining due on the judgment, or $10,000, whichever is less.<br/>
<a id="pl.17.29"></a><var>17.29</var>    Subd. 1b. <b>Form of notice.</b> The notice informing a judgment debtor that an <br/>
<a id="pl.17.30"></a><var>17.30</var>execution levy has been used to attach funds of the judgment debtor to satisfy a claim <br/>
<a id="pl.17.31"></a><var>17.31</var>must be a separate form and must be substantially in the following form:<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.17.32"></a><var>17.32</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.17.33"></a><var>17.33</var><br/>
</td>
<td colspan="2">County of <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td colspan="2"><span>
                     							.....
                     						</span> JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.17.34"></a><var>17.34</var><br/>
<a id="pl.17.35"></a><var>17.35</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment <br/>
Creditor)<br/>
</td>
<td></td>
<td align="right"></td>
<td></td>
</tr>
<tr>
<td><a id="pl.18.1"></a><var>18.1</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment Debtor)<br/>
</td>
<td></td>
<td align="right" colspan="2"></td>
</tr>
<tr>
<td><a id="pl.18.2"></a><var>18.2</var><br/>
</td>
<td>TO: Judgment Debtor<br/>
</td>
<td colspan="2"></td>
<td></td>
<td align="right" colspan="2">EXEMPTION NOTICE<br/>
</td>
</tr>
</table><a id="pl.18.3"></a><var>18.3</var>An order for attachment, garnishment summons, or levy of execution (strike <br/>
<a id="pl.18.4"></a><var>18.4</var>inapplicable language) has been served on ............. (bank or other financial institution <br/>
<a id="pl.18.5"></a><var>18.5</var>where you have an account).<br/>
<a id="pl.18.6"></a><var>18.6</var>Your account balance is $........<br/>
<a id="pl.18.7"></a><var>18.7</var>The amount being held is $........<br/>
<a id="pl.18.8"></a><var>18.8</var>However, all or a portion of the funds in your account will normally be exempt from <br/>
<a id="pl.18.9"></a><var>18.9</var>creditors' claims if they are in one of the following categories:<br/>
<a id="pl.18.10"></a><var>18.10</var>(1) relief based on need. This includes the Minnesota Family Investment Program <br/>
<a id="pl.18.11"></a><var>18.11</var>(MFIP), Work First Program, Medical Assistance (MA), General Assistance (GA), <br/>
<a id="pl.18.12"></a><var>18.12</var>General Assistance Medical Care (GAMC), Emergency General Assistance (EGA), <br/>
<a id="pl.18.13"></a><var>18.13</var>Minnesota Supplemental Aid (MSA), MSA Emergency Assistance (MSA-EA), <br/>
<a id="pl.18.14"></a><var>18.14</var>Supplemental Security Income (SSI), and Energy Assistance;<br/>
<a id="pl.18.15"></a><var>18.15</var>(2) Social Security benefits (Old Age, Survivors, or Disability Insurance);<br/>
<a id="pl.18.16"></a><var>18.16</var>(3) unemployment benefits, workers' compensation, or veterans' benefits;<br/>
<a id="pl.18.17"></a><var>18.17</var>(4) an accident, disability, or retirement pension or annuity;<br/>
<a id="pl.18.18"></a><var>18.18</var>(5) life insurance proceeds;<br/>
<a id="pl.18.19"></a><var>18.19</var>(6) the earnings of your minor child and any child support paid to you; or<br/>
<a id="pl.18.20"></a><var>18.20</var>(7) money from a claim for damage or destruction of exempt property (such as <br/>
<a id="pl.18.21"></a><var>18.21</var>household goods, farm tools, business equipment, a mobile home, or a car).<br/>
<a id="pl.18.22"></a><var>18.22</var>The following funds are also exempt:<br/>
<a id="pl.18.23"></a><var>18.23</var>(8) all earnings of a person in category (1);<br/>
<a id="pl.18.24"></a><var>18.24</var>(9) all earnings of a person who has received relief based on need, or who has been <br/>
<a id="pl.18.25"></a><var>18.25</var>an inmate of a correctional institution, within the last six months;<br/>
<a id="pl.18.26"></a><var>18.26</var>(10) 75 percent of every judgment debtor's after tax earnings; or<br/>
<a id="pl.18.27"></a><var>18.27</var>(11) all of a judgment debtor's after tax earnings below 40 times the federal <br/>
<a id="pl.18.28"></a><var>18.28</var>minimum wage.<br/>
<a id="pl.18.29"></a><var>18.29</var>TIME LIMIT ON EXEMPTIONS AFTER DEPOSIT IN BANK:<br/>
<a id="pl.18.30"></a><var>18.30</var>Categories (10) and (11): 20 days<br/>
<a id="pl.18.31"></a><var>18.31</var>Categories (8) and (9): 60 days<br/>
<a id="pl.18.32"></a><var>18.32</var>All others: no time limit, as long as funds are traceable to the exempt source. (In <br/>
<a id="pl.18.33"></a><var>18.33</var>tracing funds, the first-in, first-out method is used. This means money deposited first <br/>
<a id="pl.18.34"></a><var>18.34</var>is spent first.) The money being sought by the judgment creditor is being held in your <br/>
<a id="pl.18.35"></a><var>18.35</var>account to give you a chance to claim an exemption.<br/>
<a id="pl.18.36"></a><var>18.36</var>TO CLAIM AN EXEMPTION:<br/>
<a id="pl.19.1"></a><var>19.1</var>Fill out, sign, and mail or deliver one copy of the attached exemption claim form to <br/>
<a id="pl.19.2"></a><var>19.2</var>the institution which sent you this notice and mail or deliver one copy to the judgment <br/>
<a id="pl.19.3"></a><var>19.3</var>creditor's attorney. The address for the judgment creditor's attorney is set forth below. <br/>
<a id="pl.19.4"></a><var>19.4</var><b>Both copies must be mailed or</b> <b>delivered on the same day.</b><br/>
<a id="pl.19.5"></a><var>19.5</var><b>NOTE: You may help resolve your claim faster if you send</b> <b>to the creditor's </b><br/>
<a id="pl.19.6"></a><var>19.6</var><b>attorney written proof or documents that</b> <b>show why your money is exempt. If </b><br/>
<a id="pl.19.7"></a><var>19.7</var><b>you have questions</b> <b>regarding the documents to send as proof of an exemption,</b> <br/>
<a id="pl.19.8"></a><var>19.8</var><b>call the creditor's attorney. If you do not send written</b> <b>proof and the creditor's </b><br/>
<a id="pl.19.9"></a><var>19.9</var><b>attorney has questions about your</b> <b>exemption claim, the creditor's attorney </b><br/>
<a id="pl.19.10"></a><var>19.10</var><b>may object to your</b> <b>claim which may result in a further delay in releasing your</b> <br/>
<a id="pl.19.11"></a><var>19.11</var><b>exempt funds.</b><br/>
<a id="pl.19.12"></a><var>19.12</var>If they do not get the exemption claim back from you within 14 days of the date <br/>
<a id="pl.19.13"></a><var>19.13</var>they mailed or gave it to you, they will be free to turn the money over to the attorney for <br/>
<a id="pl.19.14"></a><var>19.14</var>the judgment creditor. If you are going to claim an exemption, do so as soon as possible, <br/>
<a id="pl.19.15"></a><var>19.15</var>because your money may be held until it is decided.<br/>
<a id="pl.19.16"></a><var>19.16</var>IF YOU CLAIM AN EXEMPTION:<br/>
<a id="pl.19.17"></a><var>19.17</var>(1) nonexempt money can be turned over to the judgment creditor or sheriff;<br/>
<a id="pl.19.18"></a><var>19.18</var>(2) the financial institution will keep holding the money claimed to be exempt; and<br/>
<a id="pl.19.19"></a><var>19.19</var>(3) seven days after receiving your exemption claim, the financial institution will <br/>
<a id="pl.19.20"></a><var>19.20</var>release the money to you unless before then it receives an objection to your exemption <br/>
<a id="pl.19.21"></a><var>19.21</var>claim.<br/>
<a id="pl.19.22"></a><var>19.22</var>IF THE JUDGMENT CREDITOR OBJECTS TO YOUR EXEMPTION CLAIM:<br/>
<a id="pl.19.23"></a><var>19.23</var>the institution will hold the money until a court decides if your exemption claim is <br/>
<a id="pl.19.24"></a><var>19.24</var>valid, BUT ONLY IF the institution gets a copy of your court motion papers asserting the <br/>
<a id="pl.19.25"></a><var>19.25</var>exemption WITHIN TEN DAYS after the objection is personally served on you, or within <br/>
<a id="pl.19.26"></a><var>19.26</var>13 days from the date the objection is mailed to you. You may wish to consult an attorney <br/>
<a id="pl.19.27"></a><var>19.27</var>at once if the judgment creditor objects to your exemption claim.<br/>
<a id="pl.19.28"></a><var>19.28</var>MOTION TO DETERMINE EXEMPTION:<br/>
<a id="pl.19.29"></a><var>19.29</var>At any time after your funds have been held, you may ask for a court decision on the <br/>
<a id="pl.19.30"></a><var>19.30</var>validity of your exemption claim by filing a request for hearing which may be obtained <br/>
<a id="pl.19.31"></a><var>19.31</var>at the office of the court administrator of the above court.<br/>
<a id="pl.19.32"></a><var>19.32</var>PENALTIES:<br/>
<a id="pl.19.33"></a><var>19.33</var>If you claim an exemption in bad faith, or if the judgment creditor wrongly objects <br/>
<a id="pl.19.34"></a><var>19.34</var>to an exemption in bad faith, the court may order the person who acted in bad faith to pay <br/>
<a id="pl.19.35"></a><var>19.35</var>costs, actual damages, attorney fees, and an additional amount of up to $100.<br/>
<table>
<col width="50px"/>
<col width="32.5"/>
<col width="32.5"/>
<tr>
<td><a id="pl.20.1"></a><var>20.1</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.20.2"></a><var>20.2</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.20.3"></a><var>20.3</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.20.4"></a><var>20.4</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.20.5"></a><var>20.5</var><br/>
<a id="pl.20.6"></a><var>20.6</var><br/>
</td>
<td></td>
<td>Name and address of (Attorney for) <br/>
Judgment Creditor<br/>
</td>
</tr>
</table><a id="pl.20.7"></a><var>20.7</var>EXEMPTION:<br/>
<a id="pl.20.8"></a><var>20.8</var>(a) Amount of exemption claim.<br/>
<a id="pl.20.9"></a><var>20.9</var>/ / I claim ALL the funds being held are exempt.<br/>
<a id="pl.20.10"></a><var>20.10</var>/ / I claim SOME of the funds being held are exempt.<br/>
<table>
<col width="50px"/>
<col width="10"/>
<col width="55"/>
<tr>
<td><a id="pl.20.11"></a><var>20.11</var><br/>
</td>
<td></td>
<td>The exempt amount is $<br/>
<span>
                     							.....
                     						</span></td>
</tr>
</table><a id="pl.20.12"></a><var>20.12</var>(b) Basis for exemption.<br/>
<a id="pl.20.13"></a><var>20.13</var>Of the 11 categories listed above, I am in category number ............ (If more than one <br/>
<a id="pl.20.14"></a><var>20.14</var>category applies, you may fill in as many as apply.) The source of the exempt funds is <br/>
<a id="pl.20.15"></a><var>20.15</var>the following:<br/>
<span>
            							.....
            						</span><a id="pl.20.16"></a><var>20.16</var><br/>
<span>
            							.....
            						</span><a id="pl.20.17"></a><var>20.17</var><br/>
<span>
            							.....
            						</span><a id="pl.20.18"></a><var>20.18</var><br/>
<a id="pl.20.19"></a><var>20.19</var>(If the source is a type of relief based on need, list the case number and county:<br/>
<a id="pl.20.20"></a><var>20.20</var>case number: ...............;<br/>
<a id="pl.20.21"></a><var>20.21</var>county: ....................)<br/>
<a id="pl.20.22"></a><var>20.22</var>I hereby authorize any agency that has distributed relief to me or any correctional <br/>
<a id="pl.20.23"></a><var>20.23</var>institution in which I was an inmate to disclose to the above named judgment creditor's <br/>
<a id="pl.20.24"></a><var>20.24</var>attorney only whether or not I am or have been a recipient of relief based on need or an <br/>
<a id="pl.20.25"></a><var>20.25</var>inmate of a correctional institute within the last six months.<br/>
<a id="pl.20.26"></a><var>20.26</var>I have mailed or delivered a copy of the exemption notice to the judgment creditor's <br/>
<a id="pl.20.27"></a><var>20.27</var>attorney at the address indicated above.<br/>
<table>
<col width="50px"/>
<col width="27.5"/>
<col width="5"/>
<col width="32.5"/>
<tr>
<td><a id="pl.20.28"></a><var>20.28</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.20.29"></a><var>20.29</var><br/>
</td>
<td></td>
<td></td>
<td>DEBTOR<br/>
</td>
</tr>
<tr>
<td><a id="pl.20.30"></a><var>20.30</var><br/>
</td>
<td>DATED: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.20.31"></a><var>20.31</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.20.32"></a><var>20.32</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.20.33"></a><var>20.33</var><br/>
</td>
<td></td>
<td></td>
<td>DEBTOR ADDRESS<br/>
</td>
</tr>
<tr>
<td><a id="pl.20.34"></a><var>20.34</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.20.35"></a><var>20.35</var><br/>
</td>
<td></td>
<td></td>
<td>DEBTOR TELEPHONE NUMBER<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.20.36"></a><var>20.36</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.20.37"></a><var>20.37</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td align="right" colspan="2"><span>
                     							.....
                     						</span>JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.21.1"></a><var>21.1</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Creditor)<br/>
</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.21.2"></a><var>21.2</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Debtor)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.21.3"></a><var>21.3</var><br/>
<a id="pl.21.4"></a><var>21.4</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Financial <br/>
institution)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
</table>

<a id="pl.21.8"></a><var>21.8</var><b>Your account balance is $.......</b><br/>
<a id="pl.21.9"></a><var>21.9</var><b>The amount being held is $.......</b><br/>
<a id="pl.21.10"></a><var>21.10</var>The amount being held will be frozen for 14 days from the date of this notice.<br/>
<a id="pl.21.11"></a><var>21.11</var><b>Some of your money in your account may be protected (the legal word is </b><br/>
<a id="pl.21.12"></a><var>21.12</var><b>exempt). You may be able to get it sooner than 14 days if you act quickly and follow </b><br/>
<a id="pl.21.13"></a><var>21.13</var><b>the instructions on the next page.</b><br/>
<a id="pl.21.14"></a><var>21.14</var>The attached exemption form lists some different sources of money in your account <br/>
<a id="pl.21.15"></a><var>21.15</var>that may be protected. If your money is from one or more of these sources, place a <br/>
<a id="pl.21.16"></a><var>21.16</var>check on the line on the form next to the sources of your money. If it is from one of <br/>
<a id="pl.21.17"></a><var>21.17</var>these sources, the Creditor cannot take it.<br/>
<a id="pl.21.18"></a><var>21.18</var>BUT,<b> you must follow the instructions and return the exemption form and </b><br/>
<a id="pl.21.19"></a><var>21.19</var><b>copies of your bank statements from the last 60 days</b> to have the bank unfreeze your <br/>
<a id="pl.21.20"></a><var>21.20</var>money. If you do not follow the instructions, your financial institution will give the money <br/>
<a id="pl.21.21"></a><var>21.21</var>to the Creditor. If that happens and it is protected, you can still get it back from the <br/>
<a id="pl.21.22"></a><var>21.22</var>Creditor later, but that is not as easy to do as filling in the form now.<br/>

<a id="pl.21.25"></a><var>21.25</var>form and must be substantially in the following form:<br/>

<a id="pl.21.28"></a><var>21.28</var>1. Fill out both of the attached exemption forms in this packet.<br/>
<a id="pl.21.29"></a><var>21.29</var><b>If you check one of the lines, you should also give proof that shows that some </b><br/>
<a id="pl.21.30"></a><var>21.30</var><b>or all of the money in your account is from one or more of the protected sources. </b><br/>
<a id="pl.21.31"></a><var>21.31</var><b>Creditors may ask for a hearing if they question your exemptions. To avoid a hearing:</b><br/>
<a id="pl.21.32"></a><var>21.32</var><b>Case numbers should be added to the form. Copies of documents should be </b><br/>
<a id="pl.21.33"></a><var>21.33</var><b>sent with the form.</b><br/>
<a id="pl.21.34"></a><var>21.34</var><b>NOTICE: YOU MUST SEND TO THE CREDITOR'S ATTORNEY (OR TO </b><br/>
<a id="pl.21.35"></a><var>21.35</var><b>THE CREDITOR, IF NO ATTORNEY) COPIES OF YOUR BANK STATEMENTS </b><br/>
<a id="pl.21.36"></a><var>21.36</var><b>FOR THE PAST 60 DAYS BEFORE THE LEVY. Keep a copy of your bank </b><br/>
<a id="pl.21.37"></a><var>21.37</var><b>statements in case there are questions about your claim. If you do not send to the </b><br/>
<a id="pl.22.1"></a><var>22.1</var><b>creditor's attorney (or to the creditor, if no attorney) bank statements with your </b><br/>
<a id="pl.22.2"></a><var>22.2</var><b>exemption claim, the financial institution may release your money to the creditor.</b><br/>
<a id="pl.22.3"></a><var>22.3</var>2. <b>Sign</b> the exemption forms. <b>Make one copy to keep for yourself.</b><br/>
<a id="pl.22.4"></a><var>22.4</var>3. <b>Mail or deliver</b> the other copies of the form by (insert date).<br/>
<a id="pl.22.5"></a><var>22.5</var><b>BOTH COPIES MUST BE MAILED OR DELIVERED THE SAME DAY.</b><br/>
<a id="pl.22.6"></a><var>22.6</var>One copy of the form and the copies of your bank statements go to:<br/>
<table>
<col width="50px"/>
<col width="37.5"/>
<tr>
<td><a id="pl.22.7"></a><var>22.7</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.22.8"></a><var>22.8</var><br/>
</td>
<td>(Insert name of creditor or creditor's attorney)<br/>
</td>
</tr>
<tr>
<td><a id="pl.22.9"></a><var>22.9</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.22.10"></a><var>22.10</var><br/>
</td>
<td>(Insert address of creditor or creditor's attorney)<br/>
</td>
</tr>
</table><a id="pl.22.11"></a><var>22.11</var>One copy goes to:<br/>
<table>
<col width="50px"/>
<col width="37.5"/>
<tr>
<td><a id="pl.22.12"></a><var>22.12</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.22.13"></a><var>22.13</var><br/>
</td>
<td>(Insert name of bank)<br/>
</td>
</tr>
<tr>
<td><a id="pl.22.14"></a><var>22.14</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.22.15"></a><var>22.15</var><br/>
</td>
<td>(Insert address of bank)<br/>
</td>
</tr>
</table>

<a id="pl.22.18"></a><var>22.18</var>14 days after the date of this letter some or all of your money may be turned over to <br/>
<a id="pl.22.19"></a><var>22.19</var>the creditor pursuant to Minnesota statute.<br/>
<a id="pl.22.20"></a><var>22.20</var><b>If You Send in the Exemption Form and Bank Statements:</b><br/>
<a id="pl.22.21"></a><var>22.21</var>Any money that is NOT protected can be turned over to the creditor.<br/>
<a id="pl.22.22"></a><var>22.22</var><b>If the Creditor Does Not Object:</b><br/>
<a id="pl.22.23"></a><var>22.23</var>The financial institution will unfreeze your money six business days after the <br/>
<a id="pl.22.24"></a><var>22.24</var>institution gets your completed form.<br/>
<a id="pl.22.25"></a><var>22.25</var><b>If the Creditor Objects:</b><br/>
<a id="pl.22.26"></a><var>22.26</var>The money you have said is protected on the form will be held by the bank. The <br/>
<a id="pl.22.27"></a><var>22.27</var>creditor has six business days to object (disagree) and ask the court to hold a hearing. You <br/>
<a id="pl.22.28"></a><var>22.28</var>will receive a Notice of Objection and a Notice of Hearing.<br/>
<a id="pl.22.29"></a><var>22.29</var>The financial institution will hold the money until a court decides whether your <br/>
<a id="pl.22.30"></a><var>22.30</var>money is protected or not. Some reasons a creditor may object are because you did not <br/>
<a id="pl.22.31"></a><var>22.31</var>send copies of your bank statements or other proof of the benefits you received. Be sure to <br/>
<a id="pl.22.32"></a><var>22.32</var>include these when you send your exemption form.<br/>
<a id="pl.22.33"></a><var>22.33</var>You may want to talk to a lawyer for advice about this process. If you are low <br/>
<a id="pl.22.34"></a><var>22.34</var>income you can call Legal Aid.<br/>
<a id="pl.22.35"></a><var>22.35</var><b>PENALTIES:</b><br/>
<a id="pl.22.36"></a><var>22.36</var>If you claim that your money is protected and a court decides you made that claim <br/>
<a id="pl.22.37"></a><var>22.37</var>in bad faith, the court can order you to pay costs, actual damages, attorney fees, and an <br/>
<a id="pl.23.1"></a><var>23.1</var>additional amount of up to $100. For example, it may be bad faith if you claim you receive <br/>
<a id="pl.23.2"></a><var>23.2</var>government benefits that you do not receive.<br/>
<a id="pl.23.3"></a><var>23.3</var>If the creditor made a bad faith objection to your claim that your money is protected, <br/>
<a id="pl.23.4"></a><var>23.4</var>the court can order them to pay costs, actual damages, attorney fees, and an additional <br/>
<a id="pl.23.5"></a><var>23.5</var>amount of up to $100.<br/>
<a id="pl.23.6"></a><var>23.6</var>    Subd. 1d. <b>Form of exemption form.</b> The exemption form required by this <br/>
<a id="pl.23.7"></a><var>23.7</var>subdivision must be a separate form and must be in substantially the following form:<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.23.8"></a><var>23.8</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.9"></a><var>23.9</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td align="right" colspan="2"><span>
                     							.....
                     						</span>JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.10"></a><var>23.10</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Creditor)<br/>
</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.23.11"></a><var>23.11</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Debtor)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.23.12"></a><var>23.12</var><br/>
<a id="pl.23.13"></a><var>23.13</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Financial <br/>
institution)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
</table>

<table>
<col width="50px"/>
<col width="2"/>
<col width="26.5"/>
<col width="1.5"/>
<tr>
<td><a id="pl.23.15"></a><var>23.15</var><br/>
</td>
<td>A.<br/>
</td>
<td colspan="2"><b>HOW MUCH MONEY IS PROTECTED</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.16"></a><var>23.16</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">I claim ALL of the money being frozen by the bank is protected.<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.17"></a><var>23.17</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">I claim SOME of the money is protected. The amount I claim is protected is $.......<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.18"></a><var>23.18</var><br/>
</td>
<td>B.<br/>
</td>
<td colspan="2"><b>WHY THE MONEY IS PROTECTED</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.19"></a><var>23.19</var><br/>
<a id="pl.23.20"></a><var>23.20</var><br/>
</td>
<td></td>
<td colspan="2">My money is protected because I get it from one or more of the following places: <br/>
<b>(Check all that apply)</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.21"></a><var>23.21</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Government benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.22"></a><var>23.22</var><br/>
</td>
<td></td>
<td colspan="2">Government benefits include, but are not limited to, the following:<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.23"></a><var>23.23</var><br/>
</td>
<td></td>
<td colspan="2"><b>MFIP</b> - Minnesota family investment program, <br/>
</td>
</tr>
<tr>
<td><a id="pl.23.24"></a><var>23.24</var><br/>
</td>
<td></td>
<td colspan="2"><b>MFIP Diversionary Work Program,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.25"></a><var>23.25</var><br/>
</td>
<td></td>
<td colspan="2"><b>Work participation cash benefit,</b> <br/>
</td>
</tr>
<tr>
<td><a id="pl.23.26"></a><var>23.26</var><br/>
</td>
<td></td>
<td colspan="2"><b>GA</b> - general assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.27"></a><var>23.27</var><br/>
</td>
<td></td>
<td colspan="2"><b>EA</b> - emergency assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.28"></a><var>23.28</var><br/>
</td>
<td></td>
<td colspan="2"><b>MA</b> - medical assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.29"></a><var>23.29</var><br/>
</td>
<td></td>
<td colspan="2"><b>GAMC</b> - general assistance medical care,<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.30"></a><var>23.30</var><br/>
</td>
<td></td>
<td colspan="2"><b>EGA</b> - emergency general assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.31"></a><var>23.31</var><br/>
</td>
<td></td>
<td colspan="2"><b>MSA</b> - Minnesota supplemental aid,<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.32"></a><var>23.32</var><br/>
</td>
<td></td>
<td colspan="2"><b>MSA-EA</b> - MSA emergency assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.23.33"></a><var>23.33</var><br/>
</td>
<td></td>
<td colspan="2"><b>Food Support,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.34"></a><var>23.34</var><br/>
</td>
<td></td>
<td colspan="2"><b>SSI - Supplemental Security Income,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.35"></a><var>23.35</var><br/>
</td>
<td></td>
<td colspan="2"><b>MinnesotaCare,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.36"></a><var>23.36</var><br/>
</td>
<td></td>
<td colspan="2"><b>Medicare part B premium payments,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.37"></a><var>23.37</var><br/>
</td>
<td></td>
<td colspan="2"><b>Medicare part D extra help,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.38"></a><var>23.38</var><br/>
</td>
<td></td>
<td colspan="2"><b>Energy or fuel assistance.</b><br/>
</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.23.39"></a><var>23.39</var><br/>
</td>
<td colspan="3"><b>LIST SOURCE(S) OF FUNDING IN YOUR ACCOUNT</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.40"></a><var>23.40</var><br/>
</td>
<td colspan="3"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.23.41"></a><var>23.41</var><br/>
</td>
<td colspan="3"><b>LIST THE CASE NUMBER AND COUNTY</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.1"></a><var>24.1</var><br/>
</td>
<td></td>
<td colspan="2">Case Number: <br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.24.2"></a><var>24.2</var><br/>
</td>
<td></td>
<td colspan="2">County: <br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.24.3"></a><var>24.3</var><br/>
</td>
<td></td>
<td colspan="2"><b>Government benefits also include:</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.4"></a><var>24.4</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Social Security benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.5"></a><var>24.5</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Unemployment benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.6"></a><var>24.6</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Workers' compensation</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.7"></a><var>24.7</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Veterans benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.8"></a><var>24.8</var><br/>
<a id="pl.24.9"></a><var>24.9</var><br/>
<a id="pl.24.10"></a><var>24.10</var><br/>
</td>
<td></td>
<td colspan="2"><b>If you receive any of these government benefits, include copies of any </b><br/>
<b>documents you have that show you receive Social Security, unemployment, </b><br/>
<b>workers' compensation, or veterans benefits.</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.11"></a><var>24.11</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Other assistance based on need</b><br/>
</td>
</tr>
</table><a id="pl.24.12"></a><var>24.12</var>You may have assistance based on need from another source that is not on the list. If you <br/>
<a id="pl.24.13"></a><var>24.13</var>do, check this box, and fill in the source of your money on the line below:<br/>
<a id="pl.24.14"></a><var>24.14</var>Source: <br/>
<span>
            							.....
            						</span><a id="pl.24.15"></a><var>24.15</var><b>Include copies of any documents you have that show the source of this money.</b><br/>
<table>
<col width="50px"/>
<col width="2"/>
<col width="26.5"/>
<col width="1.5"/>
<tr>
<td><a id="pl.24.16"></a><var>24.16</var><br/>
</td>
<td><b>EARNINGS</b><br/>
</td>
<td colspan="2"></td>
</tr>
<tr>
<td><a id="pl.24.17"></a><var>24.17</var><br/>
</td>
<td></td>
<td colspan="2"><b>ALL or SOME of your earnings (wages) may also be protected.</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.18"></a><var>24.18</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>All of your earnings (wages) are protected if:</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.19"></a><var>24.19</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You get government benefits (see list of government benefits)<br/>
</td>
</tr>
<tr>
<td><a id="pl.24.20"></a><var>24.20</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You currently receive other assistance based on need<br/>
</td>
</tr>
<tr>
<td><a id="pl.24.21"></a><var>24.21</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You have received government benefits in the last six months<br/>
</td>
</tr>
<tr>
<td><a id="pl.24.22"></a><var>24.22</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You were in jail or prison in the last six months<br/>
</td>
</tr>
<tr>
<td><a id="pl.24.23"></a><var>24.23</var><br/>
<a id="pl.24.24"></a><var>24.24</var><br/>
<a id="pl.24.25"></a><var>24.25</var><br/>
<a id="pl.24.26"></a><var>24.26</var><br/>
</td>
<td></td>
<td colspan="2"><b>If you check one of these lines,</b> your wages are only protected for 60 days after <br/>
they are deposited in your account so <b>you MUST send the creditor a copy of </b><br/>
<b>BANK STATEMENTS</b> that show what was in your account <b>for the 60 days right </b><br/>
<b>before the bank froze your money</b>.<br/>
</td>
</tr>
<tr>
<td><a id="pl.24.27"></a><var>24.27</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Some of your earnings (wages) are protected.</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.28"></a><var>24.28</var><br/>
<a id="pl.24.29"></a><var>24.29</var><br/>
<a id="pl.24.30"></a><var>24.30</var><br/>
</td>
<td></td>
<td colspan="2">If all of your earnings are not exempt, then some of your earnings are still protected <br/>
for 20 days after they were deposited in your account. The amount protected is the <br/>
larger amount of:<br/>
</td>
</tr>
<tr>
<td><a id="pl.24.31"></a><var>24.31</var><br/>
</td>
<td></td>
<td colspan="2">75 percent of your wages (after taxes are taken out); or<br/>
</td>
</tr>
<tr>
<td><a id="pl.24.32"></a><var>24.32</var><br/>
</td>
<td></td>
<td colspan="2">(insert the sum of the current federal minimum wage) multiplied by 40.<br/>
</td>
</tr>
<tr>
<td><a id="pl.24.33"></a><var>24.33</var><br/>
</td>
<td></td>
<td colspan="2"><b>OTHER EXEMPT FUNDS</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.34"></a><var>24.34</var><br/>
<a id="pl.24.35"></a><var>24.35</var><br/>
</td>
<td></td>
<td colspan="2">The money from the following are also completely protected after they are <br/>
deposited in your account.<br/>
</td>
</tr>
<tr>
<td><a id="pl.24.36"></a><var>24.36</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>An accident, disability, or retirement pension or annuity</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.37"></a><var>24.37</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Payments to you from a life insurance policy</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.38"></a><var>24.38</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Earnings of your child who is under 18 years of age</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.39"></a><var>24.39</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Child support</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.24.40"></a><var>24.40</var><br/>
<a id="pl.24.41"></a><var>24.41</var><br/>
<a id="pl.24.42"></a><var>24.42</var><br/>
<a id="pl.24.43"></a><var>24.43</var><br/>
</td>
<td valign="top"><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Money paid to you from a claim for damage or destruction of property</b> <br/>
Property includes household goods, farm tools or machinery, tools for your job, <br/>
business equipment, a mobile home, a car, a musical instrument, a pew or burial lot, <br/>
clothes, furniture, or appliances.<br/>
</td>
</tr>
<tr>
<td><a id="pl.24.44"></a><var>24.44</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Death benefits paid to you</b><br/>
</td>
</tr>
</table><a id="pl.25.1"></a><var>25.1</var>I give permission to any agency that has given me cash benefits to give information <br/>
<a id="pl.25.2"></a><var>25.2</var>about my benefits to the above-named creditor, or its attorney. The information will <b>ONLY</b> <br/>
<a id="pl.25.3"></a><var>25.3</var>concern whether I get benefits or not, or whether I have gotten them in the past six months.<br/>
<a id="pl.25.4"></a><var>25.4</var>If I was an inmate in the last six months, I give my permission to the correctional <br/>
<a id="pl.25.5"></a><var>25.5</var>institution to tell the above-named creditor that I was an inmate there.<br/>
<a id="pl.25.6"></a><var>25.6</var><b>YOU MUST SIGN AND SEND THIS FORM BACK TO THE CREDITOR'S </b><br/>
<a id="pl.25.7"></a><var>25.7</var><b>ATTORNEY (OR TO THE CREDITOR, IF NO ATTORNEY) AND THE BANK. </b><br/>
<a id="pl.25.8"></a><var>25.8</var><b>REMEMBER TO INCLUDE A COPY OF YOUR BANK STATEMENTS FOR </b><br/>
<a id="pl.25.9"></a><var>25.9</var><b>THE PAST 60 DAYS. FILL IN THE BLANKS BELOW AND GO BACK TO THE </b><br/>
<a id="pl.25.10"></a><var>25.10</var><b>INSTRUCTIONS TO MAKE SURE YOU DO IT CORRECTLY.</b><br/>
<a id="pl.25.11"></a><var>25.11</var>I have mailed or delivered a copy of this form to:<br/>
<table>
<col width="50px"/>
<col width="37.5"/>
<tr>
<td><a id="pl.25.12"></a><var>25.12</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.25.13"></a><var>25.13</var><br/>
</td>
<td>(Insert name of creditor or creditor's attorney)<br/>
</td>
</tr>
<tr>
<td><a id="pl.25.14"></a><var>25.14</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.25.15"></a><var>25.15</var><br/>
</td>
<td>(Insert address of creditor or creditor's attorney)<br/>
</td>
</tr>
</table><a id="pl.25.16"></a><var>25.16</var>I have also mailed or delivered a copy of this exemption form to my bank at the <br/>
<a id="pl.25.17"></a><var>25.17</var>address listed in the instructions.<br/>
<table>
<col width="50px"/>
<col width="5"/>
<col width="15"/>
<tr>
<td><a id="pl.25.18"></a><var>25.18</var><br/>
</td>
<td>DATED: <br/>
<span>
                     							.....
                     						</span></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.25.19"></a><var>25.19</var><br/>
</td>
<td></td>
<td>DEBTOR<br/>
</td>
</tr>
<tr>
<td><a id="pl.25.20"></a><var>25.20</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.25.21"></a><var>25.21</var><br/>
</td>
<td></td>
<td>DEBTOR ADDRESS<br/>
</td>
</tr>
<tr>
<td><a id="pl.25.22"></a><var>25.22</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.25.23"></a><var>25.23</var><br/>
</td>
<td></td>
<td>DEBTOR TELEPHONE NUMBER<br/>
</td>
</tr>
</table><a id="pl.25.24"></a><var>25.24</var>    Subd. 2. <b>Effect of exemption notice.</b> Within two business days after receipt of the <br/>
<a id="pl.25.25"></a><var>25.25</var>execution levy and the notice, instructions, and two copies of the exemption notices, the <br/>
<a id="pl.25.26"></a><var>25.26</var>financial institution shall serve upon the judgment debtor the notice, instructions, and two <br/>
<a id="pl.25.27"></a><var>25.27</var>copies of the exemption notice. The financial institution shall serve the notice by first <br/>
<a id="pl.25.28"></a><var>25.28</var>class mail to the last known address of the judgment debtor. If no claim of exemption <br/>
<a id="pl.25.29"></a><var>25.29</var>is received by the financial institution within 14 days after the exemption notices are <br/>
<a id="pl.25.30"></a><var>25.30</var>mailed to the judgment debtor, the funds remain subject to the execution levy and shall <br/>
<a id="pl.25.31"></a><var>25.31</var>be remitted to the judgment creditor's attorney within seven six business days. If the <br/>
<a id="pl.25.32"></a><var>25.32</var>judgment debtor elects to claim an exemption, the judgment debtor shall complete the <br/>
<a id="pl.25.33"></a><var>25.33</var>exemption notice, sign it under penalty of perjury, and deliver one copy to the financial <br/>
<a id="pl.25.34"></a><var>25.34</var>institution and one copy to the attorney for the judgment creditor within 14 days of the <br/>
<a id="pl.25.35"></a><var>25.35</var>date postmarked on the correspondence mailed to the judgment debtor containing the <br/>
<a id="pl.25.36"></a><var>25.36</var>exemption notices. The debtor is also required to include copies of bank statements for <br/>
<a id="pl.25.37"></a><var>25.37</var>the prior 60 days with the exemption notice. In the event that there is no attorney for the <br/>
<a id="pl.26.1"></a><var>26.1</var>judgment creditor, the notice must be sent directly to the judgment creditor. Failure of the <br/>
<a id="pl.26.2"></a><var>26.2</var>judgment debtor to deliver the executed exemption notice or copies of the required bank <br/>
<a id="pl.26.3"></a><var>26.3</var>statements for the prior 60 days does not constitute a waiver of any claimed right to an <br/>
<a id="pl.26.4"></a><var>26.4</var>exemption. Upon timely receipt of a claim of exemption, funds not claimed to be exempt <br/>
<a id="pl.26.5"></a><var>26.5</var>by the judgment debtor remain subject to the execution levy. All money claimed to be <br/>
<a id="pl.26.6"></a><var>26.6</var>exempt shall be released to the judgment debtor upon the expiration of seven six business <br/>
<a id="pl.26.7"></a><var>26.7</var>days after the date postmarked on the envelope containing the executed exemption <br/>
<a id="pl.26.8"></a><var>26.8</var>notice mailed to the financial institution, or the date of personal delivery of the executed <br/>
<a id="pl.26.9"></a><var>26.9</var>exemption notice to the financial institution, unless within that time the attorney for the <br/>
<a id="pl.26.10"></a><var>26.10</var>judgment creditor interposes an objection to the exemption.<br/>
<a id="pl.26.11"></a><var>26.11</var>    Subd. 3. <b>Objection to exemption claim</b><b> Objections and request for hearing</b><b>.</b><br/>
<a id="pl.26.12"></a><var>26.12</var>An objection shall be interposed, within six business days of receipt by the creditor of <br/>
<a id="pl.26.13"></a><var>26.13</var>an exemption claim from the debtor, by mailing or delivering one copy of the written <br/>
<a id="pl.26.14"></a><var>26.14</var>objection Notice of Objection and Notice of Hearing to the financial institution and one <br/>
<a id="pl.26.15"></a><var>26.15</var>copy of the written objection Notice of Objection and Notice of Hearing to the judgment <br/>
<a id="pl.26.16"></a><var>26.16</var>debtor along with a copy of the judgment debtor's claimed exemption form. Both copies <br/>
<a id="pl.26.17"></a><var>26.17</var>of an objection to an exemption claim shall be mailed or delivered on the same date. <br/>
<a id="pl.26.18"></a><var>26.18</var>The financial institution may rely on the date of mailing or delivery of a notice to it in <br/>
<a id="pl.26.19"></a><var>26.19</var>computing any time periods in this section. The written objection Notice of Objection and <br/>
<a id="pl.26.20"></a><var>26.20</var>Notice of Hearing form must be substantially in the form specified set out in subdivision 5.<br/>
<a id="pl.26.21"></a><var>26.21</var>The court administrator may charge a fee of $1 for the filing of a Notice of Objection <br/>
<a id="pl.26.22"></a><var>26.22</var>and Notice of Hearing. Upon the filing of a Notice of Objection and Notice of Hearing, <br/>
<a id="pl.26.23"></a><var>26.23</var>the court administrator shall schedule the matter for hearing no sooner than five business <br/>
<a id="pl.26.24"></a><var>26.24</var>days but no later than seven business days from the date of filing. A debtor may request <br/>
<a id="pl.26.25"></a><var>26.25</var>continuance of the hearing by notifying the creditor and the court. The court shall schedule <br/>
<a id="pl.26.26"></a><var>26.26</var>the continued hearing within seven days of the original hearing date.<br/>
<a id="pl.26.27"></a><var>26.27</var>An order stating whether the debtor's funds are exempt shall be issued by the court <br/>
<a id="pl.26.28"></a><var>26.28</var>within three days of the date of the hearing.<br/>
<a id="pl.26.29"></a><var>26.29</var>    Subd. 4. <b>Duties of financial institution if objection is made to exemption claim.</b><br/>
<a id="pl.26.30"></a><var>26.30</var>Upon receipt of a written objection Notice of Objection and Notice of Hearing from the <br/>
<a id="pl.26.31"></a><var>26.31</var>judgment creditor within the specified seven-day six-day period, the financial institution <br/>
<a id="pl.26.32"></a><var>26.32</var>shall retain the funds claimed to be exempt. Unless the financial institution receives a <br/>
<a id="pl.26.33"></a><var>26.33</var>request for hearing and notice of hearing from the judgment debtor asserting exemption <br/>
<a id="pl.26.34"></a><var>26.34</var>rights within ten days after receipt of a written objection to the exemption, the funds <br/>
<a id="pl.26.35"></a><var>26.35</var>remain subject to the execution levy as if no claim of exemption had been made and shall <br/>
<a id="pl.26.36"></a><var>26.36</var>be remitted to the judgment creditor's attorney within seven days. If a request for hearing <br/>
<a id="pl.27.1"></a><var>27.1</var>and notice of hearing to determine the validity of a claim of exemption is received by the <br/>
<a id="pl.27.2"></a><var>27.2</var>financial institution within the period provided, it shall retain the funds claimed to be <br/>
<a id="pl.27.3"></a><var>27.3</var>exempt until otherwise ordered by the court. The financial institution shall retain the funds <br/>
<a id="pl.27.4"></a><var>27.4</var>claimed to be exempt until otherwise ordered by the court, upon mutual agreement of the <br/>
<a id="pl.27.5"></a><var>27.5</var>parties, or until the garnishment lapses pursuant to subdivision 7.<br/>
<a id="pl.27.6"></a><var>27.6</var>    Subd. 5. <b>Form of </b><b>Notice of Objection</b><b> and Notice of Hearing</b><b>.</b> (a) The written <br/>
<a id="pl.27.7"></a><var>27.7</var>objection to the judgment debtor's claim of exemption must be in substantially the <br/>
<a id="pl.27.8"></a><var>27.8</var>following form:<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.27.9"></a><var>27.9</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.27.10"></a><var>27.10</var><br/>
</td>
<td colspan="2">County of <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td colspan="2"><span>
                     							.....
                     						</span> JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.27.11"></a><var>27.11</var><br/>
<a id="pl.27.12"></a><var>27.12</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment <br/>
Creditor)<br/>
</td>
<td></td>
<td align="right" colspan="2">OBJECTION TO<br/>
</td>
</tr>
<tr>
<td><a id="pl.27.13"></a><var>27.13</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment Debtor)<br/>
</td>
<td></td>
<td align="right" colspan="2">EXEMPTION CLAIM<br/>
</td>
</tr>
<tr>
<td><a id="pl.27.14"></a><var>27.14</var><br/>
<a id="pl.27.15"></a><var>27.15</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="3">(Garnishee) (Third <br/>
Party)<br/>
</td>
<td align="right" colspan="2"></td>
</tr>
</table><a id="pl.27.16"></a><var>27.16</var>The judgment creditor objects to your claim for exemption from garnishment, levy of <br/>
<a id="pl.27.17"></a><var>27.17</var>execution, order for attachment (strike inapplicable language) for the following reason(s):<br/>
<span>
            							.....
            						</span><a id="pl.27.18"></a><var>27.18</var><br/>
<span>
            							.....
            						</span><a id="pl.27.19"></a><var>27.19</var><br/>
<span>
            							.....
            						</span><a id="pl.27.20"></a><var>27.20</var><br/>
<a id="pl.27.21"></a><var>27.21</var>Because of this objection, your financial institution will retain the funds you claimed <br/>
<a id="pl.27.22"></a><var>27.22</var>to be exempt for an additional ten days. If you wish to request a hearing on your exemption <br/>
<a id="pl.27.23"></a><var>27.23</var>claim, you need to do so within ten days from the date the objection was personally served <br/>
<a id="pl.27.24"></a><var>27.24</var>on you, or within 13 days from the date the objection was mailed to you. You may request <br/>
<a id="pl.27.25"></a><var>27.25</var>a hearing by completing the attached form and filing it with the court administrator.<br/>
<a id="pl.27.26"></a><var>27.26</var>1. The court administrator's office shall provide clerical assistance to help with the <br/>
<a id="pl.27.27"></a><var>27.27</var>writing and filing of a Request for Hearing by any person not represented by counsel. The <br/>
<a id="pl.27.28"></a><var>27.28</var>court administrator may charge a fee of $1 for the filing of a Request for Hearing.<br/>
<a id="pl.27.29"></a><var>27.29</var>2. Upon the filing of a Request for Hearing, the court administrator shall schedule <br/>
<a id="pl.27.30"></a><var>27.30</var>the matter for a hearing no later than five business days from the date of filing. The court <br/>
<a id="pl.27.31"></a><var>27.31</var>administrator shall forthwith send a completed copy of the request, including the hearing <br/>
<a id="pl.27.32"></a><var>27.32</var>date, time, and place to the adverse party and to the financial institution by first class mail.<br/>
<a id="pl.27.33"></a><var>27.33</var>3. If it is possible that the financial institution might not receive the request mailed <br/>
<a id="pl.27.34"></a><var>27.34</var>from the court administrator within ten days, then you may want to personally deliver a <br/>
<a id="pl.27.35"></a><var>27.35</var>copy of the request to the financial institution after you have filed your request with the <br/>
<a id="pl.27.36"></a><var>27.36</var>court.<br/>
<a id="pl.28.1"></a><var>28.1</var>4. An order stating whether your funds are exempt shall be issued by the court <br/>
<a id="pl.28.2"></a><var>28.2</var>within three days of the date of the hearing.<br/>
<a id="pl.28.3"></a><var>28.3</var>If you do not file a Request for Hearing within ten days of the date the objection was <br/>
<a id="pl.28.4"></a><var>28.4</var>personally served on you, or within 13 days from the date the objection was mailed to you, <br/>
<a id="pl.28.5"></a><var>28.5</var>your financial institution may turn your funds over to your judgment creditor.<br/>
<a id="pl.28.6"></a><var>28.6</var>If you file a Request for Hearing and your financial institution receives it within ten <br/>
<a id="pl.28.7"></a><var>28.7</var>days of the date it received this objection, your financial institution will retain your funds <br/>
<a id="pl.28.8"></a><var>28.8</var>claimed to be exempt until otherwise ordered by the court.<br/>
<table>
<col width="50px"/>
<col width="37.5"/>
<col width="27.5"/>
<tr>
<td><a id="pl.28.9"></a><var>28.9</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.28.10"></a><var>28.10</var><br/>
</td>
<td></td>
<td>Attorney for Judgment Creditor<br/>
</td>
</tr>
</table><a id="pl.28.11"></a><var>28.11</var>(a) The Written Objection and Notice of Hearing must be in substantially the <br/>
<a id="pl.28.12"></a><var>28.12</var>following form:<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.28.13"></a><var>28.13</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.28.14"></a><var>28.14</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td align="right" colspan="2"><span>
                     							.....
                     						</span> JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.28.15"></a><var>28.15</var><br/>
</td>
<td colspan="2"><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.28.16"></a><var>28.16</var><br/>
</td>
<td>(Creditor)<br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.28.17"></a><var>28.17</var><br/>
<a id="pl.28.18"></a><var>28.18</var><br/>
<a id="pl.28.19"></a><var>28.19</var><br/>
<a id="pl.28.20"></a><var>28.20</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td align="right" colspan="2">CREDITOR'S NOTICE OF <br/>
OBJECTION AND NOTICE OF <br/>
HEARING ON EXEMPTION <br/>
CLAIM<br/>
</td>
</tr>
<tr>
<td><a id="pl.28.21"></a><var>28.21</var><br/>
</td>
<td colspan="2"><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.28.22"></a><var>28.22</var><br/>
</td>
<td>(Debtor)<br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.28.23"></a><var>28.23</var><br/>
</td>
<td colspan="2"><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.28.24"></a><var>28.24</var><br/>
</td>
<td colspan="2">(Financial Institution)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.28.25"></a><var>28.25</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td align="left" colspan="2">(DEBTOR)<br/>
</td>
</tr>
<tr>
<td><a id="pl.28.26"></a><var>28.26</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td align="left" colspan="2"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.28.27"></a><var>28.27</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td align="left" colspan="2">ADDRESS<br/>
</td>
</tr>
<tr>
<td><a id="pl.28.28"></a><var>28.28</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td align="left" colspan="2"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.28.29"></a><var>28.29</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td align="left" colspan="2"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width=""/>
<col width=""/>
<tr>
<td><a id="pl.28.30"></a><var>28.30</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.28.31"></a><var>28.31</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.28.32"></a><var>28.32</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.28.33"></a><var>28.33</var><br/>
<a id="pl.28.34"></a><var>28.34</var><br/>
</td>
<td>(CREDITOR OR CREDITOR'S <br/>
ATTORNEY)<br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.28.35"></a><var>28.35</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.28.36"></a><var>28.36</var><br/>
</td>
<td><b>NOTICE OF HEARING</b><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.28.37"></a><var>28.37</var><br/>
<a id="pl.28.38"></a><var>28.38</var><br/>
<a id="pl.28.39"></a><var>28.39</var><br/>
</td>
<td></td>
<td>The creditor objects to your exemption <br/>
claim. This hearing is to resolve your <br/>
exemption claim.<br/>
</td>
</tr>
<tr>
<td><a id="pl.28.40"></a><var>28.40</var><br/>
</td>
<td>Hearing Date:<br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.28.41"></a><var>28.41</var><br/>
</td>
<td>Time:<br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.28.42"></a><var>28.42</var><br/>
</td>
<td>Hearing Place:<br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
</table><a id="pl.29.1"></a><var>29.1</var>The creditor objects to your claim of exemption from levy of execution for the <br/>
<a id="pl.29.2"></a><var>29.2</var>following reason(s):<br/>
<table>
<col width="50px"/>
<col width=""/>
<tr>
<td><a id="pl.29.3"></a><var>29.3</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.29.4"></a><var>29.4</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.29.5"></a><var>29.5</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
</table><a id="pl.29.6"></a><var>29.6</var><b>(Note: Bring with you to the hearing all documents and materials supporting </b><br/>
<a id="pl.29.7"></a><var>29.7</var><b>your exemption claim.</b> Failure to do so could delay the court's decision.)<br/>
<a id="pl.29.8"></a><var>29.8</var>If the creditor receives all documents and materials supporting your exemption <br/>
<a id="pl.29.9"></a><var>29.9</var>claim before the hearing date, the creditor may agree with your exemption claim and you <br/>
<a id="pl.29.10"></a><var>29.10</var>might be able to avoid a hearing.<br/>
<a id="pl.29.11"></a><var>29.11</var>Because a court hearing will be held on your claim that your funds are protected, <br/>
<a id="pl.29.12"></a><var>29.12</var>your financial institution will retain the funds until it receives an order from the court or <br/>
<a id="pl.29.13"></a><var>29.13</var>upon mutual agreement between you and the creditor.<br/>
<a id="pl.29.14"></a><var>29.14</var>    Subd. 6. <b>Request for hearing and notice for hearing.</b> The request for hearing <br/>
<a id="pl.29.15"></a><var>29.15</var>accompanying the objection notice must be in substantially the following form:<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.29.16"></a><var>29.16</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.29.17"></a><var>29.17</var><br/>
</td>
<td colspan="2">County of <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td colspan="2"><span>
                     							.....
                     						</span> JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.29.18"></a><var>29.18</var><br/>
<a id="pl.29.19"></a><var>29.19</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment <br/>
Creditor)<br/>
</td>
<td></td>
<td align="right" colspan="2">REQUEST FOR HEARING<br/>
</td>
</tr>
<tr>
<td><a id="pl.29.20"></a><var>29.20</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Judgment Debtor)<br/>
</td>
<td></td>
<td align="right" colspan="2">AND NOTICE FOR HEARING<br/>
</td>
</tr>
<tr>
<td><a id="pl.29.21"></a><var>29.21</var><br/>
<a id="pl.29.22"></a><var>29.22</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="3">(Garnishee) (Third <br/>
Party)<br/>
</td>
<td align="right" colspan="2"></td>
</tr>
</table><a id="pl.29.23"></a><var>29.23</var>I hereby request a hearing to resolve the exemption claim which has been made <br/>
<a id="pl.29.24"></a><var>29.24</var>in this case regarding funds in the account of ............. (Judgment Debtor) at the ......... <br/>
<a id="pl.29.25"></a><var>29.25</var>(Financial Institution).<br/>
<a id="pl.29.26"></a><var>29.26</var>I believe the property being held is exempt because<br/>
<span>
            							.....
            						</span><a id="pl.29.27"></a><var>29.27</var><br/>
<span>
            							.....
            						</span><a id="pl.29.28"></a><var>29.28</var><br/>
<table>
<col width="50px"/>
<col width="27.5"/>
<col width="5"/>
<col width="32.5"/>
<tr>
<td><a id="pl.29.29"></a><var>29.29</var><br/>
</td>
<td>Dated: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.29.30"></a><var>29.30</var><br/>
</td>
<td></td>
<td></td>
<td>(JUDGMENT DEBTOR)<br/>
</td>
</tr>
<tr>
<td><a id="pl.29.31"></a><var>29.31</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.29.32"></a><var>29.32</var><br/>
</td>
<td></td>
<td></td>
<td>(ADDRESS)<br/>
</td>
</tr>
<tr>
<td><a id="pl.29.33"></a><var>29.33</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.29.34"></a><var>29.34</var><br/>
</td>
<td colspan="2">HEARING DATE: <br/>
<span>
                     							.....
                     						</span></td>
<td>TIME: <br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.29.35"></a><var>29.35</var><br/>
</td>
<td colspan="2">HEARING PLACE: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
</tr>
</table><a id="pl.29.36"></a><var>29.36</var>(Note to both parties: Bring with you to the hearing all documents and materials <br/>
<a id="pl.29.37"></a><var>29.37</var>relevant to the exemption claim and objection. Failure to do so could delay the court's <br/>
<a id="pl.29.38"></a><var>29.38</var>decision.)<br/>
<a id="pl.30.1"></a><var>30.1</var>    Subd. 7. <b>Release of funds.</b> At any time during the procedure specified in this <br/>
<a id="pl.30.2"></a><var>30.2</var>section, the judgment debtor or the attorney for the judgment creditor may, by a writing <br/>
<a id="pl.30.3"></a><var>30.3</var>dated after the service of the writ of execution, direct the financial institution to release the <br/>
<a id="pl.30.4"></a><var>30.4</var>funds in question to the other party. Upon receipt of a release, the financial institution <br/>
<a id="pl.30.5"></a><var>30.5</var>shall release the funds as directed.<br/>
<a id="pl.30.6"></a><var>30.6</var>    Subd. 8. <b>Subsequent proceedings; bad faith claims.</b> If in subsequent proceedings <br/>
<a id="pl.30.7"></a><var>30.7</var>brought by the judgment debtor or the judgment creditor, the claim of exemption is not <br/>
<a id="pl.30.8"></a><var>30.8</var>upheld, and the court finds that it was asserted in bad faith, the judgment creditor shall be <br/>
<a id="pl.30.9"></a><var>30.9</var>awarded actual damages, costs, and reasonable attorney fees resulting from the additional <br/>
<a id="pl.30.10"></a><var>30.10</var>proceedings, and an amount not to exceed $100. If the claim of exemption is upheld, and <br/>
<a id="pl.30.11"></a><var>30.11</var>the court finds that the judgment creditor disregarded the claim of exemption in bad faith, <br/>
<a id="pl.30.12"></a><var>30.12</var>the judgment debtor shall be awarded costs, reasonable attorney fees, actual damages, and <br/>
<a id="pl.30.13"></a><var>30.13</var>an amount not to exceed $100. The underlying judgment must be modified to reflect <br/>
<a id="pl.30.14"></a><var>30.14</var>assessment of damages, costs, and attorney fees. However, if the party in whose favor a <br/>
<a id="pl.30.15"></a><var>30.15</var>penalty assessment is made is not actually indebted to the party's attorney for fees, the <br/>
<a id="pl.30.16"></a><var>30.16</var>attorney's fee award shall be made directly to the attorney and if not paid, an appropriate <br/>
<a id="pl.30.17"></a><var>30.17</var>judgment in favor of the attorney shall be entered. Upon motion of any party in interest, <br/>
<a id="pl.30.18"></a><var>30.18</var>on notice, the court shall determine the validity of any claim of exemption, and may make <br/>
<a id="pl.30.19"></a><var>30.19</var>any order necessary to protect the rights of those interested. No financial institution is <br/>
<a id="pl.30.20"></a><var>30.20</var>liable for damages for complying with this section. Both copies of an exemption claim <br/>
<a id="pl.30.21"></a><var>30.21</var>or an objection to an exemption claim must be mailed or delivered on the same date. <br/>
<a id="pl.30.22"></a><var>30.22</var>The financial institution may rely on the date of mailing or delivery of a notice to it in <br/>
<a id="pl.30.23"></a><var>30.23</var>computing any time periods in this section.<br/>
<br/>
<a id="bill.0.4.0"></a><a id="pl.30.24"></a><var>30.24</var>    Sec. 4. Minnesota Statutes 2008, section 571.71, is amended to read:<br/>
<a id="pl.30.25"></a><var>30.25</var><b>571.71 GARNISHMENT; WHEN AUTHORIZED.</b><br/>
<a id="pl.30.26"></a><var>30.26</var>As an ancillary proceeding to a civil action for the recovery of money, a creditor <br/>
<a id="pl.30.27"></a><var>30.27</var>may issue a garnishment summons as provided in this chapter against any third party in <br/>
<a id="pl.30.28"></a><var>30.28</var>the following instances:<br/>
<a id="pl.30.29"></a><var>30.29</var>(1) at the time the civil action is commenced or at any time after the commencement <br/>
<a id="pl.30.30"></a><var>30.30</var>of the civil action, but before the entry of a judgment, if the court orders the issuance of <br/>
<a id="pl.30.31"></a><var>30.31</var>the garnishment summons pursuant to section 
         <statute_ref>571.93</statute_ref>;<br/>
<a id="pl.30.32"></a><var>30.32</var>(2) at any time 40 45 days or more after service of the summons and complaint <br/>
<a id="pl.30.33"></a><var>30.33</var>upon the debtor in the civil action when a judgment by default could have, but has not, <br/>
<a id="pl.30.34"></a><var>30.34</var>been entered pursuant to rule 55.01(a) of the Minnesota Rules of Civil Procedure for the <br/>
<a id="pl.30.35"></a><var>30.35</var>District Courts. Garnishment under this clause is effective only after the Notice of Intent <br/>
<a id="pl.31.1"></a><var>31.1</var>to Garnish form in section 571.72, subdivision 11, and the Exemption form in section <br/>
<a id="pl.31.2"></a><var>31.2</var>571.72, subdivision 10, are served on the debtor at any time 20 or more days after the <br/>
<a id="pl.31.3"></a><var>31.3</var>service of the Summons and Complaint and, in addition, the creditor does not receive an <br/>
<a id="pl.31.4"></a><var>31.4</var>Answer from the debtor within 25 days after service of the Notice of Intent to Garnish. <br/>
<a id="pl.31.5"></a><var>31.5</var>The Notice of Intent to Garnish form and the Exemption form must be substantially in the <br/>
<a id="pl.31.6"></a><var>31.6</var>form set forth in section 571.72, subdivisions 10 and 11. If a creditor sends a Notice of <br/>
<a id="pl.31.7"></a><var>31.7</var>Intent to Garnish form to a debtor under this clause, the creditor cannot obtain a default <br/>
<a id="pl.31.8"></a><var>31.8</var>judgment against the debtor under rule 55.01(a) of the Minnesota Rules of Civil Procedure <br/>
<a id="pl.31.9"></a><var>31.9</var>for the District Court until 25 days after the service of the Notice of Intent to Garnish <br/>
<a id="pl.31.10"></a><var>31.10</var>form. No filing of a pleading or other documents by the creditor is required to issue <br/>
<a id="pl.31.11"></a><var>31.11</var>a garnishment summons under this clause; however, the creditor must comply with the <br/>
<a id="pl.31.12"></a><var>31.12</var>service requirement of section 
         <statute_ref>571.72, subdivision 4</statute_ref>; or<br/>
<a id="pl.31.13"></a><var>31.13</var>(3) at any time after entry of a money judgment in the civil action.<br/>
<br/>
<a id="bill.0.5.0"></a><a id="pl.31.14"></a><var>31.14</var>    Sec. 5. Minnesota Statutes 2008, section 571.72, is amended by adding a subdivision <br/>
<a id="pl.31.15"></a><var>31.15</var>to read:<br/>
<a id="pl.31.16"></a><var>31.16</var>    Subd. 10. <b>Exemption notice for prejudgment garnishment.</b><br/>

<a id="pl.31.19"></a><var>31.19</var><b>employer, bank, or other third parties without any further court proceeding or notice </b><br/>
<a id="pl.31.20"></a><var>31.20</var><b>to you. See the attached Notice of Intent to Garnish for more information.</b><br/>
<a id="pl.31.21"></a><var>31.21</var><b>The following money and wages may be protected (the legal word is exempt) </b><br/>
<a id="pl.31.22"></a><var>31.22</var><b>from garnishment:</b><br/>
<a id="pl.31.23"></a><var>31.23</var><b>1. Financial institutions/bank</b><br/>
<a id="pl.31.24"></a><var>31.24</var>Some of the money in your account may be protected because you receive <br/>
<a id="pl.31.25"></a><var>31.25</var>government benefits from one or more of the following places:<br/>
<a id="pl.31.26"></a><var>31.26</var><b>MFIP</b> - Minnesota family investment program,<br/>
<a id="pl.31.27"></a><var>31.27</var><b>MFIP Diversionary Work Program,</b><br/>
<a id="pl.31.28"></a><var>31.28</var><b>Work participation cash benefit,</b><br/>
<a id="pl.31.29"></a><var>31.29</var><b>GA</b> - general assistance,<br/>
<a id="pl.31.30"></a><var>31.30</var><b>EA</b> - emergency assistance,<br/>
<a id="pl.31.31"></a><var>31.31</var><b>MA</b> - medical assistance,<br/>
<a id="pl.31.32"></a><var>31.32</var><b>GAMC</b> - general assistance medical care,<br/>
<a id="pl.31.33"></a><var>31.33</var><b>EGA</b> - emergency general assistance or county crisis funds,<br/>
<a id="pl.31.34"></a><var>31.34</var><b>MSA</b> - Minnesota supplemental aid,<br/>
<a id="pl.31.35"></a><var>31.35</var><b>MSA-EA</b> - MSA emergency assistance,<br/>
<a id="pl.32.1"></a><var>32.1</var><b>Food Support,</b><br/>
<a id="pl.32.2"></a><var>32.2</var><b>SSI - Supplemental Security Income,</b><br/>
<a id="pl.32.3"></a><var>32.3</var><b>MinnesotaCare,</b><br/>
<a id="pl.32.4"></a><var>32.4</var><b>Medicare part B premium payments,</b><br/>
<a id="pl.32.5"></a><var>32.5</var><b>Medicare part D extra help,</b><br/>
<a id="pl.32.6"></a><var>32.6</var><b>Energy or fuel assistance,</b><br/>
<a id="pl.32.7"></a><var>32.7</var><b>Social Security benefits,</b><br/>
<a id="pl.32.8"></a><var>32.8</var><b>Unemployment benefits,</b><br/>
<a id="pl.32.9"></a><var>32.9</var><b>Workers' compensation,</b><br/>
<a id="pl.32.10"></a><var>32.10</var><b>Veterans benefits.</b><br/>
<a id="pl.32.11"></a><var>32.11</var><b>Sending the creditor's attorney (or creditor, if no attorney) a copy of BANK </b><br/>
<a id="pl.32.12"></a><var>32.12</var><b>STATEMENTS that show what was in your account for the past 60 days may give </b><br/>
<a id="pl.32.13"></a><var>32.13</var><b>the creditor enough information about your exemption claim to avoid a garnishment.</b><br/>
<a id="pl.32.14"></a><var>32.14</var><b>2. Earnings</b><br/>
<a id="pl.32.15"></a><var>32.15</var>All or some of your earnings may be completely protected from garnishment if:<br/>
<a id="pl.32.16"></a><var>32.16</var><b>All of your earnings (wages) may be protected if:</b><br/>
<a id="pl.32.17"></a><var>32.17</var>You get government benefits (see list of government benefits)<br/>
<a id="pl.32.18"></a><var>32.18</var>You currently receive other assistance based on need<br/>
<a id="pl.32.19"></a><var>32.19</var>You have received government benefits in the last six months<br/>
<a id="pl.32.20"></a><var>32.20</var>You were in jail or prison in the last six months<br/>
<a id="pl.32.21"></a><var>32.21</var>Your wages are only protected for 60 days after they are deposited in your account <br/>
<a id="pl.32.22"></a><var>32.22</var>so <b>it would be helpful if you immediately send the undersigned creditor a copy of </b><br/>
<a id="pl.32.23"></a><var>32.23</var><b>BANK STATEMENTS</b> that show what was in your account <b>for the past 60 days</b>.<br/>
<a id="pl.32.24"></a><var>32.24</var><b>Some of your earnings (wages) may be protected if:</b><br/>
<a id="pl.32.25"></a><var>32.25</var>If all of your earnings are not exempt, some of your earnings may still be protected <br/>
<a id="pl.32.26"></a><var>32.26</var>for 20 days after they were deposited in your account. The amount protected is the larger <br/>
<a id="pl.32.27"></a><var>32.27</var>amount of:<br/>
<a id="pl.32.28"></a><var>32.28</var>75 percent of your wages (after taxes are taken out); or<br/>
<a id="pl.32.29"></a><var>32.29</var>(insert the sum of the current federal minimum wage) multiplied by 40.<br/>
<a id="pl.32.30"></a><var>32.30</var><b>The money from the following are also exempt for 20 days after they are </b><br/>
<a id="pl.32.31"></a><var>32.31</var><b>deposited in your account.</b><br/>
<a id="pl.32.32"></a><var>32.32</var><b>An accident, disability, or retirement pension or annuity</b><br/>
<a id="pl.32.33"></a><var>32.33</var><b>Payments to you from a life insurance policy</b><br/>
<a id="pl.32.34"></a><var>32.34</var><b>Earnings of your child who is under 18 years of age</b><br/>
<a id="pl.32.35"></a><var>32.35</var><b>Child support</b><br/>
<a id="pl.33.1"></a><var>33.1</var><b>Money paid to you from a claim for damage or destruction of property.</b> <br/>
<a id="pl.33.2"></a><var>33.2</var>Property includes household goods, farm tools or machinery, tools for your job, business <br/>
<a id="pl.33.3"></a><var>33.3</var>equipment, a mobile home, a car, a musical instrument, a pew or burial lot, clothes, <br/>
<a id="pl.33.4"></a><var>33.4</var>furniture, or appliances.<br/>
<a id="pl.33.5"></a><var>33.5</var><b>Death benefits paid to you.</b><br/>
<a id="pl.33.6"></a><var>33.6</var><b>YOU WILL BE ABLE TO CLAIM THESE EXEMPTIONS WHEN YOU </b><br/>
<a id="pl.33.7"></a><var>33.7</var><b>RECEIVE A NOTICE. You will get the notice at least ten days BEFORE a wage </b><br/>
<a id="pl.33.8"></a><var>33.8</var><b>garnishment. BUT if the creditor garnishes your bank account, you will not get </b><br/>
<a id="pl.33.9"></a><var>33.9</var><b>the notice until AFTER the account has been frozen. IF YOU BELIEVE THE </b><br/>
<a id="pl.33.10"></a><var>33.10</var><b>MONEY IN YOUR BANK ACCOUNT OR YOUR WAGES ARE EXEMPT, YOU </b><br/>
<a id="pl.33.11"></a><var>33.11</var><b>SHOULD IMMEDIATELY CONTACT THE PERSON BELOW. YOU SHOULD </b><br/>
<a id="pl.33.12"></a><var>33.12</var><b>TELL THEM WHY YOU THINK YOUR ACCOUNT OR WAGES ARE EXEMPT </b><br/>
<a id="pl.33.13"></a><var>33.13</var><b>TO SEE IF YOU CAN AVOID GARNISHMENT.</b><br/>
<table>
<col width="50px"/>
<col width=""/>
<tr>
<td><a id="pl.33.14"></a><var>33.14</var><br/>
</td>
<td>Creditor <br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.33.15"></a><var>33.15</var><br/>
</td>
<td>Creditor address <br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.33.16"></a><var>33.16</var><br/>
</td>
<td>Creditor telephone number <br/>
<span>
                     							.....
                     						</span></td>
</tr>
</table><br/>
<a id="bill.0.6.0"></a><a id="pl.33.17"></a><var>33.17</var>    Sec. 6. Minnesota Statutes 2008, section 571.72, is amended by adding a subdivision <br/>
<a id="pl.33.18"></a><var>33.18</var>to read:<br/>
<a id="pl.33.19"></a><var>33.19</var>    Subd. 11. <b>Notice of intent to garnish.</b> The notice of intent to garnish must be in <br/>
<a id="pl.33.20"></a><var>33.20</var>substantially the following form:<br/>

<table>
<col width="50px"/>
<col width="13.100000000000001"/>
<col width="3.7"/>
<col width="13.200000000000001"/>
<tr>
<td><a id="pl.33.23"></a><var>33.23</var><br/>
</td>
<td align="right"><span>
                     							.....
                     						</span><br/>
</td>
<td align="center">against <br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.33.24"></a><var>33.24</var><br/>
</td>
<td align="right"><i>Plaintiff/Creditor</i><br/>
</td>
<td></td>
<td><i>Defendant/Debtor</i><br/>
</td>
</tr>
</table><a id="pl.33.25"></a><var>33.25</var><b>Your money, property, or earnings are in danger of being garnished because </b><br/>
<a id="pl.33.26"></a><var>33.26</var><b>you did not send a written "Answer" to the Summons and Complaint served on you </b><br/>
<a id="pl.33.27"></a><var>33.27</var><b>over 20 days ago.</b><br/>
<a id="pl.33.28"></a><var>33.28</var>There may not be a case filed in court, BUT because you did not send a written <br/>
<a id="pl.33.29"></a><var>33.29</var>"Answer" the creditor may serve a garnishment summons on your employer, bank, or <br/>
<a id="pl.33.30"></a><var>33.30</var>other third parties. This means that your money or wages can be garnished (held or taken). <br/>
<a id="pl.33.31"></a><var>33.31</var>Under Minnesota law, this can happen any time 20 days after the date you receive this <br/>
<a id="pl.33.32"></a><var>33.32</var>notice.<br/>
<a id="pl.33.33"></a><var>33.33</var>There will be <b>NO COURT HEARING</b> or any further notice to you prior to a <br/>
<a id="pl.33.34"></a><var>33.34</var>garnishment if you do nothing. There may not be a file open at the Clerk of the Court's <br/>
<a id="pl.33.35"></a><var>33.35</var>office. <b>There are things you can do to avoid a garnishment, but you must act quickly.</b><br/>
<a id="pl.34.1"></a><var>34.1</var>Please read these instructions carefully. <b>You have 20 days</b> to do one of the following:<br/>
<a id="pl.34.2"></a><var>34.2</var>1. <b>Send an Answer.</b> If you do not think you owe the money or if you have a legal <br/>
<a id="pl.34.3"></a><var>34.3</var>reason that you did not pay, send a written "Answer" to the Summons and Complaint. <br/>
<a id="pl.34.4"></a><var>34.4</var>Your "Answer" should tell the creditor why you think you do not owe some or all of the <br/>
<a id="pl.34.5"></a><var>34.5</var>money. Contact a lawyer if you do not know what to do, need help with an answer, or <br/>
<a id="pl.34.6"></a><var>34.6</var>have any questions about the debt.<br/>
<a id="pl.34.7"></a><var>34.7</var>2. <b>Claim an Exemption.</b> Even if you do not have a defense to the complaint, some <br/>
<a id="pl.34.8"></a><var>34.8</var>of your money may be protected (the legal word is exempt) from garnishment. This <br/>
<a id="pl.34.9"></a><var>34.9</var>means it is protected and cannot be taken. The creditor will send you a form to claim these <br/>
<a id="pl.34.10"></a><var>34.10</var>exemptions at a later time, <b>but you can possibly avoid the garnishment</b> by contacting <br/>
<a id="pl.34.11"></a><var>34.11</var>the person below<b> immediately</b> to claim your exemption. Attached to this notice is a list <br/>
<a id="pl.34.12"></a><var>34.12</var>of exemptions you may be able to claim.<br/>
<a id="pl.34.13"></a><var>34.13</var>3. <b>If you do not have a defense and your money is not exempt</b> you can <b>call</b> the <br/>
<a id="pl.34.14"></a><var>34.14</var>person below before the 20 days are up and try to set up a payment plan that works for <br/>
<a id="pl.34.15"></a><var>34.15</var>both you and your creditor. You can contact the person below at any time to try to work <br/>
<a id="pl.34.16"></a><var>34.16</var>out a payment plan, but if you wait too long or cannot agree on a payment plan, they may <br/>
<a id="pl.34.17"></a><var>34.17</var>garnish your wages, bank accounts, or assets.<br/>
<a id="pl.34.18"></a><var>34.18</var><b>If you do not do any of these things, your money can be garnished.</b> The creditor <br/>
<a id="pl.34.19"></a><var>34.19</var>can garnish your wages, bank accounts, or other assets. They do not have to go to court to <br/>
<a id="pl.34.20"></a><var>34.20</var>let you know when they start taking your money.<br/>
<table>
<col width="50px"/>
<col width="25"/>
<col width="7.5"/>
<col width="32.5"/>
<tr>
<td><a id="pl.34.21"></a><var>34.21</var><br/>
</td>
<td></td>
<td></td>
<td>LAW FIRM<br/>
</td>
</tr>
<tr>
<td><a id="pl.34.22"></a><var>34.22</var><br/>
</td>
<td>Dated:<br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td>By:<br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.34.23"></a><var>34.23</var><br/>
</td>
<td></td>
<td></td>
<td>Attorney, #<br/>
</td>
</tr>
<tr>
<td><a id="pl.34.24"></a><var>34.24</var><br/>
</td>
<td></td>
<td></td>
<td>Attorneys for Plaintiff<br/>
</td>
</tr>
<tr>
<td><a id="pl.34.25"></a><var>34.25</var><br/>
</td>
<td></td>
<td></td>
<td>Address<br/>
</td>
</tr>
<tr>
<td><a id="pl.34.26"></a><var>34.26</var><br/>
</td>
<td></td>
<td></td>
<td>Telephone<br/>
</td>
</tr>
</table><br/>
<a id="bill.0.7.0"></a><a id="pl.34.27"></a><var>34.27</var>    Sec. 7. Minnesota Statutes 2008, section 571.911, is amended to read:<br/>
<a id="pl.34.28"></a><var>34.28</var><b>571.911 EXEMPTION NOTICE; DUTY OF FINANCIAL INSTITUTION.</b><br/>
<a id="pl.34.29"></a><var>34.29</var>If the garnishment summons is used to garnish funds of a debtor who is a natural <br/>
<a id="pl.34.30"></a><var>34.30</var>person and if the funds to be garnished are held on deposit at a financial institution, the <br/>
<a id="pl.34.31"></a><var>34.31</var>creditor shall serve with the garnishee summons a notice, instructions, and two copies of <br/>
<a id="pl.34.32"></a><var>34.32</var>an exemption notice. The notice, instructions, and exemption notices must be substantially <br/>
<a id="pl.34.33"></a><var>34.33</var>in the form forms set forth in section 
         <statute_ref>571.912</statute_ref>. Failure of the creditor to send the exemption <br/>
<a id="pl.34.34"></a><var>34.34</var>notice renders the garnishment void, and the financial institution shall take no action. <br/>
<a id="pl.34.35"></a><var>34.35</var>Upon receipt of the garnishment summons and exemption notices, the financial institution <br/>
<a id="pl.35.1"></a><var>35.1</var>shall retain as much of the amount under section 
         <statute_ref>571.73</statute_ref> as the financial institution has on <br/>
<a id="pl.35.2"></a><var>35.2</var>deposit owing to the debtor, but not more than 110 percent of the creditor's claim.<br/>
<br/>
<a id="bill.0.8.0"></a><a id="pl.35.3"></a><var>35.3</var>    Sec. 8. Minnesota Statutes 2008, section 571.912, is amended to read:<br/>
<a id="pl.35.4"></a><var>35.4</var><b>571.912 FORM OF </b><b>NOTICE, INSTRUCTIONS, AND </b><b>EXEMPTION NOTICE.</b><br/>
<a id="pl.35.5"></a><var>35.5</var>    Subdivision 1. <b>Form of notice.</b> The notice, instructions, and exemption notice <br/>
<a id="pl.35.6"></a><var>35.6</var>informing a debtor that an order for attachment, a garnishment summons, or levy by <br/>
<a id="pl.35.7"></a><var>35.7</var>execution has been used to attach funds of the debtor to satisfy a claim must be a separate <br/>
<a id="pl.35.8"></a><var>35.8</var>notice and must be substantially in the following form:<br/>
<table>
<col width="50px"/>
<col width="30"/>
<col width="5"/>
<col width="30"/>
<tr>
<td><a id="pl.35.9"></a><var>35.9</var><br/>
</td>
<td>STATE OF MINNESOTA<br/>
</td>
<td></td>
<td align="right">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.35.10"></a><var>35.10</var><br/>
</td>
<td>COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td align="right"><span>
                     							.....
                     						</span> JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.35.11"></a><var>35.11</var><br/>
</td>
<td><span>
                     							.....
                     						</span> (Creditor)<br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.35.12"></a><var>35.12</var><br/>
</td>
<td><span>
                     							.....
                     						</span> (Debtor)<br/>
</td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.35.13"></a><var>35.13</var><br/>
</td>
<td>TO: Debtor<br/>
</td>
<td></td>
<td align="right">EXEMPTION NOTICE<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.35.14"></a><var>35.14</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.35.15"></a><var>35.15</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td align="right" colspan="2"><span>
                     							.....
                     						</span>JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.35.16"></a><var>35.16</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Creditor)<br/>
</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.35.17"></a><var>35.17</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Debtor)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.35.18"></a><var>35.18</var><br/>
<a id="pl.35.19"></a><var>35.19</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Financial <br/>
institution)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
</table>

<a id="pl.35.23"></a><var>35.23</var><b>Your account balance is $.......</b><br/>
<a id="pl.35.24"></a><var>35.24</var><b>The amount being held is $.......</b><br/>
<a id="pl.35.25"></a><var>35.25</var>The amount being held will be frozen for 14 days from the date of this notice.<br/>
<a id="pl.35.26"></a><var>35.26</var><b>Some of your money in your account may be protected (the legal word is </b><br/>
<a id="pl.35.27"></a><var>35.27</var><b>exempt). You may be able to get it sooner than 14 days if you act quickly and follow </b><br/>
<a id="pl.35.28"></a><var>35.28</var><b>the instructions on the next page.</b><br/>
<a id="pl.35.29"></a><var>35.29</var>The attached exemption form lists some different sources of money in your account <br/>
<a id="pl.35.30"></a><var>35.30</var>that may be protected. If your money is from one or more of these sources, place a <br/>
<a id="pl.35.31"></a><var>35.31</var>check on the line on the form next to the sources of your money. If it is from one of <br/>
<a id="pl.35.32"></a><var>35.32</var>these sources, the Creditor cannot take it.<br/>
<a id="pl.35.33"></a><var>35.33</var>BUT,<b> you must follow the instructions and return the exemption form and </b><br/>
<a id="pl.35.34"></a><var>35.34</var><b>copies of your bank statements from the last 60 days</b> to have the bank unfreeze your <br/>
<a id="pl.35.35"></a><var>35.35</var>money. If you do not follow the instructions or your Creditor gets an order from the court <br/>
<a id="pl.35.36"></a><var>35.36</var>or writ of execution, your financial institution will give the money to your Creditor. If that <br/>
<a id="pl.36.1"></a><var>36.1</var>happens and it is protected, you can still get it back from the Creditor later, but that is not <br/>
<a id="pl.36.2"></a><var>36.2</var>as easy to do as filling in the form now.<br/>

<a id="pl.36.5"></a><var>36.5</var>and must be substantially in the following form:<br/>

<a id="pl.36.8"></a><var>36.8</var>1. Fill out <b>both</b> of the attached exemption forms in this packet.<br/>
<a id="pl.36.9"></a><var>36.9</var><b>If you check one of the lines, you should also give proof that shows that some </b><br/>
<a id="pl.36.10"></a><var>36.10</var><b>or all of the money in your account is from one or more of the protected sources. </b><br/>
<a id="pl.36.11"></a><var>36.11</var><b>Creditors may ask for a hearing if they question your exemptions.</b><br/>
<a id="pl.36.12"></a><var>36.12</var><b>To avoid a hearing:</b><br/>
<a id="pl.36.13"></a><var>36.13</var><b>Case numbers should be added to the form.</b><br/>
<a id="pl.36.14"></a><var>36.14</var><b>Copies of documents should be sent with the form.</b><br/>
<a id="pl.36.15"></a><var>36.15</var><b>NOTICE: YOU MUST SEND TO THE CREDITOR'S ATTORNEY (OR TO </b><br/>
<a id="pl.36.16"></a><var>36.16</var><b>THE CREDITOR, IF NO ATTORNEY) COPIES OF YOUR BANK STATEMENTS </b><br/>
<a id="pl.36.17"></a><var>36.17</var><b>FOR THE PAST 60 DAYS BEFORE THE GARNISHMENT. Keep a copy of your </b><br/>
<a id="pl.36.18"></a><var>36.18</var><b>bank statements in case there are questions about your claim. If you do not send to </b><br/>
<a id="pl.36.19"></a><var>36.19</var><b>the creditor's attorney (or to the creditor, if no attorney) bank statements with your </b><br/>
<a id="pl.36.20"></a><var>36.20</var><b>exemption claim, the financial institution may release your money to the creditor </b><br/>
<a id="pl.36.21"></a><var>36.21</var><b>once the creditor gives the financial institution a court order directing it to turn </b><br/>
<a id="pl.36.22"></a><var>36.22</var><b>over the funds.</b><br/>
<a id="pl.36.23"></a><var>36.23</var>2. <b>Sign</b> the exemption forms. <b>Make one copy to keep for yourself.</b><br/>
<a id="pl.36.24"></a><var>36.24</var>3. <b>Mail or deliver</b> the other copies of the form by (insert date).<br/>
<a id="pl.36.25"></a><var>36.25</var><b>BOTH COPIES MUST BE MAILED OR DELIVERED THE SAME DAY.</b><br/>
<a id="pl.36.26"></a><var>36.26</var>One copy of the form and the copies of your bank statements go to:<br/>
<table>
<col width="50px"/>
<col width="37.5"/>
<tr>
<td><a id="pl.36.27"></a><var>36.27</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.36.28"></a><var>36.28</var><br/>
</td>
<td>(Insert name of creditor or creditor's attorney)<br/>
</td>
</tr>
<tr>
<td><a id="pl.36.29"></a><var>36.29</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.36.30"></a><var>36.30</var><br/>
</td>
<td>(Insert address of creditor or creditor's attorney)<br/>
</td>
</tr>
</table><a id="pl.36.31"></a><var>36.31</var>One copy goes to:<br/>
<table>
<col width="50px"/>
<col width="37.5"/>
<tr>
<td><a id="pl.36.32"></a><var>36.32</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.36.33"></a><var>36.33</var><br/>
</td>
<td>(Insert name of bank)<br/>
</td>
</tr>
<tr>
<td><a id="pl.36.34"></a><var>36.34</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.36.35"></a><var>36.35</var><br/>
</td>
<td>(Insert address of bank)<br/>
</td>
</tr>
</table>

<a id="pl.37.1"></a><var>37.1</var>14 days after the date of this letter some or all of your money may be turned over to <br/>
<a id="pl.37.2"></a><var>37.2</var>the creditor once they get an order from the court telling the financial institution to do this.<br/>
<a id="pl.37.3"></a><var>37.3</var><b>If You Send in the Exemption Form and Bank Statements:</b><br/>
<a id="pl.37.4"></a><var>37.4</var>Any money that is NOT protected can be turned over to the creditor once they get <br/>
<a id="pl.37.5"></a><var>37.5</var>an order from the court.<br/>
<a id="pl.37.6"></a><var>37.6</var><b>If the Creditor Does Not Object:</b><br/>
<a id="pl.37.7"></a><var>37.7</var>The financial institution will unfreeze your money six business days after the <br/>
<a id="pl.37.8"></a><var>37.8</var>institution gets your completed form.<br/>
<a id="pl.37.9"></a><var>37.9</var><b>If the Creditor Objects:</b><br/>
<a id="pl.37.10"></a><var>37.10</var>The money you have said is protected on the form will be held by the bank. The <br/>
<a id="pl.37.11"></a><var>37.11</var>creditor has six business days to object (disagree) and ask the court to hold a hearing. You <br/>
<a id="pl.37.12"></a><var>37.12</var>will receive a Notice of Objection and a Notice of Hearing.<br/>
<a id="pl.37.13"></a><var>37.13</var>The financial institution will hold the money until a court decides whether your <br/>
<a id="pl.37.14"></a><var>37.14</var>money is protected or not. Some reasons a creditor may object are because you did not <br/>
<a id="pl.37.15"></a><var>37.15</var>send copies of your bank statements or other proof of the benefits you received. Be sure to <br/>
<a id="pl.37.16"></a><var>37.16</var>include these when you send your exemption form.<br/>
<a id="pl.37.17"></a><var>37.17</var>You may want to talk to a lawyer for advice about this process. If you are low <br/>
<a id="pl.37.18"></a><var>37.18</var>income you can call Legal Aid.<br/>
<a id="pl.37.19"></a><var>37.19</var><b>PENALTIES:</b><br/>
<a id="pl.37.20"></a><var>37.20</var>If you claim that your money is protected and a court decides you made that claim <br/>
<a id="pl.37.21"></a><var>37.21</var>in bad faith, the court can order you to pay costs, actual damages, attorney fees, and an <br/>
<a id="pl.37.22"></a><var>37.22</var>additional amount of up to $100. For example, it may be bad faith if you claim you receive <br/>
<a id="pl.37.23"></a><var>37.23</var>government benefits that you do not receive.<br/>
<a id="pl.37.24"></a><var>37.24</var>If the creditor made a bad faith objection to your claim that your money is protected, <br/>
<a id="pl.37.25"></a><var>37.25</var>the court can order them to pay costs, actual damages, attorney fees, and an additional <br/>
<a id="pl.37.26"></a><var>37.26</var>amount of up to $100.<br/>
<a id="pl.37.27"></a><var>37.27</var>    Subd. 3. <b>Exemption notice.</b> The exemption notice must be a separate form and <br/>
<a id="pl.37.28"></a><var>37.28</var>must be in substantially the following form:<br/>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.37.29"></a><var>37.29</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.37.30"></a><var>37.30</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td align="right" colspan="2"><span>
                     							.....
                     						</span>JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.37.31"></a><var>37.31</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Creditor)<br/>
</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.37.32"></a><var>37.32</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Debtor)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.37.33"></a><var>37.33</var><br/>
<a id="pl.37.34"></a><var>37.34</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Financial <br/>
institution)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
</table>

<table>
<col width="50px"/>
<col width="2"/>
<col width="26.5"/>
<col width="1.5"/>
<tr>
<td><a id="pl.37.36"></a><var>37.36</var><br/>
</td>
<td>A.<br/>
</td>
<td colspan="2"><b>HOW MUCH MONEY IS PROTECTED</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.37.37"></a><var>37.37</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">I claim ALL of the money being frozen by the bank is protected.<br/>
</td>
</tr>
<tr>
<td><a id="pl.38.1"></a><var>38.1</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">I claim SOME of the money is protected. The amount I claim is protected is $.......<br/>
</td>
</tr>
<tr>
<td><a id="pl.38.2"></a><var>38.2</var><br/>
</td>
<td>B.<br/>
</td>
<td colspan="2"><b>WHY THE MONEY IS PROTECTED</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.3"></a><var>38.3</var><br/>
<a id="pl.38.4"></a><var>38.4</var><br/>
</td>
<td></td>
<td colspan="2">My money is protected because I get it from one or more of the following places: <br/>
<b>(Check all that apply)</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.5"></a><var>38.5</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Government benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.6"></a><var>38.6</var><br/>
</td>
<td></td>
<td colspan="2">Government benefits include, but are not limited to, the following:<br/>
</td>
</tr>
<tr>
<td><a id="pl.38.7"></a><var>38.7</var><br/>
</td>
<td></td>
<td colspan="2"><b>MFIP</b> - Minnesota family investment program, <br/>
</td>
</tr>
<tr>
<td><a id="pl.38.8"></a><var>38.8</var><br/>
</td>
<td></td>
<td colspan="2"><b>MFIP Diversionary Work Program,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.9"></a><var>38.9</var><br/>
</td>
<td></td>
<td colspan="2"><b>Work participation cash benefit,</b> <br/>
</td>
</tr>
<tr>
<td><a id="pl.38.10"></a><var>38.10</var><br/>
</td>
<td></td>
<td colspan="2"><b>GA</b> - general assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.38.11"></a><var>38.11</var><br/>
</td>
<td></td>
<td colspan="2"><b>EA</b> - emergency assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.38.12"></a><var>38.12</var><br/>
</td>
<td></td>
<td colspan="2"><b>MA</b> - medical assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.38.13"></a><var>38.13</var><br/>
</td>
<td></td>
<td colspan="2"><b>GAMC</b> - general assistance medical care,<br/>
</td>
</tr>
<tr>
<td><a id="pl.38.14"></a><var>38.14</var><br/>
</td>
<td></td>
<td colspan="2"><b>EGA</b> - emergency general assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.38.15"></a><var>38.15</var><br/>
</td>
<td></td>
<td colspan="2"><b>MSA</b> - Minnesota supplemental aid,<br/>
</td>
</tr>
<tr>
<td><a id="pl.38.16"></a><var>38.16</var><br/>
</td>
<td></td>
<td colspan="2"><b>MSA-EA</b> - MSA emergency assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.38.17"></a><var>38.17</var><br/>
</td>
<td></td>
<td colspan="2"><b>Food Support,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.18"></a><var>38.18</var><br/>
</td>
<td></td>
<td colspan="2"><b>SSI - Supplemental Security Income,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.19"></a><var>38.19</var><br/>
</td>
<td></td>
<td colspan="2"><b>MinnesotaCare,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.20"></a><var>38.20</var><br/>
</td>
<td></td>
<td colspan="2"><b>Medicare part B premium payments,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.21"></a><var>38.21</var><br/>
</td>
<td></td>
<td colspan="2"><b>Medicare part D extra help,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.22"></a><var>38.22</var><br/>
</td>
<td></td>
<td colspan="2"><b>Energy or fuel assistance.</b><br/>
</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.38.23"></a><var>38.23</var><br/>
</td>
<td colspan="3"><b>LIST SOURCE(S) OF FUNDING IN YOUR ACCOUNT</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.24"></a><var>38.24</var><br/>
</td>
<td colspan="3"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.25"></a><var>38.25</var><br/>
</td>
<td colspan="3"><b>LIST THE CASE NUMBER AND COUNTY</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.26"></a><var>38.26</var><br/>
</td>
<td></td>
<td colspan="2">Case Number: <br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.38.27"></a><var>38.27</var><br/>
</td>
<td></td>
<td colspan="2">County: <br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.38.28"></a><var>38.28</var><br/>
</td>
<td></td>
<td colspan="2"><b>Government benefits also include:</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.29"></a><var>38.29</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Social Security benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.30"></a><var>38.30</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Unemployment benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.31"></a><var>38.31</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Workers' compensation</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.32"></a><var>38.32</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Veterans benefits</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.33"></a><var>38.33</var><br/>
<a id="pl.38.34"></a><var>38.34</var><br/>
<a id="pl.38.35"></a><var>38.35</var><br/>
</td>
<td></td>
<td colspan="2"><b>If you receive any of these government benefits, include copies of any </b><br/>
<b>documents you have that show you receive Social Security, unemployment, </b><br/>
<b>workers' compensation, or veterans benefits.</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.38.36"></a><var>38.36</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Other assistance based on need</b><br/>
</td>
</tr>
</table><a id="pl.38.37"></a><var>38.37</var>You may have assistance based on need from another source that is not on the list. If you <br/>
<a id="pl.38.38"></a><var>38.38</var>do, check this box, and fill in the source of your money on the line below:<br/>
<a id="pl.38.39"></a><var>38.39</var>Source: <br/>
<span>
            							.....
            						</span><a id="pl.38.40"></a><var>38.40</var><b>Include copies of any documents you have that show the source of this money.</b><br/>
<table>
<col width="50px"/>
<col width="2"/>
<col width="26.5"/>
<col width="1.5"/>
<tr>
<td><a id="pl.39.1"></a><var>39.1</var><br/>
</td>
<td><b>EARNINGS</b><br/>
</td>
<td colspan="2"></td>
</tr>
<tr>
<td><a id="pl.39.2"></a><var>39.2</var><br/>
</td>
<td></td>
<td colspan="2"><b>ALL or SOME of your earnings (wages) may also be protected.</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.39.3"></a><var>39.3</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>All of your earnings (wages) are protected if:</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.39.4"></a><var>39.4</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You get government benefits (see list of government benefits)<br/>
</td>
</tr>
<tr>
<td><a id="pl.39.5"></a><var>39.5</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You currently receive other assistance based on need<br/>
</td>
</tr>
<tr>
<td><a id="pl.39.6"></a><var>39.6</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You have received government benefits in the last six months<br/>
</td>
</tr>
<tr>
<td><a id="pl.39.7"></a><var>39.7</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">You were in jail or prison in the last six months<br/>
</td>
</tr>
<tr>
<td><a id="pl.39.8"></a><var>39.8</var><br/>
<a id="pl.39.9"></a><var>39.9</var><br/>
<a id="pl.39.10"></a><var>39.10</var><br/>
<a id="pl.39.11"></a><var>39.11</var><br/>
</td>
<td></td>
<td colspan="2"><b>If you check one of these lines,</b> your wages are only protected for 60 days after <br/>
they are deposited in your account so <b>you MUST send the creditor a copy of </b><br/>
<b>BANK STATEMENTS</b> that show what was in your account <b>for the 60 days right </b><br/>
<b>before the bank froze your money</b>.<br/>
</td>
</tr>
<tr>
<td><a id="pl.39.12"></a><var>39.12</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Some of your earnings (wages) are protected.</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.39.13"></a><var>39.13</var><br/>
<a id="pl.39.14"></a><var>39.14</var><br/>
<a id="pl.39.15"></a><var>39.15</var><br/>
</td>
<td></td>
<td colspan="2">If all of your earnings are not exempt, then some of your earnings are still protected <br/>
for 20 days after they were deposited in your account. The amount protected is the <br/>
larger amount of:<br/>
</td>
</tr>
<tr>
<td><a id="pl.39.16"></a><var>39.16</var><br/>
</td>
<td></td>
<td colspan="2">75 percent of your wages (after taxes are taken out); or<br/>
</td>
</tr>
<tr>
<td><a id="pl.39.17"></a><var>39.17</var><br/>
</td>
<td></td>
<td colspan="2">(insert the sum of the current federal minimum wage) multiplied by 40.<br/>
</td>
</tr>
<tr>
<td><a id="pl.39.18"></a><var>39.18</var><br/>
</td>
<td></td>
<td colspan="2"><b>OTHER EXEMPT FUNDS</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.39.19"></a><var>39.19</var><br/>
<a id="pl.39.20"></a><var>39.20</var><br/>
</td>
<td></td>
<td colspan="2">The money from the following are also completely protected after they are <br/>
deposited in your account.<br/>
</td>
</tr>
<tr>
<td><a id="pl.39.21"></a><var>39.21</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>An accident, disability, or retirement pension or annuity</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.39.22"></a><var>39.22</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Payments to you from a life insurance policy</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.39.23"></a><var>39.23</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Earnings of your child who is under 18 years of age</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.39.24"></a><var>39.24</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Child support</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.39.25"></a><var>39.25</var><br/>
<a id="pl.39.26"></a><var>39.26</var><br/>
<a id="pl.39.27"></a><var>39.27</var><br/>
<a id="pl.39.28"></a><var>39.28</var><br/>
</td>
<td valign="top"><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Money paid to you from a claim for damage or destruction of property</b> <br/>
Property includes household goods, farm tools or machinery, tools for your job, <br/>
business equipment, a mobile home, a car, a musical instrument, a pew or burial lot, <br/>
clothes, furniture, or appliances.<br/>
</td>
</tr>
<tr>
<td><a id="pl.39.29"></a><var>39.29</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2"><b>Death benefits paid to you</b><br/>
</td>
</tr>
</table><a id="pl.39.30"></a><var>39.30</var>I give permission to any agency that has given me cash benefits to give information <br/>
<a id="pl.39.31"></a><var>39.31</var>about my benefits to the above-named creditor, or its attorney. The information will <b>ONLY</b> <br/>
<a id="pl.39.32"></a><var>39.32</var>concern whether I get benefits or not, or whether I have gotten them in the past six months.<br/>
<a id="pl.39.33"></a><var>39.33</var>If I was an inmate in the last six months, I give my permission to the correctional <br/>
<a id="pl.39.34"></a><var>39.34</var>institution to tell the above-named creditor that I was an inmate there.<br/>
<a id="pl.39.35"></a><var>39.35</var><b>YOU MUST SIGN AND SEND THIS FORM BACK TO THE CREDITOR'S </b><br/>
<a id="pl.39.36"></a><var>39.36</var><b>ATTORNEY (OR TO THE CREDITOR, IF NO ATTORNEY) AND THE BANK. </b><br/>
<a id="pl.39.37"></a><var>39.37</var><b>REMEMBER TO INCLUDE A COPY OF YOUR BANK STATEMENTS FOR </b><br/>
<a id="pl.39.38"></a><var>39.38</var><b>THE PAST 60 DAYS. FILL IN THE BLANKS BELOW AND GO BACK TO THE </b><br/>
<a id="pl.39.39"></a><var>39.39</var><b>INSTRUCTIONS TO MAKE SURE YOU DO IT CORRECTLY.</b><br/>
<a id="pl.39.40"></a><var>39.40</var>I have mailed or delivered a copy of this form to:<br/>
<table>
<col width="50px"/>
<col width="37.5"/>
<tr>
<td><a id="pl.39.41"></a><var>39.41</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.39.42"></a><var>39.42</var><br/>
</td>
<td>(Insert name of creditor or creditor's attorney)<br/>
</td>
</tr>
<tr>
<td><a id="pl.40.1"></a><var>40.1</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.40.2"></a><var>40.2</var><br/>
</td>
<td>(Insert address of creditor or creditor's attorney)<br/>
</td>
</tr>
</table><a id="pl.40.3"></a><var>40.3</var>I have also mailed or delivered a copy of this exemption form to my bank at the <br/>
<a id="pl.40.4"></a><var>40.4</var>address listed in the instructions.<br/>
<table>
<col width="50px"/>
<col width="5"/>
<col width="15"/>
<tr>
<td><a id="pl.40.5"></a><var>40.5</var><br/>
</td>
<td>DATED: <br/>
<span>
                     							.....
                     						</span></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.40.6"></a><var>40.6</var><br/>
</td>
<td></td>
<td>DEBTOR<br/>
</td>
</tr>
<tr>
<td><a id="pl.40.7"></a><var>40.7</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.40.8"></a><var>40.8</var><br/>
</td>
<td></td>
<td>DEBTOR ADDRESS<br/>
</td>
</tr>
<tr>
<td><a id="pl.40.9"></a><var>40.9</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.40.10"></a><var>40.10</var><br/>
</td>
<td></td>
<td>DEBTOR TELEPHONE NUMBER<br/>
</td>
</tr>
</table><a id="pl.40.11"></a><var>40.11</var>An order for attachment, garnishment summons, or levy of execution (strike <br/>
<a id="pl.40.12"></a><var>40.12</var>inapplicable language) has been served on ............ (bank or other financial institution) <br/>
<a id="pl.40.13"></a><var>40.13</var>............... where you have an account.<br/>
<a id="pl.40.14"></a><var>40.14</var>Your account balance is $..................<br/>
<a id="pl.40.15"></a><var>40.15</var>The amount being held is $.................<br/>
<a id="pl.40.16"></a><var>40.16</var>However, all or a portion of the funds in your account will normally be exempt from <br/>
<a id="pl.40.17"></a><var>40.17</var>creditors' claims if they are in one of the following categories:<br/>
<a id="pl.40.18"></a><var>40.18</var>(1) relief based on need. This includes the Minnesota Family Investment Program <br/>
<a id="pl.40.19"></a><var>40.19</var>(MFIP), Emergency Assistance (EA), Work First Program, Medical Assistance (MA), <br/>
<a id="pl.40.20"></a><var>40.20</var>General Assistance (GA), General Assistance Medical Care (GAMC), Emergency General <br/>
<a id="pl.40.21"></a><var>40.21</var>Assistance (EGA), Minnesota Supplemental Aid (MSA), MSA Emergency Assistance <br/>
<a id="pl.40.22"></a><var>40.22</var>(MSA-EA), Supplemental Security Income (SSI), and Energy Assistance;<br/>
<a id="pl.40.23"></a><var>40.23</var>(2) Social Security benefits (Old Age, Survivors, or Disability Insurance);<br/>
<a id="pl.40.24"></a><var>40.24</var>(3) unemployment benefits, workers' compensation, or veterans' benefits;<br/>
<a id="pl.40.25"></a><var>40.25</var>(4) an accident, disability, or retirement pension or annuity;<br/>
<a id="pl.40.26"></a><var>40.26</var>(5) life insurance proceeds;<br/>
<a id="pl.40.27"></a><var>40.27</var>(6) the earnings of your minor child and any child support paid to you; or<br/>
<a id="pl.40.28"></a><var>40.28</var>(7) money from a claim for damage or destruction of exempt property (such as <br/>
<a id="pl.40.29"></a><var>40.29</var>household goods, farm tools, business equipment, a mobile home, or a car).<br/>
<a id="pl.40.30"></a><var>40.30</var>The following funds are also exempt:<br/>
<a id="pl.40.31"></a><var>40.31</var>(8) all earnings of a person in category (1);<br/>
<a id="pl.40.32"></a><var>40.32</var>(9) all earnings of a person who has received relief based on need, or who has been <br/>
<a id="pl.40.33"></a><var>40.33</var>an inmate of a correctional institution, within the last six months;<br/>
<a id="pl.40.34"></a><var>40.34</var>(10) 75 percent of every debtor's after tax earnings; and<br/>
<a id="pl.40.35"></a><var>40.35</var>(11) all of a debtor's after tax earnings below 40 times the federal minimum wage.<br/>
<a id="pl.40.36"></a><var>40.36</var>TIME LIMIT ON EXEMPTIONS AFTER DEPOSIT IN BANK:<br/>
<a id="pl.40.37"></a><var>40.37</var>Categories (10) and (11): 20 days<br/>
<a id="pl.41.1"></a><var>41.1</var>Categories (8) and (9): 60 days<br/>
<a id="pl.41.2"></a><var>41.2</var>All others: no time limit, as long as funds are traceable to the exempt source. (In <br/>
<a id="pl.41.3"></a><var>41.3</var>tracing funds, the first-in, first-out method is used. This means money deposited first is <br/>
<a id="pl.41.4"></a><var>41.4</var>spent first.) The money being sought by the creditor is being held in your account to <br/>
<a id="pl.41.5"></a><var>41.5</var>give you a chance to claim an exemption.<br/>
<a id="pl.41.6"></a><var>41.6</var>TO CLAIM AN EXEMPTION:<br/>
<a id="pl.41.7"></a><var>41.7</var>Fill out, sign, and mail or deliver one copy of the attached exemption claim form to <br/>
<a id="pl.41.8"></a><var>41.8</var>the institution which sent you this notice and mail or deliver one copy to the creditor's <br/>
<a id="pl.41.9"></a><var>41.9</var>attorney. In the event that there is no attorney for the creditor, then such notice shall be <br/>
<a id="pl.41.10"></a><var>41.10</var>sent directly to the creditor. The address for the creditor's attorney or the creditor is set <br/>
<a id="pl.41.11"></a><var>41.11</var>forth below. <b>Both copies must be mailed or delivered on the same day.</b><br/>
<a id="pl.41.12"></a><var>41.12</var><b>NOTE: You may help resolve your claim faster if you send to the creditor's </b><br/>
<a id="pl.41.13"></a><var>41.13</var><b>attorney written proof or documents that show why your money is exempt. If </b><br/>
<a id="pl.41.14"></a><var>41.14</var><b>you have questions regarding the documents to send as proof of an exemption, </b><br/>
<a id="pl.41.15"></a><var>41.15</var><b>call the creditor's attorney. If you do not send written proof and the creditor's </b><br/>
<a id="pl.41.16"></a><var>41.16</var><b>attorney has questions about your exemption claim, the creditor's attorney </b><br/>
<a id="pl.41.17"></a><var>41.17</var><b>may object to your claim which may result in a further delay in releasing your </b><br/>
<a id="pl.41.18"></a><var>41.18</var><b>exempt funds.</b><br/>
<a id="pl.41.19"></a><var>41.19</var>If they do not get the exemption claim back from you within 14 days of the date <br/>
<a id="pl.41.20"></a><var>41.20</var>they mailed or gave it to you, they will be free to turn the money over to the sheriff or <br/>
<a id="pl.41.21"></a><var>41.21</var>the creditor. If you are going to claim an exemption, do so as soon as possible, because <br/>
<a id="pl.41.22"></a><var>41.22</var>your money may be held until it is decided.<br/>
<a id="pl.41.23"></a><var>41.23</var>IF YOU CLAIM AN EXEMPTION:<br/>
<a id="pl.41.24"></a><var>41.24</var>(1) nonexempt money can be turned over to the creditor or sheriff;<br/>
<a id="pl.41.25"></a><var>41.25</var>(2) the financial institution will keep holding the money claimed to be exempt; and<br/>
<a id="pl.41.26"></a><var>41.26</var>(3) seven days after receiving your exemption claim, the financial institution will <br/>
<a id="pl.41.27"></a><var>41.27</var>release the money to you unless before then it receives an objection to your exemption <br/>
<a id="pl.41.28"></a><var>41.28</var>claim.<br/>
<a id="pl.41.29"></a><var>41.29</var>IF THE CREDITOR OBJECTS TO YOUR EXEMPTION CLAIM:<br/>
<a id="pl.41.30"></a><var>41.30</var>The institution will hold the money until a court decides if your exemption claim is <br/>
<a id="pl.41.31"></a><var>41.31</var>valid, BUT ONLY IF the institution gets a copy of your court motion papers asserting <br/>
<a id="pl.41.32"></a><var>41.32</var>the exemption WITHIN TEN DAYS after the objection is personally served on you, or <br/>
<a id="pl.41.33"></a><var>41.33</var>within 13 days from the date the objection is mailed to you. You may wish to consult an <br/>
<a id="pl.41.34"></a><var>41.34</var>attorney at once if the creditor objects to your exemption claim.<br/>
<a id="pl.41.35"></a><var>41.35</var>MOTION TO DETERMINE EXEMPTION:<br/>
<a id="pl.42.1"></a><var>42.1</var>At any time after your funds have been held, you may ask for a court decision on the <br/>
<a id="pl.42.2"></a><var>42.2</var>validity of your exemption claim by filing a request for hearing which may be obtained <br/>
<a id="pl.42.3"></a><var>42.3</var>at the office of the court administrator of the above court.<br/>
<a id="pl.42.4"></a><var>42.4</var>PENALTIES:<br/>
<a id="pl.42.5"></a><var>42.5</var>If you claim an exemption in bad faith, or if the creditor wrongly objects to an <br/>
<a id="pl.42.6"></a><var>42.6</var>exemption in bad faith, the court may order the person who acted in bad faith to pay costs, <br/>
<a id="pl.42.7"></a><var>42.7</var>actual damages, attorney fees, and an additional amount of up to $100.<br/>
<table>
<col width="50px"/>
<col width="30"/>
<col width="30"/>
<col width="5"/>
<tr>
<td><a id="pl.42.8"></a><var>42.8</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.42.9"></a><var>42.9</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.42.10"></a><var>42.10</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.42.11"></a><var>42.11</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.42.12"></a><var>42.12</var><br/>
<a id="pl.42.13"></a><var>42.13</var><br/>
</td>
<td></td>
<td>Name and address of (Attorney for) <br/>
Judgment Creditor<br/>
</td>
<td></td>
</tr>
</table><a id="pl.42.14"></a><var>42.14</var>EXEMPTION:<br/>
<a id="pl.42.15"></a><var>42.15</var>(If you claim an exemption complete the following):<br/>
<a id="pl.42.16"></a><var>42.16</var>(a) Amount of exemption claim.<br/>
<a id="pl.42.17"></a><var>42.17</var>/ / I claim ALL the funds being held are exempt.<br/>
<a id="pl.42.18"></a><var>42.18</var>/ / I claim SOME of the funds being held are exempt.<br/>
<table>
<col width="50px"/>
<col width="10"/>
<col width="55"/>
<tr>
<td><a id="pl.42.19"></a><var>42.19</var><br/>
</td>
<td></td>
<td>The exempt amount is $............<br/>
</td>
</tr>
</table><a id="pl.42.20"></a><var>42.20</var>(b) Basis for exemption.<br/>
<a id="pl.42.21"></a><var>42.21</var>Of the eleven categories listed above, I am in category number ............ (If more <br/>
<a id="pl.42.22"></a><var>42.22</var>than one category applies, you may fill in as many as apply.) The source of the exempt <br/>
<a id="pl.42.23"></a><var>42.23</var>funds is the following:<br/>
<table>
<col width="50px"/>
<col width=""/>
<tr>
<td><a id="pl.42.24"></a><var>42.24</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.42.25"></a><var>42.25</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.42.26"></a><var>42.26</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
</table><a id="pl.42.27"></a><var>42.27</var>(If the source is a type of relief based on need, list the case number and county:<br/>
<a id="pl.42.28"></a><var>42.28</var>case number: ...............;<br/>
<a id="pl.42.29"></a><var>42.29</var>county: ....................)<br/>
<a id="pl.42.30"></a><var>42.30</var>I hereby authorize any agency that has distributed relief to me or any correctional <br/>
<a id="pl.42.31"></a><var>42.31</var>institution in which I was an inmate to disclose to the above named creditor or its attorney <br/>
<a id="pl.42.32"></a><var>42.32</var>only whether or not I am or have been a recipient of relief based on need or an inmate of a <br/>
<a id="pl.42.33"></a><var>42.33</var>correctional institute within the last six months.<br/>
<a id="pl.42.34"></a><var>42.34</var>I have mailed or delivered a copy of the exemption notice to the creditor's attorney <br/>
<a id="pl.42.35"></a><var>42.35</var>at the address indicated above.<br/>
<table>
<col width="50px"/>
<col width="30"/>
<col width="5"/>
<col width="30"/>
<tr>
<td><a id="pl.43.1"></a><var>43.1</var><br/>
<a id="pl.43.2"></a><var>43.2</var><br/>
</td>
<td valign="top">DATED: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
DEBTOR<br/>
</td>
</tr>
<tr>
<td><a id="pl.43.3"></a><var>43.3</var><br/>
<a id="pl.43.4"></a><var>43.4</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
DEBTOR ADDRESS<br/>
</td>
</tr>
<tr>
<td><a id="pl.43.5"></a><var>43.5</var><br/>
<a id="pl.43.6"></a><var>43.6</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
DEBTOR TELEPHONE NUMBER<br/>
</td>
</tr>
</table><br/>
<a id="bill.0.9.0"></a><a id="pl.43.7"></a><var>43.7</var>    Sec. 9. Minnesota Statutes 2008, section 571.913, is amended to read:<br/>
<a id="pl.43.8"></a><var>43.8</var><b>571.913 EFFECT OF EXEMPTION NOTICE.</b><br/>
<a id="pl.43.9"></a><var>43.9</var>Within two business days after receipt of the garnishment summons and, the notice, <br/>
<a id="pl.43.10"></a><var>43.10</var>instructions, and two copies of the exemption notices notice, the financial institution <br/>
<a id="pl.43.11"></a><var>43.11</var>shall serve upon the debtor the notice, instructions, and two copies of the exemption <br/>
<a id="pl.43.12"></a><var>43.12</var>notice. The financial institution shall serve the notice these forms by first class mail to the <br/>
<a id="pl.43.13"></a><var>43.13</var>last known address of the debtor. If no claim of exemption is received by the financial <br/>
<a id="pl.43.14"></a><var>43.14</var>institution within 14 days after the exemption notices are mailed to the debtor, the funds <br/>
<a id="pl.43.15"></a><var>43.15</var>remain subject to the garnishment summons. If the debtor elects to claim an exemption, <br/>
<a id="pl.43.16"></a><var>43.16</var>the debtor shall complete the exemption notice notices, sign it them under penalty of <br/>
<a id="pl.43.17"></a><var>43.17</var>perjury, and deliver one copy to the financial institution and one copy to the attorney for <br/>
<a id="pl.43.18"></a><var>43.18</var>the creditor within 14 days of the date postmarked on the correspondence mailed to the <br/>
<a id="pl.43.19"></a><var>43.19</var>debtor containing the exemption notices. The debtor is also required to include copies of <br/>
<a id="pl.43.20"></a><var>43.20</var>bank statements for the prior 60 days with the exemption notice delivered to the attorney <br/>
<a id="pl.43.21"></a><var>43.21</var>for the creditor. In the event that there is no attorney for the creditor, then the notice and <br/>
<a id="pl.43.22"></a><var>43.22</var>the bank statements must be sent directly to the creditor. Failure of the debtor to deliver <br/>
<a id="pl.43.23"></a><var>43.23</var>the executed exemption notice or copies of the required bank statements for the prior 60 <br/>
<a id="pl.43.24"></a><var>43.24</var>days does not constitute a waiver of a claimed right to an exemption. Upon timely receipt <br/>
<a id="pl.43.25"></a><var>43.25</var>of a claim of exemption, funds not claimed to be exempt by the debtor remain subject <br/>
<a id="pl.43.26"></a><var>43.26</var>to the garnishment summons. All money claimed to be exempt shall be released to the <br/>
<a id="pl.43.27"></a><var>43.27</var>debtor upon the expiration of seven six business days after the date postmarked on the <br/>
<a id="pl.43.28"></a><var>43.28</var>envelope containing the executed exemption notice mailed to the financial institution, or <br/>
<a id="pl.43.29"></a><var>43.29</var>the date of personal delivery of the executed exemption notice to the financial institution, <br/>
<a id="pl.43.30"></a><var>43.30</var>unless within that time the creditor interposes an objection to the exemption.<br/>
<br/>
<a id="bill.0.10.0"></a><a id="pl.43.31"></a><var>43.31</var>    Sec. 10. Minnesota Statutes 2008, section 571.914, is amended to read:<br/>
<a id="pl.43.32"></a><var>43.32</var><b>571.914 OBJECTION TO EXEMPTION CLAIM.</b><br/>
<a id="pl.43.33"></a><var>43.33</var>    Subdivision 1. <b>Objections</b><b> and request for hearing</b><b>.</b> An objection shall be <br/>
<a id="pl.43.34"></a><var>43.34</var>interposed, within six business days of receipt by the creditor of an exemption claim from <br/>
<a id="pl.43.35"></a><var>43.35</var>the debtor, by mailing or delivering one copy of the written objection Notice of Objection <br/>
<a id="pl.44.1"></a><var>44.1</var>and Notice of Hearing to the financial institution and one copy of the written objection <br/>
<a id="pl.44.2"></a><var>44.2</var>Notice of Objection and Notice of Hearing to the debtor. A Request for Hearing and <br/>
<a id="pl.44.3"></a><var>44.3</var>Notice of Hearing form must accompany each copy of the written objection.<br/>
<a id="pl.44.4"></a><var>44.4</var>Both copies of an objection to an exemption claim must be mailed or delivered on <br/>
<a id="pl.44.5"></a><var>44.5</var>the same date. The financial institution may rely on the date of mailing or delivery of a <br/>
<a id="pl.44.6"></a><var>44.6</var>notice to it in computing any time periods in this section.<br/>
<a id="pl.44.7"></a><var>44.7</var>The written objection, and Request for Hearing Notice of Objection and Notice of <br/>
<a id="pl.44.8"></a><var>44.8</var>Hearing, form must be substantially in the forms form set out in subdivisions subdivision <br/>
<a id="pl.44.9"></a><var>44.9</var>2 and 3.<br/>
<a id="pl.44.10"></a><var>44.10</var>The court shall provide clerical assistance to help with the writing and filing of a <br/>
<a id="pl.44.11"></a><var>44.11</var>Request for Hearing by any person not represented by counsel. The court administrator <br/>
<a id="pl.44.12"></a><var>44.12</var>may charge a fee of $1 for the filing of a Request for Notice of Objection and Notice of <br/>
<a id="pl.44.13"></a><var>44.13</var>Hearing. Upon the filing of a Request for Notice of Objection and Notice of Hearing, the <br/>
<a id="pl.44.14"></a><var>44.14</var>court administrator shall schedule the matter for hearing no sooner than five business days <br/>
<a id="pl.44.15"></a><var>44.15</var>but no later than five seven business days from the date of filing. The court administrator <br/>
<a id="pl.44.16"></a><var>44.16</var>shall immediately send a completed copy of the request, including the hearing date, time, <br/>
<a id="pl.44.17"></a><var>44.17</var>and place to the adverse party and to the financial institution by first class mail. A debtor <br/>
<a id="pl.44.18"></a><var>44.18</var>may request continuance of the hearing by notifying the creditor and the court. The court <br/>
<a id="pl.44.19"></a><var>44.19</var>shall schedule the continued hearing within seven days of the original hearing date.<br/>
<a id="pl.44.20"></a><var>44.20</var>An order stating whether the debtor's funds are exempt shall be issued by the court <br/>
<a id="pl.44.21"></a><var>44.21</var>within three days of the date of the hearing.<br/>
<a id="pl.44.22"></a><var>44.22</var>    Subd. 2. <b>Form of </b><b>notice of objection</b><b> and notice of hearing</b><b>.</b> (a) The written <br/>
<a id="pl.44.23"></a><var>44.23</var>objection to the debtor Written Objection and Notice of Hearing must be in substantially <br/>
<a id="pl.44.24"></a><var>44.24</var>the following form:<br/>
<table>
<col width="50px"/>
<col width="30"/>
<col width="5"/>
<col width="30"/>
<tr>
<td><a id="pl.44.25"></a><var>44.25</var><br/>
</td>
<td>STATE OF MINNESOTA<br/>
</td>
<td></td>
<td align="right">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.44.26"></a><var>44.26</var><br/>
</td>
<td>COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td align="right"><span>
                     							.....
                     						</span> JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.44.27"></a><var>44.27</var><br/>
</td>
<td><span>
                     							.....
                     						</span> (Creditor)<br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.44.28"></a><var>44.28</var><br/>
<a id="pl.44.29"></a><var>44.29</var><br/>
</td>
<td><span>
                     							.....
                     						</span> (Debtor)<br/>
</td>
<td></td>
<td align="right">CREDITOR'S NOTICE OF <br/>
                  		OBJECTION<br/>
</td>
</tr>
<tr>
<td><a id="pl.44.30"></a><var>44.30</var><br/>
<a id="pl.44.31"></a><var>44.31</var><br/>
</td>
<td><span>
                     							.....
                     						</span> (Garnishee)<br/>
</td>
<td></td>
<td align="right">TO AND NOTICE OF HEARING <br/>
ON EXEMPTION CLAIM<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width=""/>
<col width=""/>
<tr>
<td><a id="pl.44.32"></a><var>44.32</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.44.33"></a><var>44.33</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.44.34"></a><var>44.34</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.44.35"></a><var>44.35</var><br/>
<a id="pl.44.36"></a><var>44.36</var><br/>
</td>
<td>(CREDITOR OR CREDITOR'S <br/>
ATTORNEY)<br/>
</td>
<td></td>
</tr>
<tr>
<td><a id="pl.44.37"></a><var>44.37</var><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.44.38"></a><var>44.38</var><br/>
</td>
<td></td>
<td><b>NOTICE OF HEARING</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.45.1"></a><var>45.1</var><br/>
<a id="pl.45.2"></a><var>45.2</var><br/>
<a id="pl.45.3"></a><var>45.3</var><br/>
</td>
<td></td>
<td>The creditor objects to your exemption <br/>
claim. This hearing is to resolve your <br/>
exemption claim.<br/>
</td>
</tr>
<tr>
<td><a id="pl.45.4"></a><var>45.4</var><br/>
</td>
<td>Hearing Date:<br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.45.5"></a><var>45.5</var><br/>
</td>
<td>Time:<br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.45.6"></a><var>45.6</var><br/>
</td>
<td>Hearing Place:<br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
</table><a id="pl.45.7"></a><var>45.7</var>The creditor objects to your claim for of exemption from garnishment, levy of <br/>
<a id="pl.45.8"></a><var>45.8</var>execution, order for attachment (strike inapplicable language) for the following reason(s):<br/>
<table>
<col width="50px"/>
<col width=""/>
<tr>
<td><a id="pl.45.9"></a><var>45.9</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.45.10"></a><var>45.10</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.45.11"></a><var>45.11</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
</table><a id="pl.45.12"></a><var>45.12</var><b>(Note: Bring with you to the hearing all documents and materials supporting </b><br/>
<a id="pl.45.13"></a><var>45.13</var><b>your exemption claim.</b> Failure to do so could delay the court's decision.)<br/>
<a id="pl.45.14"></a><var>45.14</var>If the creditor receives all documents and materials supporting your exemption <br/>
<a id="pl.45.15"></a><var>45.15</var>claim before the hearing date, the creditor may agree with your claim and you can avoid <br/>
<a id="pl.45.16"></a><var>45.16</var>a hearing.<br/>
<a id="pl.45.17"></a><var>45.17</var>Because of this objection, a court hearing will be held on your claim that your funds <br/>
<a id="pl.45.18"></a><var>45.18</var>are protected, your financial institution will retain the funds you claimed to be exempt <br/>
<a id="pl.45.19"></a><var>45.19</var>for an additional ten days. If you wish to request a hearing on your exemption claim, <br/>
<a id="pl.45.20"></a><var>45.20</var>you need to do so within ten days from the date the objection was personally served on <br/>
<a id="pl.45.21"></a><var>45.21</var>you, or within 13 days of the date the objection was mailed to you. You may request a <br/>
<a id="pl.45.22"></a><var>45.22</var>hearing by completing the attached form and filing it with the court administrator until it <br/>
<a id="pl.45.23"></a><var>45.23</var>receives an order from the court.<br/>
<a id="pl.45.24"></a><var>45.24</var>1. The court shall provide clerical assistance to help with the writing and filing of a <br/>
<a id="pl.45.25"></a><var>45.25</var>Request for Hearing by any person not represented by counsel. The court administrator <br/>
<a id="pl.45.26"></a><var>45.26</var>may charge a fee of $1 for the filing of a Request for Hearing.<br/>
<a id="pl.45.27"></a><var>45.27</var>2. Upon the filing of a Request for Hearing, the clerk shall schedule the matter for a <br/>
<a id="pl.45.28"></a><var>45.28</var>hearing no later than five business days from the date of filing. The court administrator <br/>
<a id="pl.45.29"></a><var>45.29</var>shall forthwith send a completed copy of the request, including the hearing date, time, and <br/>
<a id="pl.45.30"></a><var>45.30</var>place to the adverse party and to the financial institution by first class mail.<br/>
<a id="pl.45.31"></a><var>45.31</var>3. If it is possible that the financial institution might not receive the request mailed <br/>
<a id="pl.45.32"></a><var>45.32</var>from the court administrator within ten days, then you may want to personally deliver a <br/>
<a id="pl.45.33"></a><var>45.33</var>copy of the request to the financial institution after you have filed your request with the <br/>
<a id="pl.45.34"></a><var>45.34</var>court.<br/>
<a id="pl.45.35"></a><var>45.35</var>4. An order stating whether your funds are exempt shall be issued by the court <br/>
<a id="pl.45.36"></a><var>45.36</var>within three days of the date of the hearing.<br/>
<a id="pl.46.1"></a><var>46.1</var>If you do not file a Request for Hearing within ten days of the date the objection was <br/>
<a id="pl.46.2"></a><var>46.2</var>personally served on you, or within 13 days from the date the objection was mailed to you, <br/>
<a id="pl.46.3"></a><var>46.3</var>your financial institution may turn your funds over to your creditor.<br/>
<a id="pl.46.4"></a><var>46.4</var>If you file a Request for Hearing and your financial institution receives it within ten <br/>
<a id="pl.46.5"></a><var>46.5</var>days of the date it received this objection, your financial institution will retain your funds <br/>
<a id="pl.46.6"></a><var>46.6</var>claimed to be exempt until otherwise ordered by the court, or until the garnishment lapses <br/>
<a id="pl.46.7"></a><var>46.7</var>pursuant to Minnesota Statutes, section 
<statute_ref>571.79</statute_ref>.<br/>
<table>
<col width="50px"/>
<col width="30"/>
<col width="35"/>
<tr>
<td><a id="pl.46.8"></a><var>46.8</var><br/>
</td>
<td></td>
<td align="right"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.46.9"></a><var>46.9</var><br/>
</td>
<td></td>
<td align="right">(CREDITOR OR CREDITOR'S ATTORNEY.)<br/>
</td>
</tr>
</table><a id="pl.46.10"></a><var>46.10</var>    Subd. 3. <b>Request for hearing and notice for hearing.</b> The request for hearing <br/>
<a id="pl.46.11"></a><var>46.11</var>accompanying the objection notice must be in substantially the following form:<br/>
<table>
<col width="50px"/>
<col width="35"/>
<col width="5"/>
<col width="30"/>
<tr>
<td><a id="pl.46.12"></a><var>46.12</var><br/>
</td>
<td>STATE OF MINNESOTA<br/>
</td>
<td></td>
<td align="right">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.46.13"></a><var>46.13</var><br/>
</td>
<td>COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td align="right"><span>
                     							.....
                     						</span> JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.46.14"></a><var>46.14</var><br/>
</td>
<td><span>
                     							.....
                     						</span> (Creditor)<br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.46.15"></a><var>46.15</var><br/>
<a id="pl.46.16"></a><var>46.16</var><br/>
</td>
<td valign="top"><span>
                     							.....
                     						</span> (Debtor)<br/>
</td>
<td></td>
<td align="right">REQUEST FOR HEARING AND <br/>
NOTICE FOR HEARING<br/>
</td>
</tr>
<tr>
<td><a id="pl.46.17"></a><var>46.17</var><br/>
</td>
<td><span>
                     							.....
                     						</span> (Garnishee)<br/>
</td>
<td></td>
<td></td>
</tr>
</table><a id="pl.46.18"></a><var>46.18</var>I hereby request a hearing to resolve the exemption claim which has been made in <br/>
<a id="pl.46.19"></a><var>46.19</var>this case regarding funds in the account of ............. (Debtor) at the ......... (Financial <br/>
<a id="pl.46.20"></a><var>46.20</var>Institution).<br/>
<a id="pl.46.21"></a><var>46.21</var>    I believe the property being held is exempt because<br/>
<table>
<col width="50px"/>
<col width="35"/>
<col width="20"/>
<col width="10"/>
<tr>
<td><a id="pl.46.22"></a><var>46.22</var><br/>
</td>
<td colspan="3"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.46.23"></a><var>46.23</var><br/>
</td>
<td colspan="3"><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.46.24"></a><var>46.24</var><br/>
</td>
<td>Dated: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.46.25"></a><var>46.25</var><br/>
<a id="pl.46.26"></a><var>46.26</var><br/>
</td>
<td></td>
<td colspan="2">(DEBTOR)<br/>
<span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.46.27"></a><var>46.27</var><br/>
<a id="pl.46.28"></a><var>46.28</var><br/>
</td>
<td></td>
<td colspan="2">(ADDRESS)<br/>
<span>
                     							.....
                     						</span><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="27.5"/>
<col width="2.5"/>
<col width="35"/>
<tr>
<td><a id="pl.46.29"></a><var>46.29</var><br/>
</td>
<td>HEARING DATE: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td>TIME: <br/>
<span>
                     							.....
                     						</span></td>
</tr>
<tr>
<td><a id="pl.46.30"></a><var>46.30</var><br/>
</td>
<td>HEARING PLACE: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td align="right"></td>
</tr>
</table><a id="pl.46.31"></a><var>46.31</var>(Note to both parties: Bring with you to the hearing all documents and materials <br/>
<a id="pl.46.32"></a><var>46.32</var>relevant to the exemption claim. Failure to do so could delay the court's decision.)<br/>
<a id="pl.46.33"></a><var>46.33</var>    Subd. 4. <b>Duties of financial institution if objection is made to exemption claim.</b><br/>
<a id="pl.46.34"></a><var>46.34</var>Upon receipt of a written objection Notice of Objection and Notice of Hearing from the <br/>
<a id="pl.46.35"></a><var>46.35</var>creditor within the specified seven-day period, the financial institution shall retain the <br/>
<a id="pl.46.36"></a><var>46.36</var>funds claimed to be exempt. Unless the financial institution receives a request for hearing <br/>
<a id="pl.46.37"></a><var>46.37</var>from the debtor asserting exemption rights within ten days after receipt of the written <br/>
<a id="pl.46.38"></a><var>46.38</var>objection to the exemption, the funds remain subject to the garnishment summons as if <br/>
<a id="pl.47.1"></a><var>47.1</var>no claim of exemption had been made. If a notice of motion and motion to determine <br/>
<a id="pl.47.2"></a><var>47.2</var>the validity of a claim of exemption is received by the financial institution within the <br/>
<a id="pl.47.3"></a><var>47.3</var>period provided, The financial institution shall retain the funds claimed to be exempt <br/>
<a id="pl.47.4"></a><var>47.4</var>until otherwise ordered by the court, upon mutual agreement of the parties, or until the <br/>
<a id="pl.47.5"></a><var>47.5</var>garnishment lapses pursuant to section 
         <statute_ref>571.79</statute_ref>.<br/>
<br/>
<a id="bill.0.11.0"></a><a id="pl.47.6"></a><var>47.6</var>    Sec. 11. Minnesota Statutes 2008, section 571.925, is amended to read:<br/>
<a id="pl.47.7"></a><var>47.7</var><b>571.925 FORM OF NOTICE.</b><br/>
<a id="pl.47.8"></a><var>47.8</var>The ten-day notice informing a debtor that a garnishment summons may be used to <br/>
<a id="pl.47.9"></a><var>47.9</var>garnish the earnings of an individual must be substantially in the following form:<br/>
<table>
<col width="50px"/>
<col width="30"/>
<col width="5"/>
<col width="30"/>
<tr>
<td><a id="pl.47.10"></a><var>47.10</var><br/>
</td>
<td>STATE OF MINNESOTA<br/>
</td>
<td></td>
<td align="right">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.47.11"></a><var>47.11</var><br/>
</td>
<td>COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td align="right"><span>
                     							.....
                     						</span>JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.47.12"></a><var>47.12</var><br/>
<a id="pl.47.13"></a><var>47.13</var><br/>
</td>
<td><span>
                     							.....
                     						</span> (Creditor)<br/>
                  		against<br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.47.14"></a><var>47.14</var><br/>
</td>
<td></td>
<td></td>
<td>GARNISHMENT EXEMPTION<br/>
</td>
</tr>
<tr>
<td><a id="pl.47.15"></a><var>47.15</var><br/>
</td>
<td><span>
                     							.....
                     						</span> (Debtor)<br/>
</td>
<td></td>
<td>NOTICE AND NOTICE OF<br/>
</td>
</tr>
<tr>
<td><a id="pl.47.16"></a><var>47.16</var><br/>
</td>
<td>and<br/>
</td>
<td></td>
<td>INTENT TO GARNISH EARNINGS<br/>
</td>
</tr>
<tr>
<td><a id="pl.47.17"></a><var>47.17</var><br/>
</td>
<td valign="top"><span>
                     							.....
                     						</span> (Garnishee)<br/>
</td>
<td></td>
<td></td>
</tr>
</table><a id="pl.47.18"></a><var>47.18</var>PLEASE TAKE NOTICE that a garnishment summons or levy may be served upon <br/>
<a id="pl.47.19"></a><var>47.19</var>your employer or other third parties, without any further court proceedings or notice to <br/>
<a id="pl.47.20"></a><var>47.20</var>you, ten days or more from the date hereof. Some or all of your earnings are exempt <br/>
<a id="pl.47.21"></a><var>47.21</var>from garnishment. If your earnings are garnished, your employer must show you how <br/>
<a id="pl.47.22"></a><var>47.22</var>the amount that is garnished from your earnings was calculated. You have the right to <br/>
<a id="pl.47.23"></a><var>47.23</var>request a hearing if you claim the garnishment is incorrect.<br/>
<a id="pl.47.24"></a><var>47.24</var>Your earnings are completely exempt from garnishment if you are now a recipient of <br/>
<a id="pl.47.25"></a><var>47.25</var>relief assistance based on need, if you have been a recipient of relief assistance based on <br/>
<a id="pl.47.26"></a><var>47.26</var>need within the last six months, or if you have been an inmate of a correctional institution <br/>
<a id="pl.47.27"></a><var>47.27</var>in the last six months.<br/>
<a id="pl.47.28"></a><var>47.28</var>Relief based on need includes the Minnesota Family Investment Program (MFIP), <br/>
<a id="pl.47.29"></a><var>47.29</var>Emergency Assistance (EA), Work First Program, Medical Assistance (MA), General <br/>
<a id="pl.47.30"></a><var>47.30</var>Assistance (GA), General Assistance Medical Care (GAMC), Emergency General <br/>
<a id="pl.47.31"></a><var>47.31</var>Assistance (EGA), Minnesota Supplemental Aid (MSA), MSA Emergency Assistance <br/>
<a id="pl.47.32"></a><var>47.32</var>(MSA-EA), Supplemental Security Income (SSI), and Energy Assistance.<br/>
<a id="pl.47.33"></a><var>47.33</var>Assistance based on need includes, but is not limited to:<br/>
<table>
<col width="50px"/>
<col width="1.7000000000000002"/>
<col width="19.2"/>
<tr>
<td><a id="pl.47.34"></a><var>47.34</var><br/>
</td>
<td></td>
<td><b>MFIP</b> - Minnesota family investment program,<br/>
</td>
</tr>
<tr>
<td><a id="pl.47.35"></a><var>47.35</var><br/>
</td>
<td></td>
<td><b>MFIP Diversionary Work Program,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.47.36"></a><var>47.36</var><br/>
</td>
<td></td>
<td><b>Work participation cash benefit,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.48.1"></a><var>48.1</var><br/>
</td>
<td></td>
<td><b>GA</b> - general assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.48.2"></a><var>48.2</var><br/>
</td>
<td></td>
<td><b>EA</b> - emergency assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.48.3"></a><var>48.3</var><br/>
</td>
<td></td>
<td><b>MA</b> - medical assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.48.4"></a><var>48.4</var><br/>
</td>
<td></td>
<td><b>GAMC</b> - general assistance medical care,<br/>
</td>
</tr>
<tr>
<td><a id="pl.48.5"></a><var>48.5</var><br/>
</td>
<td></td>
<td><b>EGA</b> - emergency general assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.48.6"></a><var>48.6</var><br/>
</td>
<td></td>
<td><b>MSA</b> - Minnesota supplemental aid,<br/>
</td>
</tr>
<tr>
<td><a id="pl.48.7"></a><var>48.7</var><br/>
</td>
<td></td>
<td><b>MSA-EA</b> - MSA emergency assistance,<br/>
</td>
</tr>
<tr>
<td><a id="pl.48.8"></a><var>48.8</var><br/>
</td>
<td></td>
<td><b>Food Support,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.48.9"></a><var>48.9</var><br/>
</td>
<td></td>
<td><b>SSI - Supplemental Security Income,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.48.10"></a><var>48.10</var><br/>
</td>
<td></td>
<td><b>MinnesotaCare,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.48.11"></a><var>48.11</var><br/>
</td>
<td></td>
<td><b>Medicare part B premium payments,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.48.12"></a><var>48.12</var><br/>
</td>
<td></td>
<td><b>Medicare part D extra help,</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.48.13"></a><var>48.13</var><br/>
</td>
<td></td>
<td><b>Energy or fuel assistance.</b><br/>
</td>
</tr>
</table><a id="pl.48.14"></a><var>48.14</var>If you wish to claim an exemption, you should fill out the appropriate form below, <br/>
<a id="pl.48.15"></a><var>48.15</var>sign it, and send it to the creditor's attorney and the garnishee.<br/>
<a id="pl.48.16"></a><var>48.16</var>You may wish to contact the attorney for the creditor in order to arrange for a <br/>
<a id="pl.48.17"></a><var>48.17</var>settlement of the debt or contact an attorney to advise you about exemptions or other rights.<br/>

<a id="pl.48.20"></a><var>48.20</var>still be served on your employer. If your earnings are garnished after you claim an <br/>
<a id="pl.48.21"></a><var>48.21</var>exemption, you may petition the court for a determination of your exemption. If the <br/>
<a id="pl.48.22"></a><var>48.22</var>court finds that the creditor disregarded your claim of exemption in bad faith, you <br/>
<a id="pl.48.23"></a><var>48.23</var>will be entitled to costs, reasonable attorney fees, actual damages, and an amount <br/>
<a id="pl.48.24"></a><var>48.24</var>not to exceed $100.<br/>
<a id="pl.48.25"></a><var>48.25</var>(2) HOWEVER, BE WARNED if you claim an exemption, the creditor can also <br/>
<a id="pl.48.26"></a><var>48.26</var>petition the court for a determination of your exemption, and if the court finds that <br/>
<a id="pl.48.27"></a><var>48.27</var>you claimed an exemption in bad faith, you will be assessed costs and reasonable <br/>
<a id="pl.48.28"></a><var>48.28</var>attorney's fees plus an amount not to exceed $100.<br/>
<a id="pl.48.29"></a><var>48.29</var>(3) If after receipt of this notice, you in bad faith take action to frustrate the <br/>
<a id="pl.48.30"></a><var>48.30</var>garnishment, thus requiring the creditor to petition the court to resolve the problem, <br/>
<a id="pl.48.31"></a><var>48.31</var>you will be liable to the creditor for costs and reasonable attorney's fees plus an <br/>
<a id="pl.48.32"></a><var>48.32</var>amount not to exceed $100.<br/>
<table>
<col width="50px"/>
<col width="27.5"/>
<col width="7.5"/>
<col width="30"/>
<tr>
<td><a id="pl.48.33"></a><var>48.33</var><br/>
<a id="pl.48.34"></a><var>48.34</var><br/>
</td>
<td valign="top">Dated: <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td valign="top"><span>
                     							.....
                     						</span><br/>
                  		(Attorney for) Creditor<br/>
</td>
</tr>
<tr>
<td><a id="pl.48.35"></a><var>48.35</var><br/>
<a id="pl.48.36"></a><var>48.36</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
                  		Address<br/>
</td>
</tr>
<tr>
<td><a id="pl.48.37"></a><var>48.37</var><br/>
<a id="pl.48.38"></a><var>48.38</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
                  		Telephone<br/>
</td>
</tr>
</table>

<a id="pl.49.2"></a><var>49.2</var>(1) I am presently a recipient of relief based on need. (Specify the program, case <br/>
<a id="pl.49.3"></a><var>49.3</var>number, and the county from which relief is being received.)<br/>
<table>
<col width="50px"/>
<col width="17.5"/>
<col width="5.5"/>
<col width="17.5"/>
<col width="5.5"/>
<col width="17.5"/>
<tr>
<td><a id="pl.49.4"></a><var>49.4</var><br/>
<a id="pl.49.5"></a><var>49.5</var><br/>
<a id="pl.49.6"></a><var>49.6</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
                  		Program<br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
                  		Case Number (if <br/>
                  		known)<br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
                  		County<br/>
</td>
</tr>
</table><a id="pl.49.7"></a><var>49.7</var>(2) I am not now receiving relief based on need, but I have received relief based on <br/>
<a id="pl.49.8"></a><var>49.8</var>need within the last six months. (Specify the program, case number, and the county <br/>
<a id="pl.49.9"></a><var>49.9</var>from which relief has been received.)<br/>
<table>
<col width="50px"/>
<col width="17.5"/>
<col width="5.5"/>
<col width="17.5"/>
<col width="5.5"/>
<col width="17.5"/>
<tr>
<td><a id="pl.49.10"></a><var>49.10</var><br/>
<a id="pl.49.11"></a><var>49.11</var><br/>
<a id="pl.49.12"></a><var>49.12</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
                  		Program<br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
                  		Case Number (if <br/>
                  		known)<br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
                  		County<br/>
</td>
</tr>
</table><a id="pl.49.13"></a><var>49.13</var>(3) I have been an inmate of a correctional institution within the last six months. <br/>
<a id="pl.49.14"></a><var>49.14</var>(Specify the correctional institution and location.)<br/>
<table>
<col width="50px"/>
<col width="27.5"/>
<col width="10"/>
<col width="27.5"/>
<tr>
<td><a id="pl.49.15"></a><var>49.15</var><br/>
<a id="pl.49.16"></a><var>49.16</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
                  		Correctional Institution<br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
                  		Location<br/>
</td>
</tr>
</table><a id="pl.49.17"></a><var>49.17</var>I hereby authorize any agency that has distributed relief to me or any correctional <br/>
<a id="pl.49.18"></a><var>49.18</var>institution in which I was an inmate to disclose to the above-named creditor or the <br/>
<a id="pl.49.19"></a><var>49.19</var>creditor's attorney only whether or not I am or have been a recipient of relief based on <br/>
<a id="pl.49.20"></a><var>49.20</var>need or an inmate of a correctional institution within the last six months. I have mailed or <br/>
<a id="pl.49.21"></a><var>49.21</var>delivered a copy of this form to the creditor or creditor's attorney.<br/>
<table>
<col width="50px"/>
<col width="27.5"/>
<col width="10"/>
<col width="27.5"/>
<tr>
<td><a id="pl.49.22"></a><var>49.22</var><br/>
<a id="pl.49.23"></a><var>49.23</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
                  		Date<br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
                  		Debtor<br/>
</td>
</tr>
<tr>
<td><a id="pl.49.24"></a><var>49.24</var><br/>
<a id="pl.49.25"></a><var>49.25</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
                  		Address<br/>
</td>
</tr>
<tr>
<td><a id="pl.49.26"></a><var>49.26</var><br/>
<a id="pl.49.27"></a><var>49.27</var><br/>
</td>
<td></td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
                  		Debtor Telephone Number<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="20"/>
<col width="5"/>
<col width="10"/>
<col width="2.5"/>
<col width="15"/>
<col width="12.5"/>
<tr>
<td><a id="pl.49.28"></a><var>49.28</var><br/>
</td>
<td colspan="2">STATE OF MINNESOTA<br/>
</td>
<td></td>
<td></td>
<td align="right" colspan="2">DISTRICT COURT<br/>
</td>
</tr>
<tr>
<td><a id="pl.49.29"></a><var>49.29</var><br/>
</td>
<td colspan="2">COUNTY OF <br/>
<span>
                     							.....
                     						</span></td>
<td></td>
<td></td>
<td align="right" colspan="2"><span>
                     							.....
                     						</span> JUDICIAL DISTRICT<br/>
</td>
</tr>
<tr>
<td><a id="pl.49.30"></a><var>49.30</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Creditor)<br/>
</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.49.31"></a><var>49.31</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Debtor)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td><a id="pl.49.32"></a><var>49.32</var><br/>
<a id="pl.49.33"></a><var>49.33</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td colspan="2">(Financial <br/>
institution)<br/>
</td>
<td></td>
<td></td>
<td align="right"></td>
</tr>
</table>