2006 Minnesota Statutes

CHAPTER 551. ATTORNEY'S SUMMARY EXECUTIONS

551.01 ATTORNEY'S SUMMARY EXECUTION OF JUDGMENT DEBTS; WHEN
AUTHORIZED.
An attorney for a judgment creditor may execute on a money judgment by levying on
indebtedness owed to the judgment debtor by a third party, pursuant to this chapter. The attorney
for the judgment creditor must obtain a writ of execution issued under section 550.04 before the
attorney can execute pursuant to this chapter. No more than $10,000 may be recovered by a single
notice of execution levy pursuant to this section. No more than one execution may be served on a
single third party by a judgment creditor each calendar day under this chapter.
History: 1990 c 606 art 2 s 1; 2000 c 405 s 6

551.02 SCOPE OF GENERAL AND SPECIFIC PROVISIONS.
General provisions and definitions relating to attorney's summary execution, as authorized
in this chapter, are set forth in sections 551.03 and 551.04. Specific provisions relating to
attorney's summary execution on funds at a financial institution are set forth in section 551.05.
Specific provisions relating to attorney's summary execution of earnings are set forth in section
551.06. When an attorney is levying against either funds at a financial institution or earnings, the
specific provisions of section 551.05 or 551.06 must be complied with in addition to the general
provisions set forth in sections 551.03 and 551.04. Provisions contained in the statutory forms are
incorporated in this chapter and have the same force of law as any other provisions in this chapter.
History: 1990 c 606 art 2 s 2

551.03 DEFINITIONS.
    Subdivision 1. Scope. For the purposes of this chapter, the terms defined in this section have
the meanings given them.
    Subd. 2. Judgment creditor. "Judgment creditor" means a party who has a judgment for
the recovery of money in the civil action whether that party is the plaintiff, defendant, or other
party in the civil action and who is serving the execution levy.
    Subd. 3. Judgment debtor. "Judgment debtor" means a party against whom the judgment
creditor has a judgment for the recovery of money in the civil action whether that party is the
plaintiff, defendant, or other party in the civil action.
    Subd. 4. Third party. "Third party" means the person or entity upon whom the execution
levy is served.
    Subd. 5. Claim. "Claim" means the unpaid balance of the creditor's judgment against the
judgment debtor, including all lawful interest and costs incurred.
History: 1990 c 606 art 2 s 3

551.04 GENERAL PROVISIONS.
    Subdivision 1. Rules of Civil Procedure. Unless this chapter specifically provides
otherwise, the Minnesota Rules of Civil Procedure for the District Courts shall apply in all
proceedings under this chapter.
    Subd. 2. Property attachable. Subject to the exemptions provided by subdivision 3 and
section 550.37, and any other applicable statute, the service of a writ of execution under this
chapter attaches:
(a) Except as otherwise provided in paragraph (c), all unpaid nonexempt disposable earnings
owing or to be owed by the third party and earned or to be earned by the judgment debtor
within the pay period in which the writ of execution is served and within all subsequent pay
periods whose paydays occur within the 70 days after the date of service of the writ of execution.
"Payday" means the day upon which the third party pays earnings to the judgment debtor in
the ordinary course of business. If the judgment debtor has no regular paydays, payday means
the 15th day and the last day of each month.
(b) All other nonexempt indebtedness or money due or belonging to the judgment debtor and
owing by the third party or in the possession or under the control of the third party at the time of
service of the writ of execution, whether or not the same, has become payable. The third party shall
not be compelled to pay or deliver the same before the time specified by any agreement unless the
agreement was fraudulently contracted to defeat an execution levy or other collection remedy.
(c) For an execution on a judgment for child support, all unpaid nonexempt disposable
earnings owing or to be owed by the third party and earned or to be earned by the judgment debtor
within the pay period in which the writ of execution is served and within all subsequent pay
periods until the judgment is satisfied if the judgment creditor is a county and the third party is
notified by the county when the judgment is satisfied.
    Subd. 3. Property not attachable. The following property is not subject to attachment by a
writ of execution served pursuant to this chapter:
(1) any indebtedness or money due to the judgment debtor, unless at the time of the service
of the writ of execution the same is due absolutely or does not depend upon any contingency;
(2) any judgment owing by the third party to the judgment debtor, if the third party or the
third party's property is liable on an execution levy upon the judgment;
(3) any debt owing by the third party to the judgment debtor for which any negotiable
instrument has been issued or endorsed by the third party;
(4) any indebtedness or money due to the judgment debtor where the judgment debtor is
a bank, savings bank, trust company, credit union, savings association, or industrial loan and
thrift company with deposit liabilities;
(5) any indebtedness or money due to the judgment debtor with a cumulative value of less
than $10; and
(6) any disposable earnings, indebtedness, or money that is exempt under Minnesota or
federal law.
    Subd. 4. Service of third party levy; notice and disclosure forms. When levying upon
money or earnings owed to the judgment debtor by a third party, the attorney for the judgment
creditor shall serve a copy of the writ of execution upon the third party either by registered or
certified mail, or by personal service. A third party levy served by registered or certified mail
is effective if served at the third party's regular place of business. Along with a copy of the
writ of execution, the attorney shall serve upon the third party a notice of third party levy and
disclosure form that must be substantially in the form set forth below. If the levy is upon earnings,
the attorney shall serve upon the third party the notice of third party levy and disclosure form
as set forth in section 551.06, subdivision 9.

	STATE OF MINNESOTA	DISTRICT COURT
	County of	JUDICIAL DISTRICT
		File No. ....................
	(Judgment Creditor)
	against	NOTICE OF THIRD PARTY
	(Judgment Debtor)	LEVY AND DISCLOSURE
	and	(OTHER THAN EARNINGS)
	(Third Party)

PLEASE TAKE NOTICE that pursuant to Minnesota Statutes, chapter 551, the undersigned,
as attorney for the judgment creditor, hereby makes demand and levies execution upon all money
due and owing by you (up to $10,000) to the judgment debtor for the amount of the judgment
specified below. A copy of the writ of execution issued by the court is enclosed. The unpaid
judgment balance is $.......
In responding to this levy, you are to complete the attached disclosure form and mail it to
the undersigned attorney for the judgment creditor, together with your check payable to the
above-named judgment creditor, for the nonexempt amount owed by you to the judgment debtor or
for which you are obligated to the judgment debtor, within the time limits set forth in chapter 551.
If you are a financial institution and the judgment debtor is a natural person, two exemption
notices are also enclosed pursuant to Minnesota Statutes, section 551.02. Only natural persons
are entitled to exemptions under this statute.

		Attorney for the Judgment Creditor
		Address
		(.......................)
		Phone number

DISCLOSURE

On the ..... day of ............., ......., the time of service of the execution levy herein, there was
due and owing the judgment debtor from the third party the following:
(1) Money. Enter on the line below any amounts due and owing the judgment debtor, except
earnings, from the third party.

---

.......................................................
(2) Setoff. Enter on the line below the amount of any setoff, defense, lien, or claim which the
third party claims against the amount set forth on line (1). State the facts by which such setoff,
defense, lien, or claim is claimed. (Any indebtedness to you incurred by the judgment debtor
within ten days prior to the receipt of the first execution levy on a debt may not be claimed as a
setoff, defense, lien, or claim against the amount set forth on line (1).)

---

.......................................................
(3) Exemption. Enter on the line below any amounts or property claimed by the judgment
debtor to be exempt from execution.

---

.......................................................
(4) Adverse Interest. Enter on the line below any amounts claimed by other persons by
reason of ownership or interest in the judgment debtor's property.

---

.......................................................
(5) Enter on the line below the total of lines (2), (3), and (4).

---

.......................................................
(6) Enter on the line below the difference obtained (never less than zero when line (5) is
subtracted from the amount on line (1)).

---

.......................................................
(7) Enter on the line below 100 percent of the amount of the judgment creditor's claim
which remains unpaid.

---

.......................................................
(8) Enter on the line below the lesser of line (6) and line (7). You are hereby instructed to
remit this amount only if it is $10 or more.

---

.......................................................

AFFIRMATION

I, ....................... (person signing Affirmation), am the third party or I am authorized by
the third party to complete this nonearnings disclosure, and have done so truthfully and to the
best of my knowledge.

	Dated:
			Signature
			Title
			Telephone Number

    Subd. 5. Third party fees. If the levy is upon earnings or upon funds at a financial institution,
the third party shall be paid a $15 fee at the time of the service of the writ of execution. Failure
to pay the fee renders the levy void, and the third party shall take no action. The $15 shall not
be paid where the funds being levied on are being held pursuant to a garnishment previously
served in compliance with chapter 571. This fee may be recovered by the judgment creditor as an
allowable disbursement. If a third party is required to appear and submit to oral examination, the
third party shall be tendered, in advance of the examination, fees and mileage for attendance at
the rate allowed by law to a witness. These fees may be recovered by the judgment creditor as an
allowable disbursement. In extraordinary cases, the third party may be allowed additional sums
the court considers reasonable for attorney's fees and other necessary expenses. The court shall
then determine which party bears the burden of this expense.
    Subd. 6. Third party disclosure and remittance. Within 15 days after receipt of the writ of
execution, unless governed by section 551.05 or 551.06, the third party shall disclose and remit to
the judgment creditor's attorney as much of the amount due under section 550.04, but not more
than $10,000, as the third party's own debt equals to the judgment debtor. The attorney for the
judgment creditor shall proceed in all other respects like the sheriff making a similar execution
levy. No more than $10,000 may be recovered by a single execution levy pursuant to this section.
    Subd. 7. Oral disclosure. Before or after the service of a written disclosure by a third
party under subdivision 6, upon a showing by affidavit upon information and belief that an
oral examination of the third party would provide a complete disclosure of relevant facts, any
party to the execution proceedings may obtain an ex parte order requiring the third party, or a
representative of the third party designated by name or by title, to appear for oral examination
before the court or a referee appointed by the court. Notice of the examination must be given to
all parties.
    Subd. 8. Supplemental complaint. If a third party holds property, money, earnings, or other
indebtedness by a title that is void as to the judgment debtor's creditors, the property may be
levied on although the judgment debtor would be barred from maintaining an action to recover the
property, money, earnings, or other indebtedness. In this and all other cases where the third party
denies liability, the judgment creditor may move the court at any time before the third party is
discharged, on notice to both the judgment debtor and the third party for an order making the
third party a party to the supplemental action and granting the judgment creditor leave to file
a supplemental complaint against the third party and the judgment debtor. The supplemental
complaint shall set forth the facts upon which the judgment creditor claims to charge the third
party. If probable cause is shown, the motion shall be granted. The supplemental complaint shall
be served upon the third party and the judgment debtor and any other parties. The parties served
shall answer or respond pursuant to the Minnesota Rules of Civil Procedure for the District
Courts, and if they fail to do so, judgment by default may be entered against them.
    Subd. 9. Judgment against third party upon failure to disclose or remit. Judgment
may be entered against a third party who has been served with a writ of execution and fails to
disclose or remit the levied funds as required in this chapter. Upon order to show cause served on
the third party and notice of motion supported by affidavit of facts and affidavit of service upon
both the judgment debtor and third party, the court may render judgment against the third party
for an amount not exceeding 100 percent of the amount claimed in the execution or $10,000,
whichever is less. Judgment against the third party pursuant to this section shall not bar the
judgment creditor from further remedies under this chapter as a result of any subsequent defaults
by the third party. The court upon good cause shown may remove the default and permit the
third party to disclose or remit on just terms.
    Subd. 10. Costs; satisfaction. Except as provided for in subdivision 5, neither the judgment
creditor nor its attorney shall be allowed costs from any party other than the judgment creditor
for a levy in accordance with this section. Upon expiration, the attorney making the execution
shall endorse on the writ partial satisfaction by amount or the total satisfaction and return the
original writ of execution to the court administrator of that court, pursuant to section 550.051,
subdivision 2 , for filing without charge.
    Subd. 11. Forms. No judgment creditor shall use a form that contains alterations or changes
from the statutory forms that mislead judgment debtors as to their rights and the execution
procedure generally. If a court finds that a judgment creditor has used a misleading form, the
judgment debtor shall be awarded actual damages, costs, reasonable attorney's fees resulting from
additional proceedings, and an amount not to exceed $100. All forms must be clearly legible and
printed in not less than the equivalent of 10-point type. A form that uses both sides of a sheet must
clearly indicate on the front side that there is additional information on the back side of the sheet.
Forms, including the statutory forms, used in executions upon earnings for the satisfaction of
judgments for child support must be changed by the creditor to reflect the fact that the 70-day
period of effectiveness does not apply to these executions if the judgment creditor is a county and
the employer is notified by the county when the judgment is satisfied.
    Subd. 12. Third party good faith requirement. The third party is not liable to the judgment
debtor, judgment creditor, or other person for wrongful retention if the third party retains or remits
disposable earnings, indebtedness, or money of the judgment debtor or any other person, pending
the third party's disclosure or consistent with the disclosure the third party makes, if the third
party has a good faith belief that the property retained or remitted is subject to the execution. In
addition, the third party may, at any time before or after disclosure, proceed under Rule 67 of the
Minnesota Rules of Civil Procedure for the District Courts to make deposit into court. No third
party is liable for damages if the third party complies with the provisions of this chapter.
    Subd. 13. Bad faith claim. If, in a proceeding brought under section 551.05, subdivision
8 , or a similar proceeding under this chapter to determine a claim of exemption, the claim of
exemption is not upheld, and the court finds that it was asserted in bad faith, the judgment
creditor shall be awarded actual damages, costs, reasonable attorney fees resulting from the
additional proceedings, and an amount not to exceed $100. If the claim of exemption is upheld,
and the court finds that the judgment creditor disregarded the claim of exemption in bad faith,
the judgment debtor shall be awarded actual damages, costs, reasonable attorney fees resulting
from the additional proceedings, and an amount not to exceed $100. The underlying judgment
shall be modified to reflect assessment of damages, costs, and attorney fees. However, if the party
in whose favor a penalty assessment is made is not actually indebted to that party's attorney for
fees, the attorney fee award shall be made directly to the attorney, and if not paid, an appropriate
judgment in favor of the attorney shall be entered. Any action by a judgment creditor made in bad
faith and in violation of this chapter renders the execution levy void and the judgment creditor
liable to the judgment debtor named in the execution levy in the amount of $100, actual damages,
and reasonable attorney fees and costs.
    Subd. 14. Discharge of a third party. Subject to subdivisions 6 and 15, the third party,
after disclosure, shall be discharged of any further obligation to the judgment creditor when one
of the following conditions is met:
(a) The third party discloses that the third party is not indebted to the judgment debtor or
does not possess any earnings, property, money, or indebtedness belonging to the judgment debtor
that is attachable as defined in subdivision 2. The disclosure is conclusive against the judgment
creditor and discharges the third party from any further obligation to the judgment creditor other
than to retain and remit all nonexempt disposable earnings, property, indebtedness, or money
of the judgment debtor which was disclosed.
(b) The third party discloses that the third party is indebted to the judgment debtor as
indicated on the execution disclosure form. The disclosure is conclusive against the judgment
creditor and discharges the third party from any further obligation to the judgment creditor other
than to retain and remit all nonexempt disposable earnings, property, indebtedness, or money of
the judgment debtor that was disclosed.
(c) The court may, upon motion of an interested person, discharge the third party as to
any disposable earnings, money, property, or indebtedness in excess of the amount that may be
required to satisfy the judgment creditor's claim.
    Subd. 15. Exceptions to discharge of a third party. The third party is not discharged if:
(a) Within 20 days of the service of the third party's disclosure, an interested person serves a
motion relating to the execution levy. The hearing on the motion must be scheduled to be heard
within 30 days of the service of the motion.
(b) The judgment creditor moves the court for leave to file a supplemental complaint against
the third party, as provided for in subdivision 8, and the court upon proper showing vacates the
discharge of the third party.
    Subd. 16. Joinder and intervention by persons in interest. If it appears that a person, who
is not a party to the action, has or claims an interest in any of the disposable earnings, other
indebtedness, or money, the court shall permit that person to intervene or join in the execution
proceeding under this chapter. If that person does not appear, the court may summon that person
to appear or order the claim barred. The person so appearing or summoned shall be joined as a
party and be bound by the judgment.
    Subd. 17. Appeal. A party to an execution proceeding aggrieved by an order or final
judgment may appeal as in other civil cases.
History: 1990 c 606 art 2 s 4; 1993 c 13 art 1 s 47; 1993 c 156 s 7,8; 1995 c 202 art 1 s
25; 1998 c 254 art 1 s 107; 2000 c 405 s 7-9

551.041 ATTORNEY'S SUMMARY EXECUTION OF FUNDS BEING HELD PURSUANT
TO GARNISHMENT SUMMONS.
Pursuant to this section, an attorney for a judgment creditor may execute on funds retained
by a garnishee under a garnishment summons served pursuant to chapter 571. No more than
$10,000 may be recovered by a single execution levy pursuant to this section. When levying upon
money or earnings being retained by a garnishee pursuant to a garnishment summons, the attorney
shall serve a copy of the writ of execution upon the garnishee by registered or certified mail, or by
personal service. Along with a copy of the writ of execution, the attorney shall serve upon the
garnishee a notice of levy on garnishee that must be substantially in the form set forth below. If
the judgment creditor paid the garnishee the fee required by chapter 571, no additional fee must
be paid to the garnishee for the levy. The notice of levy on garnishee may not be served until the
judgment debtor's right to claim an exemption has expired under chapter 571.

	STATE OF MINNESOTA	DISTRICT COURT
	County of	JUDICIAL DISTRICT
		File No. ....................
	(Judgment Creditor)
	against
	(Judgment Debtor)	NOTICE OF LEVY
	and	ON GARNISHEE
	(Garnishee)

PLEASE TAKE NOTICE that pursuant to Minnesota Statutes, chapter 551, the undersigned
as attorney for the judgment creditor, hereby makes demand and levies execution upon all money
or earnings being retained by you (up to $10,000) pursuant to the judgment creditor's garnishment
summons dated ................ A copy of the writ of execution issued by the court is enclosed. Upon
receipt of this levy, you shall remit to the judgment creditor's attorney all funds being held by
you pursuant to the garnishment summons. The funds shall be remitted within 15 days after
receipt of this levy.

	Date:	Attorney for the Judgment Creditor
		Address:
		Phone Number:
		Attorney I.D. No.:

History: 2000 c 405 s 10

551.042 MONEY DUE FROM STATE DEPARTMENTS.
Money due or owing to any entity or person by the state on account of any employment,
work, contract with, or services provided to any state department or agency is subject to
attachment. The notice of third party levy and disclosure may be served upon the head of the
department or agency in the same manner as other summons in that court of record, except that
service may not be made by publication. Service of the notice may also be made by certified mail,
return receipt requested. The disclosure shall be made by the head of the department or agency, or
by some person designated by the head of the department or agency having knowledge of the
facts. If payment is made pursuant to judgment against the state as a third party, a certificate of
satisfaction to the extent of the payment endorsed on it shall be delivered to the head of the
department or agency as a voucher for the payment.
History: 2000 c 405 s 11

551.043 SALARY OF PUBLIC SERVANTS.
The salary or wages of an official or employee of a county, town, city, or school district,
or any department of these bodies, is subject to attachment. The notice of third party levy and
disclosure shall be served upon the auditor, treasurer, or clerk of the body, or head of the
department of the body of which that person is an official or employee. The disclosure shall be
made by the officer or person so served, or by some person designated by that person having
knowledge of the facts. If payment is made by the county, town, city, or school district, or any
department of these bodies pursuant to a judgment against it as a third party, a certified copy of
the judgment with a certificate of satisfaction to the extent of the payment endorsed on it shall be
delivered to the treasurer as a voucher for the payment.
History: 2000 c 405 s 12

551.05 ATTORNEY'S SUMMARY EXECUTION UPON FUNDS AT A FINANCIAL
INSTITUTION.
    Subdivision 1. Procedure. When levying upon funds at a financial institution, this section
must be complied with, in addition to the general provisions specified in section 551.04.
    Subd. 1a. Exemption notice. If the writ of execution is being used by the attorney to levy
funds of a judgment debtor who is a natural person and if the funds to be levied are held on
deposit at any financial institution, the attorney for the judgment creditor shall serve with the writ
of execution two copies of an exemption notice. The notice must be substantially in the form
set forth below. Failure of the attorney for the judgment creditor to send the exemption notice
renders the execution levy void, and the financial institution shall take no action. However, if this
subdivision is being used to execute on funds that have previously been garnished in compliance
with section 571.71, the attorney for judgment creditor is not required to serve an additional
exemption notice. In that event, the execution levy shall only be effective as to the funds that were
subject to the prior garnishment. Upon receipt of the writ of execution and exemption notices, the
financial institution shall retain as much of the amount due under section 550.04 as the financial
institution has on deposit owing to the judgment debtor, but not more than 100 percent of the
amount remaining due on the judgment, or $10,000, whichever is less.
The notice informing a judgment debtor that an execution levy has been used to attach funds
of the judgment debtor to satisfy a claim must be substantially in the following form:

	STATE OF MINNESOTA	DISTRICT COURT
	County of	JUDICIAL DISTRICT
	.........................(Judgment Creditor)
	.........................(Judgment Debtor)
	TO: Judgment Debtor	EXEMPTION NOTICE

An order for attachment, garnishment summons, or levy of execution (strike inapplicable
language) has been served on ............. (bank or other financial institution where you have an
account).
Your account balance is $........
The amount being held is $........
However, all or a portion of the funds in your account will normally be exempt from
creditors' claims if they are in one of the following categories:
(1) relief based on need. This includes the Minnesota Family Investment Program (MFIP),
Work First Program, Medical Assistance (MA), General Assistance (GA), General Assistance
Medical Care (GAMC), Emergency General Assistance (EGA), Minnesota Supplemental Aid
(MSA), MSA Emergency Assistance (MSA-EA), Supplemental Security Income (SSI), and
Energy Assistance;
(2) Social Security benefits (Old Age, Survivors, or Disability Insurance);
(3) unemployment benefits, workers' compensation, or veterans' benefits;
(4) an accident, disability, or retirement pension or annuity;
(5) life insurance proceeds;
(6) the earnings of your minor child and any child support paid to you; or
(7) money from a claim for damage or destruction of exempt property (such as household
goods, farm tools, business equipment, a mobile home, or a car).
The following funds are also exempt:
(8) all earnings of a person in category (1);
(9) all earnings of a person who has received relief based on need, or who has been an
inmate of a correctional institution, within the last six months;
(10) 75 percent of every judgment debtor's after tax earnings; or
(11) all of a judgment debtor's after tax earnings below 40 times the federal minimum wage.
TIME LIMIT ON EXEMPTIONS AFTER DEPOSIT IN BANK:
Categories (10) and (11): 20 days
Categories (8) and (9): 60 days
All others: no time limit, as long as funds are traceable to the exempt source. (In tracing
funds, the first-in, first-out method is used. This means money deposited first is spent first.)
The money being sought by the judgment creditor is being held in your account to give you a
chance to claim an exemption.
TO CLAIM AN EXEMPTION:
Fill out, sign, and mail or deliver one copy of the attached exemption claim form to the
institution which sent you this notice and mail or deliver one copy to the judgment creditor's
attorney. The address for the judgment creditor's attorney is set forth below. Both copies must be
mailed or delivered on the same day.
NOTE: You may help resolve your claim faster if you send to the creditor's attorney
written proof or documents that show why your money is exempt. If you have
questions regarding the documents to send as proof of an exemption, call the creditor's
attorney. If you do not send written proof and the creditor's attorney has questions
about your exemption claim, the creditor's attorney may object to your claim which
may result in a further delay in releasing your exempt funds.
If they do not get the exemption claim back from you within 14 days of the date they mailed
or gave it to you, they will be free to turn the money over to the attorney for the judgment creditor.
If you are going to claim an exemption, do so as soon as possible, because your money may
be held until it is decided.
IF YOU CLAIM AN EXEMPTION:
(1) nonexempt money can be turned over to the judgment creditor or sheriff;
(2) the financial institution will keep holding the money claimed to be exempt; and
(3) seven days after receiving your exemption claim, the financial institution will release the
money to you unless before then it receives an objection to your exemption claim.
IF THE JUDGMENT CREDITOR OBJECTS TO YOUR EXEMPTION CLAIM:
the institution will hold the money until a court decides if your exemption claim is valid,
BUT ONLY IF the institution gets a copy of your court motion papers asserting the exemption
WITHIN TEN DAYS after the objection is personally served on you, or within 13 days from the
date the objection is mailed to you. You may wish to consult an attorney at once if the judgment
creditor objects to your exemption claim.
MOTION TO DETERMINE EXEMPTION:
At any time after your funds have been held, you may ask for a court decision on the validity
of your exemption claim by filing a request for hearing which may be obtained at the office
of the court administrator of the above court.
PENALTIES:
If you claim an exemption in bad faith, or if the judgment creditor wrongly objects to an
exemption in bad faith, the court may order the person who acted in bad faith to pay costs, actual
damages, attorney fees, and an additional amount of up to $100.

		Name and address of (Attorney for) Judgment Creditor

EXEMPTION:
(a) Amount of exemption claim.
/ / I claim ALL the funds being held are exempt.
/ / I claim SOME of the funds being held are exempt.

The exempt amount is $

(b) Basis for exemption.
Of the 11 categories listed above, I am in category number ............ (If more than one category
applies, you may fill in as many as apply.) The source of the exempt funds is the following:

---

---

---

(If the source is a type of relief based on need, list the case number and county:
case number: ...............;
county: ....................)
I hereby authorize any agency that has distributed relief to me or any correctional institution
in which I was an inmate to disclose to the above named judgment creditor's attorney only
whether or not I am or have been a recipient of relief based on need or an inmate of a correctional
institute within the last six months.
I have mailed or delivered a copy of the exemption notice to the judgment creditor's attorney
at the address indicated above.

		DEBTOR
	DATED: ...........................
		DEBTOR ADDRESS
		DEBTOR TELEPHONE NUMBER

    Subd. 2. Effect of exemption notice. Within two business days after receipt of the execution
levy and exemption notices, the financial institution shall serve upon the judgment debtor two
copies of the exemption notice. The financial institution shall serve the notice by first class mail
to the last known address of the judgment debtor. If no claim of exemption is received by the
financial institution within 14 days after the exemption notices are mailed to the judgment debtor,
the funds remain subject to the execution levy and shall be remitted to the judgment creditor's
attorney within seven days. If the judgment debtor elects to claim an exemption, the judgment
debtor shall complete the exemption notice, sign it under penalty of perjury, and deliver one
copy to the financial institution and one copy to the attorney for the judgment creditor within 14
days of the date postmarked on the correspondence mailed to the judgment debtor containing
the exemption notices. Failure of the judgment debtor to deliver the executed exemption notice
does not constitute a waiver of any claimed right to an exemption. Upon timely receipt of a
claim of exemption, funds not claimed to be exempt by the judgment debtor remain subject to
the execution levy. All money claimed to be exempt shall be released to the judgment debtor
upon the expiration of seven days after the date postmarked on the envelope containing the
executed exemption notice mailed to the financial institution, or the date of personal delivery of
the executed exemption notice to the financial institution, unless within that time the attorney for
the judgment creditor interposes an objection to the exemption.
    Subd. 3. Objection to exemption claim. Objection shall be interposed by mailing or
delivering one copy of the written objection to the financial institution and one copy of the written
objection to the judgment debtor along with a copy of the judgment debtor's claimed exemption
form. Both copies of an objection to an exemption claim shall be mailed or delivered on the
same date. The financial institution may rely on the date of mailing or delivery of a notice to it
in computing any time periods in this section. The written objection must be substantially in
the form specified in subdivision 5.
    Subd. 4. Duties of financial institution if objection is made to exemption claim. Upon
receipt of a written objection from the judgment creditor within the specified seven-day period,
the financial institution shall retain the funds claimed to be exempt. Unless the financial institution
receives a request for hearing and notice of hearing from the judgment debtor asserting exemption
rights within ten days after receipt of a written objection to the exemption, the funds remain
subject to the execution levy as if no claim of exemption had been made and shall be remitted to
the judgment creditor's attorney within seven days. If a request for hearing and notice of hearing
to determine the validity of a claim of exemption is received by the financial institution within the
period provided, it shall retain the funds claimed to be exempt until otherwise ordered by the court.
    Subd. 5. Notice of objection. (a) The written objection to the judgment debtor's claim of
exemption must be in substantially the following form:

	STATE OF MINNESOTA	DISTRICT COURT
	County of	JUDICIAL DISTRICT
	.........................(Judgment Creditor)	OBJECTION TO
	.........................(Judgment Debtor)	EXEMPTION CLAIM
	.........................(Garnishee) (Third Party)

The judgment creditor objects to your claim for exemption from garnishment, levy of
execution, order for attachment (strike inapplicable language) for the following reason(s):

---

---

---

Because of this objection, your financial institution will retain the funds you claimed to be
exempt for an additional ten days. If you wish to request a hearing on your exemption claim, you
need to do so within ten days from the date the objection was personally served on you, or within
13 days from the date the objection was mailed to you. You may request a hearing by completing
the attached form and filing it with the court administrator.
1. The court administrator's office shall provide clerical assistance to help with the writing
and filing of a Request for Hearing by any person not represented by counsel. The court
administrator may charge a fee of $1 for the filing of a Request for Hearing.
2. Upon the filing of a Request for Hearing, the court administrator shall schedule the matter
for a hearing no later than five business days from the date of filing. The court administrator shall
forthwith send a completed copy of the request, including the hearing date, time, and place to the
adverse party and to the financial institution by first class mail.
3. If it is possible that the financial institution might not receive the request mailed from the
court administrator within ten days, then you may want to personally deliver a copy of the request
to the financial institution after you have filed your request with the court.
4. An order stating whether your funds are exempt shall be issued by the court within three
days of the date of the hearing.
If you do not file a Request for Hearing within ten days of the date the objection was
personally served on you, or within 13 days from the date the objection was mailed to you, your
financial institution may turn your funds over to your judgment creditor.
If you file a Request for Hearing and your financial institution receives it within ten days of
the date it received this objection, your financial institution will retain your funds claimed to be
exempt until otherwise ordered by the court.

		Attorney for Judgment Creditor

    Subd. 6. Request for hearing and notice for hearing. The request for hearing
accompanying the objection notice must be in substantially the following form:

	STATE OF MINNESOTA	DISTRICT COURT
	County of	JUDICIAL DISTRICT
	.........................(Judgment Creditor)	REQUEST FOR HEARING
	.........................(Judgment Debtor)	AND NOTICE FOR HEARING
	.........................(Garnishee) (Third Party)

I hereby request a hearing to resolve the exemption claim which has been made in this case
regarding funds in the account of ............. (Judgment Debtor) at the ......... (Financial Institution).
I believe the property being held is exempt because

---

---

	Dated: ...........................
		(JUDGMENT DEBTOR)
		(ADDRESS)
	HEARING DATE:	TIME:
	HEARING PLACE:

(Note to both parties: Bring with you to the hearing all documents and materials relevant to
the exemption claim and objection. Failure to do so could delay the court's decision.)
    Subd. 7. Release of funds. At any time during the procedure specified in this section, the
judgment debtor or the attorney for the judgment creditor may, by a writing dated after the service
of the writ of execution, direct the financial institution to release the funds in question to the other
party. Upon receipt of a release, the financial institution shall release the funds as directed.
    Subd. 8. Subsequent proceedings; bad faith claims. If in subsequent proceedings brought
by the judgment debtor or the judgment creditor, the claim of exemption is not upheld, and the
court finds that it was asserted in bad faith, the judgment creditor shall be awarded actual damages,
costs, and reasonable attorney fees resulting from the additional proceedings, and an amount not
to exceed $100. If the claim of exemption is upheld, and the court finds that the judgment creditor
disregarded the claim of exemption in bad faith, the judgment debtor shall be awarded costs,
reasonable attorney fees, actual damages, and an amount not to exceed $100. The underlying
judgment must be modified to reflect assessment of damages, costs, and attorney fees. However,
if the party in whose favor a penalty assessment is made is not actually indebted to the party's
attorney for fees, the attorney's fee award shall be made directly to the attorney and if not paid,
an appropriate judgment in favor of the attorney shall be entered. Upon motion of any party in
interest, on notice, the court shall determine the validity of any claim of exemption, and may make
any order necessary to protect the rights of those interested. No financial institution is liable for
damages for complying with this section. Both copies of an exemption claim or an objection to an
exemption claim must be mailed or delivered on the same date. The financial institution may rely
on the date of mailing or delivery of a notice to it in computing any time periods in this section.
History: 1990 c 606 art 2 s 5; 1991 c 199 art 1 s 81; 1992 c 464 art 1 s 56; 1993 c 156 s 9;
1994 c 488 s 8; 1999 c 107 s 66; 1999 c 159 s 144; 2000 c 343 s 4; 2000 c 405 s 13,14

551.06 ATTORNEY'S SUMMARY EXECUTION UPON EARNINGS.
    Subdivision 1. Procedure. When earnings are levied upon, this section must be complied
with, in addition to the general provisions specified in section 551.04.
    Subd. 2. Definitions. For purposes of this section, the following terms have the meanings
given them:
(a) "earnings" means:
(1) compensation paid or payable to an employee for personal service whether denominated
as wages, salary, commissions, bonus, or otherwise, and includes periodic payments pursuant to a
pension or retirement program; or
(2) compensation paid or payable to the producer for the sale of agricultural products;
livestock or livestock products; milk or milk products; or fruit or other horticultural products
produced when the producer is operating a family farm, a family farm corporation, or an
authorized farm corporation, as defined in section 500.24, subdivision 2;
(b) "disposable earnings" means that part of the earnings of an individual remaining after the
deduction from those earnings of amounts required by law to be withheld;
(c) "employee" means an individual who performs services subject to the right of the
employer to control both what is done and how it is done; and
(d) "employer" means a person for whom an individual performs services as an employee.
    Subd. 3. Limitation on levy on earnings. Unless the judgment is for child support, the
maximum part of the aggregate disposable earnings of an individual for any pay period subjected
to an execution levy may not exceed the lesser of:
(1) 25 percent of the judgment debtor's disposable earnings; or
(2) the amount by which the judgment debtor's disposable earnings exceed the following
product: 40 times the federal minimum hourly wages prescribed by section 6(a)(1) of the Fair
Labor Standards Act of 1938, United States Code, title 29, section 206(a)(1), in effect at the time
the earnings are payable, times the number of work weeks in the pay period. When a pay period
consists of other than a whole number of work weeks, each day of that pay period in excess of
the number of completed work weeks shall be counted as a fraction of a work week equal to the
number of excess work days divided by the number of days in the normal work week.
If the judgment is for child support, the levy may not exceed:
(1) 50 percent of the judgment debtor's disposable income, if the judgment debtor is
supporting a spouse or dependent child and the judgment is 12 weeks old or less (12 weeks to be
calculated to the beginning of the work week in which the execution levy is received);
(2) 55 percent of the judgment debtor's disposable income, if the judgment debtor is
supporting a spouse or dependent child, and the judgment is over 12 weeks old (12 weeks to be
calculated to the beginning of the work week in which the execution levy is received);
(3) 60 percent of the judgment debtor's disposable income, if the judgment debtor is not
supporting a spouse or dependent child and the judgment is 12 weeks old or less (12 weeks to be
calculated to the beginning of the work week in which the execution levy is received); or
(4) 65 percent of the judgment debtor's disposable income, if the judgment debtor is not
supporting a spouse or dependent child, and the judgment is over 12 weeks old (12 weeks to be
calculated to the beginning of the work week in which the execution levy is received).
Execution levies under this section on judgments for child support are effective until the
judgments are satisfied if the judgment creditor is a county and the employer is notified by the
county when the judgment is satisfied.
No court may make, execute, or enforce an order or any process in violation of this section.
    Subd. 4. Multiple levies on earnings. Except as otherwise provided in this chapter or section
518A.53, the priority of multiple earnings execution levies is determined by the order in which
the execution levies were served on the employer. If the employer is served with two or more
writs of execution at the same time on the same day, the writ of execution issued pursuant to the
first judgment entered has priority. If two or more execution levies are served on the same day
and are based on judgments entered on the same day, then the employer shall select the priority
of the earnings levies. However, in all cases except earnings execution levies on judgments for
child support if the judgment creditor is a county and the employer is notified by the county when
the judgment is satisfied, the execution levies shall be effective no longer than 70 days from the
date of the service of the writ of execution.
    Subd. 5. Earnings attachable. (a) Subject to the exemptions provided by sections 550.37
and 551.06, subdivision 3, and any other applicable statute, and except as otherwise provided in
paragraph (b), the service of a writ of execution under this chapter attaches all unpaid nonexempt
disposable earnings owing or to be owed by the third party and earned or to be earned by the
judgment debtor before and within the pay period in which the writ of execution is served and
within all subsequent pay periods whose paydays occur within the 70 days after the date of service
of the writ of execution. "Paydays" means the days upon which the third party pays earnings to
the judgment debtor in the ordinary course of business. If the judgment debtor has no regular
paydays, paydays means the 15th day and the last day of each month. If the levy attaches less than
$10, the third party shall not retain and remit the sum.
(b) The service of a writ of execution on a judgment for child support attaches to all unpaid
nonexempt disposable earnings owing or to be owed by the third party and earned or to be earned
by the judgment debtor before and within the pay period in which the writ of execution is served
and within all subsequent pay periods until the judgment is satisfied if the judgment creditor is a
county and the third party is notified by the county when the judgment is satisfied.
    Subd. 6. Earnings exemption notice. Before the first levy on earnings, the attorney for
the judgment creditor shall serve upon the judgment debtor no less than ten days before the
service of the writ of execution, a notice that the writ of execution may be served on the judgment
debtor's employer. The notice must: (1) be substantially in the form set forth below; (2) be served
personally, in the manner of a summons and complaint, or by first class mail to the last known
address of the judgment debtor; (3) inform the judgment debtor that an execution levy may
be served on the judgment debtor's employer in ten days, and that the judgment debtor may,
within that time, cause to be served on the judgment creditor's attorney a signed statement under
penalties of perjury asserting an entitlement to an exemption from execution; (4) inform the
judgment debtor of the earnings exemptions contained in section 550.37, subdivision 14; and (5)
advise the judgment debtor of the relief set forth in this chapter to which the judgment debtor
may be entitled if a judgment creditor in bad faith disregards a valid claim and the fee, costs,
and penalty that may be assessed against a judgment debtor who in bad faith falsely claims an
exemption or in bad faith takes action to frustrate the execution process. The notice requirement
of this subdivision does not apply to a levy on earnings being held by an employer pursuant to a
garnishment summons served in compliance with chapter 571.
The ten-day notice informing a judgment debtor that a writ of execution may be used to levy
the earnings of an individual must be substantially in the following form:

	STATE OF MINNESOTA		DISTRICT COURT
	COUNTY OF		JUDICIAL DISTRICT
	(Judgment Creditor)
	against
			EXECUTION EXEMPTION
			NOTICE AND NOTICE OF
	(Judgment Debtor)		INTENT TO LEVY ON EARNINGS
	and		WITHIN TEN DAYS
	(Third Party)

PLEASE TAKE NOTICE that a levy may be served upon your employer or other third
parties, without any further court proceedings or notice to you, ten days or more from the date
hereof. Your earnings are completely exempt from execution levy if you are now a recipient of
relief based on need, if you have been a recipient of relief within the last six months, or if you
have been an inmate of a correctional institution in the last six months.
Relief based on need includes the Minnesota Family Investment Program (MFIP),
Emergency Assistance (EA), Work First Program, Medical Assistance (MA), General Assistance
(GA), General Assistance Medical Care (GAMC), Emergency General Assistance (EGA),
Minnesota Supplemental Aid (MSA), MSA Emergency Assistance (MSA-EA), Supplemental
Security Income (SSI), and Energy Assistance.
If you wish to claim an exemption, you should fill out the appropriate form below, sign it,
and send it to the judgment creditor's attorney.
You may wish to contact the attorney for the judgment creditor in order to arrange for a
settlement of the debt or contact an attorney to advise you about exemptions or other rights.

PENALTIES

(1) Be advised that even if you claim an exemption, an execution levy may still be served
on your employer. If your earnings are levied on after you claim an exemption, you may
petition the court for a determination of your exemption. If the court finds that the judgment
creditor disregarded your claim of exemption in bad faith, you will be entitled to costs,
reasonable attorney fees, actual damages, and an amount not to exceed $100.
(2) HOWEVER, BE WARNED if you claim an exemption, the judgment creditor can also
petition the court for a determination of your exemption, and if the court finds that you
claimed an exemption in bad faith, you will be assessed costs and reasonable attorney's
fees plus an amount not to exceed $100.
(3) If after receipt of this notice, you in bad faith take action to frustrate the execution levy,
thus requiring the judgment creditor to petition the court to resolve the problem, you will
be liable to the judgment creditor for costs and reasonable attorney's fees plus an amount
not to exceed $100.

	DATED:
			(Attorney for Judgment Creditor)
			Address
			Telephone

JUDGMENT DEBTOR'S EXEMPTION CLAIM NOTICE

I hereby claim that my earnings are exempt from execution because:
(1) I am presently a recipient of relief based on need. (Specify the program, case number,
and the county from which relief is being received.)

	Program		Case Number (if known)		County

(2) I am not now receiving relief based on need, but I have received relief based on need
within the last six months. (Specify the program, case number, and the county from which
relief has been received.)

	Program		Case Number (if known)		County

(3) I have been an inmate of a correctional institution within the last six months. (Specify
the correctional institution and location.)

	Correctional Institution		Location

I hereby authorize any agency that has distributed relief to me or any correctional institution
in which I was an inmate to disclose to the above-named judgment creditor or the judgment
creditor's attorney only whether or not I am or have been a recipient of relief based on need or an
inmate of a correctional institution within the last six months. I have mailed or delivered a copy of
this form to the creditor or creditor's attorney.

	DATE:
			Judgment Debtor
			Address

    Subd. 7. Additional notices. If the execution levy has not been served within one year after
service of the exemption notice, the judgment creditor's attorney shall serve another notice upon
the judgment debtor before serving the execution levy on the judgment debtor's employer. If more
than one year has passed since the service of the judgment creditor's most recent execution levy,
the judgment creditor shall, no less than ten days before service of a subsequent execution levy,
serve notice that another execution levy may be served.
    Subd. 8. Proceedings if no exemption statement is received. If no statement of exemption
is received by the attorney for the judgment creditor on an earnings levy within ten days from
the service of the notice, the attorney for the judgment creditor may proceed with the execution
levy. Failure of the judgment debtor to serve a statement does not constitute a waiver of any right
the judgment debtor may have to an exemption. If the statement of exemption is received by the
attorney for the judgment creditor, the attorney may still cause a levy to be served subject to
sanctions provided in section 551.05, subdivision 8.
    Subd. 9. Notice of levy on earnings, disclosure, and worksheet. The attorney for the
judgment creditor shall serve upon the judgment debtor's employer a notice of levy on earnings
and an execution earnings disclosure form and an earnings disclosure worksheet with the writ of
execution, that must be substantially in the form set forth below.

	STATE OF MINNESOTA		DISTRICT COURT
	COUNTY OF		JUDICIAL DISTRICT
			FILE NO.
	(Judgment Creditor)
	against		NOTICE OF LEVY ON
			EARNINGS AND DISCLOSURE
	(Judgment Debtor)
	and
	(Third Party)

PLEASE TAKE NOTICE that pursuant to Minnesota Statutes, sections 551.04 and 551.06,
the undersigned, as attorney for the judgment creditor, hereby makes demand and levies execution
upon all earnings due and owing by you (up to $10,000) to the judgment debtor for the amount of
the judgment specified below. A copy of the writ of execution issued by the court is enclosed.
The unpaid judgment balance is $.....
This levy attaches all unpaid nonexempt disposable earnings owing or to be owed by you
and earned or to be earned by the judgment debtor before and within the pay period in which the
writ of execution is served and within all subsequent pay periods whose paydays occur within the
70 days after the service of this levy.
In responding to this levy, you are to complete the attached disclosure form and worksheet
and mail it to the undersigned attorney for the judgment creditor, together with your check
payable to the above-named judgment creditor, for the nonexempt amount owed by you to the
judgment debtor or for which you are obligated to the judgment debtor, within the time limits set
forth in the aforementioned statutes.

		Attorney for the Judgment Creditor
		Address
		(...)
		Phone Number

DISCLOSURE

DEFINITIONS
"EARNINGS": For the purpose of execution, "earnings" means compensation paid or
payable to an employee for personal services or compensation paid or payable to the producer for
the sale of agricultural products; milk or milk products; or fruit or other horticultural products
produced when the producer is operating a family farm, a family farm corporation, or an
authorized farm corporation, as defined in section 500.24, subdivision 2, whether denominated
as wages, salary, commission, bonus, or otherwise, and includes periodic payments pursuant
to a pension or retirement.
"DISPOSABLE EARNINGS": Means that part of the earnings of an individual remaining
after the deduction from those earnings of amounts required by law to be withheld. (Amounts
required by law to be withheld do not include items such as health insurance, charitable
contributions, or other voluntary wage deductions.)
"PAYDAY": For the purpose of execution, "payday(s)" means the date(s) upon which the
employer pays earnings to the judgment debtor in the ordinary course of business. If the judgment
debtor has no regular payday, payday(s) means the 15th and the last day of each month.
THE THIRD PARTY/EMPLOYER MUST ANSWER THE FOLLOWING QUESTIONS:
1. Do you now owe, or within 70 days from the date the execution levy was served on you,
will you or may you owe money to the judgment debtor for earnings?

Yes

No

    2. Does the judgment debtor earn more than $... per week? (This amount is the federal
minimum wage per week.)

Yes

No

INSTRUCTIONS FOR COMPLETING THE

EARNINGS DISCLOSURE
A. If your answer to either question 1 or 2 is "No," then you must sign the affirmation on
page 2 and return this disclosure to the judgment creditor's attorney within 20 days after it was
served on you, and you do not need to answer the remaining questions.
B. If your answers to both questions 1 and 2 are "Yes," you must complete this form and the
Earnings Disclosure Worksheet as follows:
For each payday that falls within 70 days from the date the execution levy was served on
you, YOU MUST calculate the amount of earnings to be retained by completing steps 3
through 11 on page 2, and enter the amounts on the Earnings Disclosure Worksheet. UPON
REQUEST, THE EMPLOYER MUST PROVIDE THE DEBTOR WITH INFORMATION
AS TO HOW THE CALCULATIONS REQUIRED BY THIS DISCLOSURE WERE
MADE.
Each payday, you must retain the amount of earnings listed in column I on the Earnings
Disclosure Worksheet.
You must pay the attached earnings and return this Earnings Disclosure Form and the
Earnings Disclosure Worksheet to the judgment creditor's attorney and deliver a copy to the
judgment debtor within ten days after the last payday that falls within the 70-day period.
If the judgment is wholly satisfied or if the judgment debtor's employment ends before the
expiration of the 70-day period, your disclosure and remittance should be made within ten
days after the last payday for which earnings were attached.
For steps 3 through 11, "columns" refers to columns on the Earnings Disclosure Worksheet.

	3.	COLUMN A.		Enter the date of judgment debtor's payday.
	4.	COLUMN B.		Enter judgment debtor's gross earnings for each payday.
	5.	COLUMN C.		Enter judgment debtor's disposable earnings for each payday.
	6.	COLUMN D.		Enter 25 percent of disposable earnings. (Multiply Column C by .25.)
	7.	COLUMN E.		Enter here 40 times the hourly federal minimum wage ($.......) times the number of work weeks included in each payday. (Note: If a pay period includes days in excess of whole work weeks, the additional days should be counted as a fraction of a work week equal to the number of work days in excess of a whole work week divided by the number of work days in a normal work week.)
	8.	COLUMN F.		Subtract the amount in Column E from the amount in Column C, and enter here.
	9.	COLUMN G.		Enter here the lesser of the amount in Column D and the amount in Column F.
	10.	COLUMN H.		Enter here any amount claimed by you as a setoff, defense, lien, or claim, or any amount claimed by any other person as an exemption or adverse interest which would reduce the amount of earnings owing to the judgment debtor. (Note: Any indebtedness to you incurred within ten days prior to your receipt of the first execution levy on a debt may not be set off against the earnings otherwise subject to this levy. Any wage assignment made by the judgment debtor within ten days prior to your receipt of the first execution levy on a debt is void.)
				You must also describe your claim(s) and the claims of others, if known, in the space provided below the worksheet and state the name(s) and address(es) of these persons.
				Enter zero in Column H if there are no claims by you or others which would reduce the amount of earnings owing to the judgment debtor.
	11.	COLUMN I.		Subtract the amount in Column H from the amount in Column G and enter here. This is the amount of earnings that you must retain for the payday for which the calculations were made. The total of all amounts entered in Column I is the amount to be remitted to the attorney for the judgment creditor.

AFFIRMATION

I, ................... (person signing Affirmation), am the third party/employer or I am authorized
by the third party/employer to complete this earnings disclosure, and have done so truthfully
and to the best of my knowledge.

	Dated:
			Signature
			Title
			Telephone Number

EARNINGS DISCLOSURE WORKSHEET

...................

Judgment Debtor's Name

	A		B		C
	Payday Date		Gross Earnings		Disposable Earnings

	1.			$		$
	2.
	3.
	4.
	5.
	6.
	7.
	8.
	9.
	10.

	D		E		F
	25% of Column C		40 X Min. Wage		Column C minus Column E

	1.
	2.
	3.
	4.
	5.
	6.
	7.
	8.
	9.
	10.

	G		H		I
	Lesser of Column D and Column F		Setoff, Lien, Adverse Interest, or Other Claims		Column G minus Column H

	1.
	2.
	3.
	4.
	5.
	6.
	7.
	8.
	9.
	10.
				TOTAL OF COLUMN I		$

*If you entered any amount in Column H for any payday(s), you must describe below either
your claims, or the claims of others. For amounts claimed by others, you must both state the
names and addresses of these persons, and the nature of their claim, if known.

---

---

---

AFFIRMATION

I, ................. (person signing Affirmation), am the third party or I am authorized by the
third party to complete this earnings disclosure worksheet, and have done so truthfully and to
the best of my knowledge.

					Title
	Dated:				(...)
			Signature		Phone Number

    Subd. 10. Notice of levy on earnings, disclosure, and worksheet for child support
judgment. The attorney for the judgment creditor shall serve upon the judgment debtor's employer
a notice of levy on earnings and an execution earnings disclosure form and an earnings disclosure
worksheet with the writ of execution, that must be substantially in the form set forth below.

	STATE OF MINNESOTA		DISTRICT COURT
	COUNTY OF		JUDICIAL DISTRICT
			FILE NO.
	(Judgment Creditor)
	against		NOTICE OF LEVY ON
			EARNINGS AND DISCLOSURE
	(Judgment Debtor)
	and
	(Third Party)

PLEASE TAKE NOTICE that pursuant to Minnesota Statutes, sections 551.04 and 551.06,
the undersigned, as attorney for the judgment creditor, hereby makes demand and levies execution
upon all earnings due and owing by you (up to $10,000) to the judgment debtor for the amount of
the judgment specified below. A copy of the writ of execution issued by the court is enclosed.
The unpaid judgment balance is $.....
This levy attaches all unpaid nonexempt disposable earnings owing or to be owed by you
and earned or to be earned by the judgment debtor before and within the pay period in which the
writ of execution is served and within all subsequent pay periods whose paydays occur within the
70 days after the service of this levy.
In responding to this levy, you are to complete the attached disclosure form and worksheet
and mail it to the undersigned attorney for the judgment creditor, together with your check
payable to the above-named judgment creditor, for the nonexempt amount owed by you to the
judgment debtor or for which you are obligated to the judgment debtor, within the time limits set
forth in the aforementioned statutes.

		Attorney for the Judgment Creditor
		Address
		(...)
		Phone Number

DISCLOSURE

DEFINITIONS
"EARNINGS": For the purpose of execution, "earnings" means compensation paid or
payable to an employee for personal services or compensation paid or payable to the producer for
the sale of agricultural products; milk or milk products; or fruit or other horticultural products
produced when the producer is operating a family farm, a family farm corporation, or an
authorized farm corporation, as defined in section 500.24, subdivision 2, whether denominated as
wages, salary, commission, bonus, or otherwise, and includes periodic payments pursuant to a
pension or retirement, workers' compensation, or unemployment benefits.
"DISPOSABLE EARNINGS": Means that part of the earnings of an individual remaining
after the deduction from those earnings of amounts required by law to be withheld. (Amounts
required by law to be withheld do not include items such as health insurance, charitable
contributions, or other voluntary wage deductions.)
"PAYDAY": For the purpose of execution, "payday(s)" means the date(s) upon which the
employer pays earnings to the debtor in the ordinary course of business. If the judgment debtor
has no regular payday, payday(s) means the 15th and the last day of each month.
THE THIRD PARTY/EMPLOYER MUST ANSWER THE FOLLOWING QUESTION:
(1) Do you now owe, or within 70 days from the date the execution levy was served on you,
will you or may you owe money to the judgment debtor for earnings?

Yes

No

INSTRUCTIONS FOR COMPLETING THE

EARNINGS DISCLOSURE
A. If your answer to question 1 is "No," then you must sign the affirmation below and return
this disclosure to the judgment creditor's attorney within 20 days after it was served on you, and
you do not need to answer the remaining questions.
B. If your answer to question 1 is "Yes," you must complete this form and the Earnings
Disclosure Worksheet as follows:
For each payday that falls within 70 days from the date the execution levy was served on
you, YOU MUST calculate the amount of earnings to be retained by completing steps 2
through 8 on page 2, and enter the amounts on the Earnings Disclosure Worksheet. UPON
REQUEST, THE EMPLOYER MUST PROVIDE THE DEBTOR WITH INFORMATION
AS TO HOW THE CALCULATIONS REQUIRED BY THIS DISCLOSURE WERE
MADE.
Each payday, you must retain the amount of earnings listed in column G on the Earnings
Disclosure Worksheet.
You must pay the attached earnings and return this earnings disclosure form and the
Earnings Disclosure Worksheet to the judgment creditor's attorney and deliver a copy of the
disclosure and worksheet to the judgment debtor within ten days after the last payday that
falls within the 70-day period. If the judgment is wholly satisfied or if the judgment debtor's
employment ends before the expiration of the 70-day period, your disclosure and remittance
should be made within ten days after the last payday for which earnings were attached.
For steps 2 through 8, "columns" refers to columns on the Earnings Disclosure Worksheet.
(2) COLUMN A. Enter the date of judgment debtor's payday.
(3) COLUMN B. Enter judgment debtor's gross earnings for each payday.
(4) COLUMN C. Enter judgment debtor's disposable earnings for each payday.
(5) COLUMN D. Enter either 50, 55, 60, or 65 percent of disposable earnings, based on
which of the following descriptions fits the child support judgment debtor:
(a) 50 percent of the judgment debtor's disposable income, if the judgment debtor is
supporting a spouse or dependent child and the judgment is 12 weeks old or less (12 weeks to be
calculated to the beginning of the work week in which the execution levy is received);
(b) 55 percent of the judgment debtor's disposable income, if the judgment debtor is
supporting a spouse or dependent child, and the judgment is over 12 weeks old (12 weeks to be
calculated to the beginning of the work week in which the execution levy is received);
(c) 60 percent of the judgment debtor's disposable income, if the judgment debtor is not
supporting a spouse or dependent child and the judgment is 12 weeks old or less (12 weeks to be
calculated to the beginning of the work week in which the execution levy is received); or
(d) 65 percent of the judgment debtor's disposable income, if the judgment debtor is not
supporting a spouse or dependent child, and the judgment is over 12 weeks old (12 weeks to be
calculated to the beginning of the work week in which the execution levy is received). (Multiply
column C by .50, .55, .60, or .65, as appropriate.)
(6) COLUMN E. Enter here any amount claimed by you as a setoff, defense, lien, or claim,
or any amount claimed by any other person as an exemption or adverse interest that would reduce
the amount of earnings owing to the judgment debtor. (Note: Any indebtedness to you incurred
within ten days prior to your receipt of the first execution levy on a debt may not be set off against
the earnings otherwise subject to this levy. Any wage assignment made by the judgment debtor
within ten days prior to your receipt of the first execution levy on a debt is void.)
You must also describe your claim(s) and the claims of others, if known, in the space
provided below the worksheet and state the name(s) and address(es) of these persons.
Enter zero in column E if there are no claims by you or others that would reduce the amount
of earnings owing to the judgment debtor.
(7) COLUMN F. Subtract the amount in column E from the amount in column D and enter
here. This is the amount of earnings that you must remit for the payday for which the calculations
were made.

AFFIRMATION

I, ................... (person signing Affirmation), am the third party/employer or I am authorized
by the third party/employer to complete this earnings disclosure, and have done so truthfully
and to the best of my knowledge.

	Dated:
		Signature
		Title
		Telephone Number
	EARNINGS DISCLOSURE WORKSHEET
		Debtor's Name

	A		B		C
	Payday Date		Gross Earnings		Disposable Earnings

	1.			$		$
	2.
	3.
	4.
	5.
	6.
	7.
	8.
	9.
	10.

	D		E		F
	Either 50, 55, 60, or 65% of Column C		Setoff, Lien, Adverse Interest, or Other Claims		Column D minus Column E

	1.
	2.
	3.
	4.
	5.
	6.
	7.
	8.
	9.
	10.
				TOTAL OF COLUMN F		$

*If you entered any amount in column E for any payday(s), you must describe below either
your claims, or the claims of others. For amounts claimed by others, you must both state the
names and addresses of such persons, and the nature of their claim, if known.

---

---

---

AFFIRMATION

I, ................. (person signing Affirmation), am the third party or I am authorized by the
third party to complete this earnings disclosure worksheet, and have done so truthfully and to
the best of my knowledge.

					Signature
	Dated:				(...)
			Title		Phone Number

    Subd. 11. Postexecution notice to judgment debtor. The attorney for the judgment creditor
shall serve by mail upon the judgment debtor not later than five days after service is made on the
judgment debtor's employer, a copy of the writ of execution and copies of all other papers served
on the judgment debtor's employer.
    Subd. 12. Third party disclosure and remittance obligation. If there are no attachable
earnings, the third party shall serve the execution earnings disclosure form upon the attorney for
the judgment creditor within 20 days after service of the writ of execution. However, if the
judgment debtor has attachable earnings, the third party shall serve the execution earnings
disclosure form upon both the attorney for the judgment creditor and the judgment debtor and
remit to the attorney for the judgment creditor the attached earnings within ten days of the last
payday to occur within the 70 days after the date of the service of the writ of execution. If the
judgment is wholly satisfied or if the judgment debtor's employment ends before the expiration of
the 70-day period, the disclosure and remittance should be made within ten days after the last
payday for which earnings were attached. The amount of the third party's execution earnings
disclosure form and remittance need not exceed 100 percent of the amount of the judgment
creditor's judgment that remains unpaid, after subtracting the total of setoffs, defenses, exemption,
or other adverse interests. If the disclosure is by a corporation, it shall be made by an officer or an
authorized agent having knowledge of the facts.
    Subd. 13. Penalty for retaliation for execution. (a) An employer shall not discharge or
otherwise discipline an employee as a result of an earnings levy authorized by this chapter.
(b) If an employer violates this section, a court may order the reinstatement of an aggrieved
party who demonstrates a violation of this section, and other relief the court considers appropriate.
The aggrieved party may bring a civil action within 90 days of the date of the prohibited action.
If an employer-employee relationship existed before the violation of this section, the employee
shall recover twice the wages lost as a result of this violation.
(c) The rights guaranteed by this section are not subject to abridgment and may not be
altered by employment contract.
    Subd. 14. Public employees, levy on earnings. The salary or earnings of any public
employee or officer may be levied upon pursuant to this chapter. Where the person is an officer,
the writ shall be served upon the auditor, treasurer, or clerk of the subdivision or department of
which the person is an officer. Where the person is an employee other than an officer, the writ must
be served upon the person in charge of the office or department in which the employee works.
When payment has been made pursuant to levy, a copy of the execution with certificate of
satisfaction shall be delivered to the treasurer as a voucher for such payment.
History: 1990 c 606 art 2 s 6; 1991 c 156 s 17,18; 1993 c 156 s 10-12; 1994 c 488 s 8;
1997 c 203 art 6 s 92; 1999 c 107 s 66; 1999 c 159 s 145; 2000 c 343 s 4; 2000 c 405 s 15,16;
2005 c 164 s 29; 1Sp2005 c 7 s 28