Affidavit To Challenge - Commonwealth Of Kentucky

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AOC-150.2
Doc. Code: GACW &
Case No.
Rev. 5-03
GACN
Page 1 of 1
Court
11/14/2011 12:09 pm
Commonwealth of Kentucky
A
C
FFIDAVIT TO
HALLENGE
Ver. 1.01
Court of Justice
G
County
ARNISHMENT
KRS 425.501
[ ] W
[ ] N
-W
AGE
ON
AGE
Name:
PLAINTIFF
use mouse to select 1 of 2
VS.
Name:
DEFENDANT
Affiant is the Judgment Debtor in the above-styled case and states that certain money/property belonging to Affiant, which
is exempt from garnishment, has been garnisheed. The amount of money/property exempted is
$__________________________. The money/property is exempt because: __________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
WHEREFORE, the Judgment Debtor prays that the garnishment of money/property be set aside and that all
exempt money/property garnisheed be released to the Judgment Debtor.
Signature of Affiant: _______________________________________
1.
Subscribed and sworn to before me this ______ day of ___________________, 2______. My commission
expires: _____________________, 2______.
______________________________________________
Notary/Clerk
__________________________________________Title
2.
NOTICE TO JUDGMENT CREDITOR OR CREDITOR’S ATTORNEY
(to be completed by Circuit Court Clerk)
You are hereby ordered to continue to hold and safely keep any funds due the Judgment Debtor to the
extent of the amount due as shown on the Order of Garnishment plus costs until further Order of the Court. This
document is intended to constitute notice to you of the Debtor’s challenge of the garnishment action. A hearing
has been set for _____________________ , 2_______, at ____________ [ ] a.m. [ ] p.m. at which you may
appear to respond. If this time is inconvenient, this office must be promptly notified for rescheduling.
Date ________________________, 2______
_________________________________________ Clerk
By: ______________________________________ D.C.
INSTRUCTIONS FOR COMPLETING AFFIDAVIT TO CHALLENGE GARNISHMENT
Give the form to the completed Circuit Court Clerk. DO NOT DETACH any copies from the form. If you printed this from
the Internet, you must submit the signed original and two (2) copies to the Clerk.
Print
Reset Form
Distribution:
Original to Case File
Copy to Judgment Creditor/Creditor’s Attorney
Copy to Judgment Debtor

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