Form Law132 - Writ Of Garnishment/form Law 815 - Claim Of Exemption And Request For Hearing Page 4
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4I request a hearing to decide the validity of my claim. Notice of the hearing should be given to me at:
Address:
_____________________________________
City, State, Zip Code:
_____________________________________
Telephone Number:
(_____) ______________________________
The statements made in this request are true to the best of my knowledge and belief.
___________________________________________________
____________________________________
Defendant’s Signature
Date
STATE OF FLORIDA COUNTY OF SANTA ROSA
Sworn and subscribed to before me this __________ day of ____________________20____, by
__________________________________________
Notary Public/Deputy Clerk
Personally know ☐ OR produced identification ☐
Type of Identification produced ________________________
Law132rev11-15-2012
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