Claim For Exemption And Request For Hearing
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1
2In the District Court of _______________________ County
State of Oklahoma
__________________________
)
Plaintiff
)
)
)
vs.
)
____________________________
)
Case No. _______________
Defendant
)
)
)
and
)
____________________________
)
Garnishee
)
Claim for Exemption and Request for Hearing
1.
Funds sought in garnishment are exempt from execution because they are (check
applicable box):
G
A.
Social Security benefits – 42 U.S.C. § 407.
G
B.
Supplemental security income – 42 U.S.C. §1383(d).
G
C.
Unemployment benefits – 40 O.S. §2-303.
G
D.
Workmen’s Compensation benefits – 85 O.S. §48.
G
E.
Welfare benefits – 56 O.S. §173.
G
F.
Veterans’ benefits – 38 U.S.C. §3101, 31 O.S. §7.
G
G.
Monies in Possession of Police Pensions – 11 O.S. §50-124.
G
H.
Monies in Possession of Firemen’s Relief & Pension Fund – 11 O.S. §49-126.
G
I.
Monies in Possession of County Employee’s Retirement System – 19 O.S. §959.
G
J.
Monies in Possession of Public Employee’s Retirement Fund – 74 O.S. §923.
G
K.
Teacher’s Annuities or Retirement Allowance – 70 O.S. §17-109.
G
L.
Annuities and pension payments under Railroad Retirement Act – 45 U.S.C.
§231(m)
G
M.
United States Civil Service Retirement and Disability Pension Fund Payments –
5 U.S.C. §8346.
G
N.
United States Civil Service Survivor Annuities – 5 U.S.C. §8346.
G
O.
Interest in Retirement, Pension and Profit Sharing Plans – 60 O.S. §327, 60 O.S.
§328.
G
P.
The Wages of Seamen – 46 U.S.C. §601.
G
Q.
Funds vested in the Alien Property Custodian – 50 U.S.C. Appx. §9(f).
G
R.
Prepaid Burial Benefits – 36 O.S. §6125.
G
S.
Proceeds of Group-Life Insurance Policy – 36 O.S. 3632, and 36 O.S. §4026.
G
T.
Alimony, support, separate maintenance, or child support necessary for support
of judgment debtor or dependent – 31 O.S. §1.1.
G
U.
Personal wage exemption because of undue hardship – 31 O.S. §1.1.
G
V.
Other (
): ________________________________________________
please state
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