Application For Writ Of Execution Page 7
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11UNITED STATES DISTRICT COURT
DISTRICT OF UTAH - _____________ DIVISION
______________________________________________________________________________
:
:
__________________
:
Plaintiff
:
REQUEST FOR HEARING
:
vs.
:
:
_________________
:
Civil No. __________
Defendant
:
:
______________________________________________________________________________
1.
Complete this paragraph if you claim the property executed upon is exempt:
( ) (a) The property which has been executed upon is exempt from execution because it
is (Check the applicable box or boxes):
( )
Homestead up to the amount allowed by law
( )
A motor vehicle used in my trade or business and having a value below
that allowed by law
( ) Tools of the trade
( )
Social Security Benefits
( )
Supplemental Security Income (SSI)
( )
Veterans’ Benefits
( )
Unemployment Benefits
( )
Worker’s Compensation
( )
Public Assistance (Welfare)
( )
Alimony or Child Support
( )
Pensions
( )
Wages or other earnings from personal services
( )
Owned by another person
( )
Only partly owned by me
( )
Certain tools of the trade below the value allowed by law
( )
Certain furniture and appliances
( )
Certain musical instruments
( )
Certain heirlooms
( )
Other (describe): ______________________________________
____________________________________________________
( ) (b)
Check if applicable: I have attached copies of the documents that show my
property is exempt.
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