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Get FL CLK/CT 862 2019-2024

IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY FLORIDA IN THE COUNTY COURT IN AND FOR MIAMI-DADE COUNTY FLORIDA. CASE NUMBER DIVISION CLAIM OF EXEMPTION AND REQUEST FOR HEARING CIVIL OTHER AFEG PLAINTIFF S VS. DEFENDANT S CLOCK IN checked Head of family wages. IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY FLORIDA IN THE COUNTY COURT IN AND FOR MIAMI-DADE COUNTY FLORIDA. CASE NUMBER DIVISION CLAIM OF EXEMPTION AND REQUEST FOR HEARING CIVIL OTHER AFEG PLAINTIFF S VS* DEFENDANT S CLOCK IN checked Head of family wages. Check either a or b below if applicable. a* I provide more than one-half of the support for a child or other dependant and have net earnings of 750. 00 or less per week. b. than 750. 00 a week but have not agreed in writing to have my wages garnished* Social Security benefits. Supplemental Security Income benefits. Public assistance welfare. Workers Compensation* Reemployment assistance or unemployment compensation* Veteran s benefits. Retirement or profit-sharing benefits or pension money. Life Insurance benefits or cash surrender value of a life insurance policy or proceeds of annuity contract. Disability income benefits. Prepaid College Trust Fund or Medical Savings Account. Other exemptions as provided by law. explain I request a hearing to decide the validity of my claim* Notice of the hearing should be given to me at Address. Telephone Number. The statements made in this request are true to the best of my knowledge and belief* Defendant s Signature Date The foregoing instrument was acknowledged before me this day of 20 by as identification and did / did not take an oath. SWORN TO AND SUBSRCIBED BEFORE ME this day of 20. NOTARY PUBLIC STAMP HARVEY RUVIN CLERK OF COURTS COURT SEAL DEPUTY CLERK / NOTARY PUBLIC Important - See Reverse CLK/CT 862 Rev* 04/18 Clerk s web address www. miami-dadeclerk. com NOTICE TO DEFENDANT OF RIGHT AGAINST GARNISHMENT OF WAGES MONEY AND OTHER PROPERTY The Writ of Garnishment delivered to you with this Notice means that wages money and other property belonging to you have been garnished to pay a court judgment against you. HOWEVER YOU MAY BE ABLE TO KEEP OR RECOVER YOUR WAGES MONEY OR PROPERTY. READ THIS NOTICE CAREFULLY. State and federal laws provide that certain wages money and property even if deposited in a bank savings and loan or credit union may not be taken to pay certain types of court judgments. Such wages money and property are exempt from garnishment. The major exemptions are listed below on the form for Claim of Exemption and Request for Hearing. This list does not include all possible exemptions. You should consult a lawyer for specific advice. IF AN EXEMPTION FROM GARNISHMENT APPLIES TO YOU AND YOU WANT TO KEEP YOUR ALREADY TAKEN YOU MUST COMPLETE A FORM FOR CLAIM OF EXEMPTION AND REQUEST FOR HEARING AS SET FORTH BELOW AND HAVE THE FORM NOTARIZED. IF YOU HAVE A VALID EXEMPTION YOU MUST FILE THE FORM WITH THE CLERK S OFFICE WITHIN 20 DAYS AFTER THE DATE YOU RECEIVE THIS NOTICE OR YOU MAY LOSE IMPORTANT RIGHTS* YOU MUST ALSO MAIL OR DELIVER A COPY OF THIS FORM TO THE PLAINTIFF OR THE PLAINTIFF S ATTORNEY AND THE GARNISHEE OR THE GARNISHEE S ATTORNEY AT THE ADDRESSES LISTED ON THE WRIT OF GARNISHMENT.

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