EJ 160 Claim Of Exemption WG160 Ej160

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[NOT FOR WAGE GARNISHMENT]
RETURN TO LEVYING OFFICER. DO NOT FILE WITH COURT
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

TELEPHONE NO.:

EJ-160

FOR LEVYING OFFICER USE ONLY
(Levying Officer Name and Address)

To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.

FAX NO. (Optional):

E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
LEVYING OFFICER FILE NUMBER:

PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
FOR COURT USE ONLY

CLAIM OF EXEMPTION
(Enforcement of Judgment)
Copy all the information required above (except the top left space) from the Notice
of Levy. The top left space is for your name or your attorney's name and address.
The original and one copy of this form must be filed with the levying officer.
DO NOT FILE WITH THE COURT.
1. My name is:
2. Papers should be sent to:
me.
my attorney (I have filed with the court and served on the judgment creditor a
request that papers be sent to my attorney and my attorney has consented in
writing on the request to receive these papers.)
at the address
shown above
following (specify):

CASE NUMBER:

I am not the judgment debtor named in the notice of levy. The name and last
known address of the judgment debtor is (specify):

3.

4. The property I claim to be exempt is (describe):
5. The property is claimed to be exempt under the following code and section (specify):
6. The facts which support this claim are (describe):
7.

The claim is made pursuant to a provision exempting property to the extent necessary for the support of the judgment debtor
and the spouse and dependents of the judgment debtor. A Financial Statement form is attached to this claim.

8.

The property claimed to be exempt is
a motor vehicle, the proceeds of an execution sale of a motor vehicle, or the proceeds of insurance or other
a.
indemnification for the loss, damage, or destruction of a motor vehicle.
tools, implements, materials, uniforms, furnishings, books, equipment, a commercial motor vehicle, a vessel,
b.
or other personal property used in the trade, business or profession of the judgment debtor or spouse.
c. all other property of the same type owned by the judgment debtor, either alone or in combination with others, is (describe):

9.

The property claimed to be exempt consists of the loan value of unmatured life insurance policies (including endowment and
annuity policies) or benefits from matured life insurance policies (including endowment and annuity policies). All other
property of the same type owned by the judgment debtor or the spouse of the judgment debtor, either alone or in combination
with others, is (describe):

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:

(TYPE OR PRINT NAME)
Form Approved by the
Judicial Council of California
EJ-160 [Rev. January 1, 2009]

(SIGNATURE OF DECLARANT)

For your protection and privacy, please press the Clear This Form
button after you have printed the form.

Save This Form

Page 1 of 1
Code of Civil Procedure, § 703.520
www.courtinfo.ca.gov

CLAIM OF EXEMPTION
(Enforcement of Judgment)

Print This Form

Clear This Form
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Title                           : EJ-160 Claim of Exemption
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