4-809

[1-065.2, 2-802, 3-802]

STATE OF NEW MEXICO
IN THE ___________________ COURT

No. _________

__________________________ COUNTY

__________________________________, Plaintiff

against

__________________________________, Defendant

__________________________________, Garnishee

             CLAIM OF EXEMPTION FROM GARNISHMENT

Judgment debtor claims the following exemptions:

(check box next to exemption)

    a.    [ ]    social security benefits (OASDI, SSI);

    b.    [ ]    public assistance benefits (AFDC, welfare, GA);

    c.    [ ] life, accident or health insurance proceeds;

    d.    [ ] workers' compensation awards;

    e.    [ ] unemployment compensation benefits;

    f.    [ ] veterans' benefits;

    g.    [ ]    pensions and retirement funds;

    h.    [ ]    crime victims' reparation fund payments;

    i.    [ ]    allowances to surviving spouse and children from deceased's estate subject to the limitations of Sections 45-2-401 and 45-2-402 NMSA 1978;

    j.    [ ]    the minimum amount of shares necessary for certain non-profit cooperative associations as provided by Section 53-4-28 NMSA 1978;

    k.    [ ]    fraternal benefit society payments as provided by Section 59A-44-18 NMSA 1978.


A completed and signed copy of this form must be returned to the Clerk of the Court whose address is

            _________________________________

            _________________________________

A completed and signed copy of the claim of exemption form shall be served on the judgment creditor and the garnishee named above. If the judgment creditor disputes a claimed exemption, a court hearing will be scheduled to consider the disputed exemptions. At this hearing you must bring evidence supporting each of your claims of exemption.

____________________        _______________________________
Date                        Signature of judgment debtor

                        _______________________________
                        Printed name of judgment debtor

                        _______________________________
                        Number and street or P.O. box

                        _______________________________
                        City, State, zip code

                        _______________________________
                        Telephone number

[As amended, effective July 1, 1992; January 1, 1995; January 1, 1996.]