AB34,9,1212 C.D., Debtor EXEMPTION NOTICE
AB34,9,1313 and EARNINGS GARNISHMENT
AB34,9,1414 E.F., Garnishee
AB34,9,1616 To the debtor:
AB34,9,2217 The creditor was awarded a judgment against you or your spouse by.... (County
18Circuit or Federal District) Court on the.... day of...., .... (year) That judgment not
19having been fully paid, the creditor has now filed a garnishment proceeding against
20your earnings from the garnishee. This means that the creditor is seeking to take
21some of your earnings to satisfy part or all of the judgment against you or your
22spouse.
AB34,9,2323 The total amount of the creditor's claim is as follows:
AB34,9,2424 Unpaid balance on judgment $....
AB34,9,2525 Unpaid postjudgment interest $....
AB34,10,1
1Costs:
AB34,10,22 a. Garnishment filing fee $....
AB34,10,33 b. Garnishee fee $....
AB34,10,44 c. Service of process (estimate) $....
AB34,10,55 TOTAL $....
AB34,10,86 By law, you are entitled to an exemption of not less than 80% of your disposable
7earnings. Your "disposable earnings" are those remaining after social security and
8federal and state income taxes are withheld.
AB34,10,99 Your earnings are completely exempt from garnishment if:
AB34,10,1110 1. Your household income is below the federal poverty level. See the enclosed
11schedules and worksheet to determine if you qualify for this exemption.
AB34,10,1612 2. You receive aid to families with dependent children, relief funded by a relief
13block grant under ch. 49, relief provided by counties under section s. 59.53 (21) of the
14Wisconsin Statutes, medical assistance, supplemental security income, food stamps,
15or veterans benefits based on need under 38 USC 501 to 562 or section 45.351 (1) of
16the Wisconsin Statutes, or have received these benefits within the past 6 months.
AB34,10,1817 3. At least 25% of your disposable earnings are assigned by court order for
18support.
AB34,10,23 194. You are a minor, other than an emancipated minor, and the judgment that
20the creditor is seeking to satisfy is not a judgment for unpaid restitution, costs, a
21forfeiture, or a surcharge entered under section 895.035 (2m) (a) or (b) of the
22Wisconsin Statutes by the court assigned to exercise jurisdiction under chapters 48
23and 938 of the Wisconsin Statutes.
AB34,11,3
1If the garnishment of 20% of your disposable income would result in the income
2of your household being below the poverty line, the garnishment is limited to the
3amount of your household's income in excess of the poverty line.
AB34,11,74 If you qualify for a complete exemption or for a limit on the amount of the
5garnishment to the amount that your household's income exceeds the poverty line,
6you must give or mail a copy of the enclosed debtor's answer form to the garnishee
7in order to receive that increased exemption.
AB34,11,98 If your circumstances change while the garnishment is in effect, you may file
9a new answer at any time.
AB34,11,1310 If you do not qualify for a complete exemption, but you will not be able to acquire
11the necessities of life for yourself and your dependents if your earnings are reduced
12by this earnings garnishment, you may ask the court in which this earnings
13garnishment was filed to increase your exemption or grant you other relief.
AB34,11,1414 IF YOU NEED ASSISTANCE
AB34,11,1515 CONSULT AN ATTORNEY
AB34,11,2416 If you have earnings that are being garnisheed that are exempt or subject to a
17defense, the sooner you file your answer or seek relief from the court, the sooner such
18relief can be provided. This If you are an adult or an emancipated minor, this
19earnings garnishment affects your earnings in pay periods beginning within 13
20weeks after it was served on the garnishee. You may agree in writing with the
21creditor to extend it for additional 13-week periods until the debt is paid. If you are
22an unemancipated minor, this earnings garnishment affects your earnings after it
23was served on the garnishee and until the amount that the creditor is seeking in the
24garnishment is paid in full.
AB34,11,2525 PENALTIES
AB34,12,3
1If you wrongly claim an exemption or defense in bad faith, or if the creditor
2wrongly objects to your claim in bad faith, the court may order the person who acted
3in bad faith to pay court costs, actual damages and reasonable attorney fees.
AB34, s. 10 4Section 10. 812.44 (5) (form) of the statutes is amended to read:
AB34,12,55 812.44 (5) (form)
AB34,12,66 STATE OF WISCONSIN
AB34,12,77 CIRCUIT COURT:.... County
AB34,12,99 A.B., Creditor
AB34,12,1010 vs. File or Reference Number....
AB34,12,1111 C.D., Debtor EARNINGS GARNISHMENT
AB34,12,1212 and DEBTOR'S ANSWER
AB34,12,1313 E.F., Garnishee
AB34,12,1515 To the garnishee:
AB34,12,1616 My earnings are COMPLETELY EXEMPT from earnings garnishment because:
AB34,12,1717 ... 1. The judgment has been paid or is void.
AB34,12,2318 ... 2. (5) (form) paragraph 2. I receive, am eligible for, or have within 6 months
19received, aid to families with dependent children, relief funded by a relief block grant
20under ch. 49, relief provided by counties under section 59.53 (21) of the Wisconsin
21Statutes, medical assistance, supplemental security income, food stamps, or
22veterans benefits based on need under 38 USC 501 to 562 or section 45.351 (1) of the
23Wisconsin Statutes.
AB34,12,2424 ... 3. At least 25% of my disposable earnings are assigned for support by court order.
AB34,13,2
1... 4. My household income is less than the poverty line, or this garnishment would
2cause that to happen.
AB34,13,7 3... 4m. I am not an emancipated minor and the judgment that the creditor is seeking
4to satisfy is not a judgment for unpaid restitution, costs, a forfeiture, or a surcharge
5entered under section 895.035 (2m) (a) or (b) of the Wisconsin Statutes by the court
6assigned to exercise jurisdiction under chapters 48 and 938 of the Wisconsin
7Statutes.
AB34,13,88 ... 5. I have another defense to this earnings garnishment (explain briefly).
AB34,13,1211 I understand that if I claim a complete exemption or defense in bad faith, I may
12be held liable to the creditor for actual damages, costs and reasonable attorney fees.
AB34,13,1313 DATE .... Signature of Debtor ....
AB34,13,1414 Address ....
AB34,13,1515 Telephone Number ....
AB34,13,1616 Date Received by Garnishee ....
AB34,13,1717 (End)
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