Claim of exemption and request for hearing - pursuant to f.s. 77.041 - pinellasclerk 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the UCN and Reference No. at the top of the form, ensuring accuracy as these are crucial identifiers for your case.
3. In the section where you claim exemptions from garnishment, check the appropriate boxes that apply to your situation. For example, if you are claiming head of family wages, select either option (a) or (b) based on your earnings.
4. If applicable, provide details for any other exemptions by checking the relevant boxes and explaining under 'Other exemptions as provided by law.'
5. Fill in your address and telephone number where you wish to receive notice of the hearing.
6. Sign and date the form at the bottom, ensuring that all information is accurate and truthful.
7. Complete the notary section if required, including signature and identification details.
8. Finally, certify service by indicating how a copy was delivered to the Plaintiff and signing accordingly.

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