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This notice was mailed on at (place): (date): , California. 2. The judgment debtor (employee) has filed the attached Claim of Exemption and Financial Statement.(Wage Garnishment—Enforcement of Judgment). If you claim an exemption, you should (i) fill out the claim for exemption form and (ii) deliver or mail the form to the clerk's office of this court. If the Sheriff "levies on" or takes property that you believe is exempt, you should promptly (i) fill out the REQUEST FOR. The following is a complete listing of my property which I do NOT claim as exempt. Item. Location. NOTE: Court clerks cannot provide assistance in completing these forms. Employee's signature (give the completed certificate to your employer). Date. Employee. Who qualifies – To claim exemption from withholding for New. I claim exemptions from garnishment under the following categories as checked.