IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT
LAKE COUNTY, ILLINOIS
)
)
)
Judgment Creditor
)
vs.
)
Case No. __________________________
)
)
Judgment Debtor
)
JUDGMENT DEBTOR’S MOTION TO CLAIM EXEMPTION
IN NON-WAGE GARNISHMENT PROCEEDINGS
I, ____________________________________________ the Judgment Debtor moves this Court to find the following
property to be exempt.
Necessary wearing apparel, Bible, School Books
My right to receive, or property that is traceable
to any of the following:
Family pictures
(1) crime victim's reparation award;
Personal property, including money in a bank
(2) a payment on account of the wrongful
account, not in excess of $4,000 in value.
death of an individual of whom I was a
1 motor vehicle not of value in excess of $2,400.
dependent;
(3) a payment under a life insurance contract
Implements, professional books or tools of the
that insured the life of an individual of whom I
debtor's trade not in excess of $1,500 in value
was a dependent;
Professionally prescribed health aids
(4)
a
payment
under
a
revocable
or
Money from the sale of exempt property
irrevocable trust which named an individual of
Equity in a house, mobile home, condominium,
whom I was a dependent as a beneficiary.
building or lot of land occupied as a residence
A payment, not to exceed $15,000 in value, on
by myself not in excess of $15,000 in value
account of personal bodily injury of myself
Illinois College Savings Pool account funds
debtor or an individual of whom I was a
dependent
Social Security benefit
Any restitution payments made to persons
Unemployment compensation
pursuant to the federal Civil Liberties Act of 1988
Public assistance benefit
and the Aleutian and Pribilof Island Restitution
Veteran's benefit
Act, P.L. 100-383.
Disability, illness, or unemployment benefit
Monies or property to be exempt for the
following reason(s):
Alimony, support, or separate maintenance
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Wherefore, the Judgment Debtor prays that his/her monies or property be declared to be exempt.
Date: _______________ , 20 ______
__________________________________________
Judgment Debtor or Attorney
Prepared by:
Name: ____________________________________ Pro Se
Address: __________________________________________
City: ______________________________ State: __________
Phone: ______________________Zip Code: _____________
ARDC #: __________________________________________
Fax: ______________________________________________
E-mail address: _____________________________________
171 – 164B (Rev 09/14)
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