On May 24, 2021 a
CLAIM FOR EXEMPTION
was filed
in the District Court of Grady County.
Preview
IN THE DISTRICT COURT OF GRADY COUNTY, STATE OF OKLAHOMA
INTEGRIS RURAL HEALTH, INC.
PLAINTIFF,
vs. NO. CS-21-00191
JENNIFER LYNNE CLARK and
RAYMOND DOYLE CLARK
DEFENDANT(S).
FRANKCRUM
ATTN: PAYROLL
100 S MISSOURI AVENUE
CLEARWATER, FL 33756
GARNISHEE
lai ion ans 1 Hearin
4. Funds sought in garnishment are exempt from execution because they are (check applicable box):
Social Security Benefit-42 U.S.C. § 407.
Supplemental Security Income - 42 U.S.C. § 1383 (d).
Unemployment Benefits-40 O.S. § 2-303.
Workers’ Compensation Benefits-85 O.S. § 48.
Welfare Benefits-56 O.S. § 173.
Veteran’s Benefits-38 U.S.C. § 5301, 310.5. § 7.
Monies in possession of Police Pensions- 11 O.S. § 50-124..
Monies in possession of Fireman's Relief and Pensions Fund- 11 0.S. § 49-126.
Monies in possession of County Employee’s Retirement System- 19 O.S. § 959.
Monies in possession of Public Employee’s Retirement Fund- 74 O.S. § 923.
Teacher's Annuities or Retirement Allowance- 70 O.S. § 17-109.
Annuities and Pension Payments under Railroad Retirement Act- 45 U.S.C. § 231 (m).
United States Civil Service Retirement and Disability Pension Fund Payments- 5 U.S.C. § 8346.
United States Civil Service Survivor Annuities-5 U.S.C. § 8346.
Interest in Retirement, Pension and Profit Sharing Plans- 60 O.S. § 327, 60 O.S. § 328.
The Wages of Masters and Seamen- 46 U.S.C. § 11109.
Funds vested in the Alien Property Custodian- 50 U.S.C. Approx § 9.
Prepaid Burial Benefits- 36 O.S. § 6125.
Proceeds of Group-Life Insurance Policy- 36 O.S. § 3632 and 36 O.S. § 4025.
Alimony, support, separate maintenance, or child support necessary for support of judgment debtor or
dependent- 31 O.S. § 1.1.
Personal wage exemption because of undue hardship- 31 O.S. § 1.1.
Other (please state):
ee Olle ee Ole
2. Check one box:
All funds are exempt, or,
| believe the following amount of money is exempt: $,
(Fill in the amount of funds to be exempt).
3. Check if applicable:
| have attached copies of the documents that show that my money is exempt.
4. If garnishment is for wages, this claim and request is filed for the pay period
through , inclusive.
5. | request that this matter be set for hearing.
Signature
Address for mailing of Court Hearing Notice:
GRADY COUNTY COURTHOUSE
PO Box 605Chickasha, OK 73023
Address for mailing a copy of Claim to Judgment Creditor’s Attorney
Works & Lentz, Inc.
NW. Wi ite 13 ity OK_7:
You must mail the original to the Court Clerk of GRADY County at the following address: GRADY COUNTY COURTHOUSE PO Box
605 Chickasha, OK 73023
239431 /117533888NOTICE OF GARNISHMENT AND EXEMPTIONS
IMPORTANT: YOUR MONEY MAY BE TAKEN TO PAY A JUDGMENT. READ THIS CAREFULLY
A Gamishee Summons against your account(s), wages or other property has been served on the named garnishee. Money
held for you by the named garnishee may be taken by the judgment creditor to pay a judgment against you in this case. However,
some money is protected by law (“exempt”) and cannot be taken to pay judgments. The following is a list of funds that are exempt. By
law, additional exemptions may also be available:
Social Security Benefit-42 U.S.C. § 407.
Supplemental Security Income — 42 U.S.C. § 1383 (d).
Unemployment Benefits-40 O.S. § 2-303.
Workers’ Compensation Benefits-85 O.S. § 48.
Welfare Benefits-56 O.S. § 173.
Veteran's Benefits-38 U.S.C. § 5301, 310.S. § 7.
Monies in possession of Police Pensions- 11 O.S. § 50-124..
Monies in possession of Fireman's Relief and Pensions Fund- 11 O.S. § 49-126.
Monies in possession of County Employee's Retirement System- 19 O.S. § 959.
Monies in possession of Public Employee's Retirement Fund- 74 O.S. § 923.
Teacher's Annuities or Retirement Allowance- 70 O.S. § 17-109.
Annuities and Pension Payments under Railroad Retirement Act- 45 U.S.C. § 231 (m).
United States Civil Service Retirement and Disability Pension Fund Payments- 5 U.S.C. § 8346.
United States Civil Service Survivor Annuities-5 U.S.C. § 8346.
Interest in Retirement, Pension and Profit Sharing Plans- 60 O.S. § 327, 60 O.S. § 328.
The Wages of Masters and Seamen- 46 U.S.C. § 11109.
Funds vested in the Alien Property Custodian- 50 U.S.C. Approx § 9.
Prepaid Burial Benefits- 36 O.S. § 6125.
Proceeds of Group-Life Insurance Policy- 36 O.S. § 3632 and 36 O.S. § 4025.
Alimony, support, separate maintenance, or child support necessary for support of judgment debtor or dependent-
31 OS. §1.1.
U. Personal wage exemption because of undue hardship- 31 O.S. § 1.1.
AMDOVOZEFAL-TOMMOOM>
The above exemptions generally do not apply to judgments and gamishments for Alimony and Child Support.
If you are a corporation, you may have other exemptions.
If an account is being garnished and the money in the account does not belong to you, or if you are aware of other reasons why money
should not be taken to pay the judgment, you may want to consult an attomey. Because of the gamishment, the garnishee may be
Tequired to withhold the amount of money claimed by the judgment creditor. You may not be able to withdraw that money. If you
account contains Social Security payments or other federal benefit payments, your bank may have determined that some amounts are
protected from garnishment.
If you believe that you are entitled to an
Clerk
exemption, complete the following ste,
n five (5) da m th Ou
immediately. You must complete the steps and
ice.
1. On the attached “Claim for Exemptions and Request for Hearing” form, check the box next to the exemptions you
claim.
Check whether you claim all money is exempt. If you do not claim that all money is exempt, write in the amount you
believe is exempt.
Sign your name in the space indicated on the form. Write the address where the Court Clerk can notify you of the
hearing date and time.
Mail the claim for Exemptions and Request for Hearing to the Court Clerk. You may include copies of any
information you have that the money is exempt, such as copies of documents or letters from government agencies.
- 2 N
THE COURT CLERK MUST RECEIVE THE CLAIM FOR EXEMPTION AND REQUEST FOR HEARING WITHIN FIVE DAYS FROM
THE DATE YOU RECEIVED YOUR NOTICE. The Court Clerk will set the matter for hearing and notify you. At the hearing in Court,
you will have to prove that your money is exempt from garnishment. You may want to consult an attorney for advice concerning the
hearing. If you have been served with a continuing garnishment, you will be provided a claim for exemptions and request for hearing
during each pay period during the garnishment period.
If you do not request a hearing within five (5) days from the date you received this notice, but believe you are entitled to an exemption,
you should consult an attorney. The attomey may be able to assist you in claiming an exemption by filing a motion with the court.
YOU MUST MAIL A COPY OF THE CLAIM FOR EXEMPTION AND REQUEST FOR HEARING TO THE JUDGMENT CREDITOR’S
ATTORNEY.
239431 /117533888
Document Filed Date
March 14, 2022
Case Filing Date
May 24, 2021
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IN THE DISTRICT COURT OF GRADY COUNTY, STATE OF OKLAHOMA INTEGRIS RURAL HEALTH, INC. PLAINTIFF, vs. NO. CS-21-00191 JENNIFER LYNNE CLARK and RAYMOND DOYLE CLARK DEFENDANT(S). FRANKCRUM ATTN: PAYROLL 100 S MISSOURI AVENUE CLEARWATER, FL 33756 GARNISHEE lai ion ans 1 Hearin 4. Funds sought in garnishment are exempt from execution because they are (check applicable box): Social Security Benefit-42 U.S.C. § 407. Supplemental Security Income - 42 U.S.C. § 1383 (d). Unemployment Benefits-40 O.S. § 2-303. Workers’ Compensation Benefits-85 O.S. § 48. Welfare Benefits-56 O.S. § 173. Veteran’s Benefits-38 U.S.C. § 5301, 310.5. § 7. Monies in possession of Police Pensions- 11 O.S. § 50-124.. Monies in possession of Fireman's Relief and Pensions Fund- 11 0.S. § 49-126. Monies in possession of County Employee’s Retirement System- 19 O.S. § 959. Monies in possession of Public Employee’s Retirement Fund- 74 O.S. § 923. Teacher's Annuities or Retirement Allowance- 70 O.S. § 17-109. Annuities and Pension Payments under Railroad Retirement Act- 45 U.S.C. § 231 (m). United States Civil Service Retirement and Disability Pension Fund Payments- 5 U.S.C. § 8346. United States Civil Service Survivor Annuities-5 U.S.C. § 8346. Interest in Retirement, Pension and Profit Sharing Plans- 60 O.S. § 327, 60 O.S. § 328. The Wages of Masters and Seamen- 46 U.S.C. § 11109. Funds vested in the Alien Property Custodian- 50 U.S.C. Approx § 9. Prepaid Burial Benefits- 36 O.S. § 6125. Proceeds of Group-Life Insurance Policy- 36 O.S. § 3632 and 36 O.S. § 4025. Alimony, support, separate maintenance, or child support necessary for support of judgment debtor or dependent- 31 O.S. § 1.1. Personal wage exemption because of undue hardship- 31 O.S. § 1.1. Other (please state): ee Olle ee Ole 2. Check one box: All funds are exempt, or, | believe the following amount of money is exempt: $, (Fill in the amount of funds to be exempt). 3. Check if applicable: | have attached copies of the documents that show that my money is exempt. 4. If garnishment is for wages, this claim and request is filed for the pay period through , inclusive. 5. | request that this matter be set for hearing. Signature Address for mailing of Court Hearing Notice: GRADY COUNTY COURTHOUSE PO Box 605Chickasha, OK 73023 Address for mailing a copy of Claim to Judgment Creditor’s Attorney Works & Lentz, Inc. NW. Wi ite 13 ity OK_7: You must mail the original to the Court Clerk of GRADY County at the following address: GRADY COUNTY COURTHOUSE PO Box 605 Chickasha, OK 73023 239431 /117533888NOTICE OF GARNISHMENT AND EXEMPTIONS IMPORTANT: YOUR MONEY MAY BE TAKEN TO PAY A JUDGMENT. READ THIS CAREFULLY A Gamishee Summons against your account(s), wages or other property has been served on the named garnishee. Money held for you by the named garnishee may be taken by the judgment creditor to pay a judgment against you in this case. However, some money is protected by law (“exempt”) and cannot be taken to pay judgments. The following is a list of funds that are exempt. By law, additional exemptions may also be available: Social Security Benefit-42 U.S.C. § 407. Supplemental Security Income — 42 U.S.C. § 1383 (d). Unemployment Benefits-40 O.S. § 2-303. Workers’ Compensation Benefits-85 O.S. § 48. Welfare Benefits-56 O.S. § 173. Veteran's Benefits-38 U.S.C. § 5301, 310.S. § 7. Monies in possession of Police Pensions- 11 O.S. § 50-124.. Monies in possession of Fireman's Relief and Pensions Fund- 11 O.S. § 49-126. Monies in possession of County Employee's Retirement System- 19 O.S. § 959. Monies in possession of Public Employee's Retirement Fund- 74 O.S. § 923. Teacher's Annuities or Retirement Allowance- 70 O.S. § 17-109. Annuities and Pension Payments under Railroad Retirement Act- 45 U.S.C. § 231 (m). United States Civil Service Retirement and Disability Pension Fund Payments- 5 U.S.C. § 8346. United States Civil Service Survivor Annuities-5 U.S.C. § 8346. Interest in Retirement, Pension and Profit Sharing Plans- 60 O.S. § 327, 60 O.S. § 328. The Wages of Masters and Seamen- 46 U.S.C. § 11109. Funds vested in the Alien Property Custodian- 50 U.S.C. Approx § 9. Prepaid Burial Benefits- 36 O.S. § 6125. Proceeds of Group-Life Insurance Policy- 36 O.S. § 3632 and 36 O.S. § 4025. Alimony, support, separate maintenance, or child support necessary for support of judgment debtor or dependent- 31 OS. §1.1. U. Personal wage exemption because of undue hardship- 31 O.S. § 1.1. AMDOVOZEFAL-TOMMOOM> The above exemptions generally do not apply to judgments and gamishments for Alimony and Child Support. If you are a corporation, you may have other exemptions. If an account is being garnished and the money in the account does not belong to you, or if you are aware of other reasons why money should not be taken to pay the judgment, you may want to consult an attomey. Because of the gamishment, the garnishee may be Tequired to withhold the amount of money claimed by the judgment creditor. You may not be able to withdraw that money. If you account contains Social Security payments or other federal benefit payments, your bank may have determined that some amounts are protected from garnishment. If you believe that you are entitled to an Clerk exemption, complete the following ste, n five (5) da m th Ou immediately. You must complete the steps and ice. 1. On the attached “Claim for Exemptions and Request for Hearing” form, check the box next to the exemptions you claim. Check whether you claim all money is exempt. If you do not claim that all money is exempt, write in the amount you believe is exempt. Sign your name in the space indicated on the form. Write the address where the Court Clerk can notify you of the hearing date and time. Mail the claim for Exemptions and Request for Hearing to the Court Clerk. You may include copies of any information you have that the money is exempt, such as copies of documents or letters from government agencies. - 2 N THE COURT CLERK MUST RECEIVE THE CLAIM FOR EXEMPTION AND REQUEST FOR HEARING WITHIN FIVE DAYS FROM THE DATE YOU RECEIVED YOUR NOTICE. The Court Clerk will set the matter for hearing and notify you. At the hearing in Court, you will have to prove that your money is exempt from garnishment. You may want to consult an attorney for advice concerning the hearing. If you have been served with a continuing garnishment, you will be provided a claim for exemptions and request for hearing during each pay period during the garnishment period. If you do not request a hearing within five (5) days from the date you received this notice, but believe you are entitled to an exemption, you should consult an attorney. The attomey may be able to assist you in claiming an exemption by filing a motion with the court. YOU MUST MAIL A COPY OF THE CLAIM FOR EXEMPTION AND REQUEST FOR HEARING TO THE JUDGMENT CREDITOR’S ATTORNEY. 239431 /117533888