On May 14, 2019 a
CLAIM OF EXEMPTION & REQUEST FOR HEARING
was filed
involving a dispute between
Discover Bank,
and
Reaves, Dorsey,
for CONTRACTS AND INDEBTEDNESS
in the District Court of Madison County.
Preview
. "ur File #: 3692012
INTHE THIRD JUDICIAL CIRCUIT IN AND FOR
MADISON COUNTY, FLORIDA i
: CASENO. 19-46-CA ee
DISCOVER BANK Lo €
Plaintiff,
VS.
DORSEY REAVES |"
Defendant
. NESTLE WATERS NORTH AMERICA INC.
Gamishee
CLAIM OF EXEMPTION AND REQUEST FOR HEARING
Iclaim exemptions from garnishment under the following categories as checked:: -
14 1. Head of family wages. (You must check a. or b. below, if applicable.)
a. I provide more than one-half of the support forla child or other dependent and have net
earnings of $750 or less per week.
b. I provide more than one-half of the support for a child or other dependent, have net
earnings or more than $750 per week, but have not agreed in writing to have my wages -
gamished. i
2. Social Security benefits.
3. Supplemental Security Income benefits. .
4, Public assistance (welfare).
5. Workers” Compensation. |
6. Unemployment Compensation.
| 70 Veterans’ benefits. a :
8. Retirement or profit-sharing benefits or pension money.
9. Life insurance benefits or cash surrender value of a life insurance policy or proceeds of
annuity contract. :
10. Disability incdme benefits. |
__ LL., Prepaid College rust Fund or Medical Savings Account.
_ 12. Other exemptions as provided by law. :
(explain)
©
|
|I request a hearing to decide the validity of my claim. Notice of the hearing should be given to
me at:
Address 40 se- Bun Ker st. Mad: 50% FL
Telephone Number: os ° - Yb G4
ICERTIFY UNDER OATH ‘AND PENALTY OF PERJURY that a copy of this CLAIM OF
EXEMPTION AND REQUEST FOR HEARING has been furnished by
(circle one) United States mail or hand delivery on (insert date) te =i 20 >
to: (insert names and addresses of Plaintiff or Plaintiff's attomey and of Garnishee or
_ _ Gamishee’s attorney to. whom this document was furnished). ae
IFURTHER CERTIFY UNDER OATH AND PENALTY/OF PERJURY that the statements :
made in this request are tre to the best of my knowledge and belief. -
De fr
Defndant’s signature
pate: Afb = a2
STATE OF FLORIDA
county oF /1 44 13.0:
Sworn and subscribed to before me this nk of. N wernber 2Ooy (insert .
e of aking statement)
(Totes Daun) Be
Notaky-Pubtie/Depuly Clerk.
Personally Known vO OR Produced Identification ‘
Type of Identification Produced
Document Filed Date
November 19, 2020
Case Filing Date
May 14, 2019
Category
CONTRACTS AND INDEBTEDNESS
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Preview
. "ur File #: 3692012 INTHE THIRD JUDICIAL CIRCUIT IN AND FOR MADISON COUNTY, FLORIDA i : CASENO. 19-46-CA ee DISCOVER BANK Lo € Plaintiff, VS. DORSEY REAVES |" Defendant . NESTLE WATERS NORTH AMERICA INC. Gamishee CLAIM OF EXEMPTION AND REQUEST FOR HEARING Iclaim exemptions from garnishment under the following categories as checked:: - 14 1. Head of family wages. (You must check a. or b. below, if applicable.) a. I provide more than one-half of the support forla child or other dependent and have net earnings of $750 or less per week. b. I provide more than one-half of the support for a child or other dependent, have net earnings or more than $750 per week, but have not agreed in writing to have my wages - gamished. i 2. Social Security benefits. 3. Supplemental Security Income benefits. . 4, Public assistance (welfare). 5. Workers” Compensation. | 6. Unemployment Compensation. | 70 Veterans’ benefits. a : 8. Retirement or profit-sharing benefits or pension money. 9. Life insurance benefits or cash surrender value of a life insurance policy or proceeds of annuity contract. : 10. Disability incdme benefits. | __ LL., Prepaid College rust Fund or Medical Savings Account. _ 12. Other exemptions as provided by law. : (explain) © | |I request a hearing to decide the validity of my claim. Notice of the hearing should be given to me at: Address 40 se- Bun Ker st. Mad: 50% FL Telephone Number: os ° - Yb G4 ICERTIFY UNDER OATH ‘AND PENALTY OF PERJURY that a copy of this CLAIM OF EXEMPTION AND REQUEST FOR HEARING has been furnished by (circle one) United States mail or hand delivery on (insert date) te =i 20 > to: (insert names and addresses of Plaintiff or Plaintiff's attomey and of Garnishee or _ _ Gamishee’s attorney to. whom this document was furnished). ae IFURTHER CERTIFY UNDER OATH AND PENALTY/OF PERJURY that the statements : made in this request are tre to the best of my knowledge and belief. - De fr Defndant’s signature pate: Afb = a2 STATE OF FLORIDA county oF /1 44 13.0: Sworn and subscribed to before me this nk of. N wernber 2Ooy (insert . e of aking statement) (Totes Daun) Be Notaky-Pubtie/Depuly Clerk. Personally Known vO OR Produced Identification ‘ Type of Identification Produced