ࡱ> PROe bjbjڭڭ ?YbYb 84r!r"$<"K4M4M4M4M4M4M4$>8:q4P"!!"P"P"q4j4$$$P"RK4$P"K4$$A.l]06*5"F/"74404/;";D]0]0;2<P"P"$P"P"P"P"P"q4q4$P"P"P"4P"P"P"P";P"P"P"P"P"P"P"P"P"B V: Debtors Exemption Claim Notice Example Debtor Exemption laws apply to and include levied funds, frozen bank accounts and garnishment of wages. Number (1) below is generally used for EAP recipients. Service Providers should be familiar with this law to use when assisting households in need of exemption claim assistance. The current state statue website is  HYPERLINK "https://www.revisor.mn.gov/statutes/?id=571.925" https://www.revisor.mn.gov/statutes/?id=571.925 DEBTOR'S EXEMPTION CLAIM NOTICE I hereby claim that my earnings are exempt from garnishment because: (1) I am presently a recipient of relief based on need. (Specify the program, case number, and the county from which relief is being received.) _________________________ _________________________ ____________________ Program Case Number (if known) County (2) I am not now receiving relief based on need, but I have received relief based on need within the last six months. (Specify the program, case number, and the county from which relief has been received.) _________________________ _________________________ ____________________ Program Case Number (if known) County (3) I have been an inmate of a correctional institution within the last six months. (Specify the correctional institution and location.) _______________________________________ ______________________________________ Correctional Institution Location I hereby authorize any agency that has distributed relief to me or any correctional institution in which I was an inmate to disclose to the above-named creditor or the creditor's attorney only whether or not I am or have been a recipient of relief based on need or an inmate of a correctional institution within the last six months. I have mailed or delivered a copy of this form to the creditor or creditor's attorney. ________________________________ _________________________________________ Date Debtor __________________________________________ Address __________________________________________ Debtor Telephone Number STATE OF MINNESOTA DISTRICT COURT COUNTY OF_________________________ _________________________ JUDICIAL DISTRICT _________________________ (Creditor) _________________________ (Debtor) _________________________ (Financial institution)     Energy Assistance Program FFY21 EAP Policy Manual Chapter 14 Appendix 14B Debtors Exemption Claim Notice Example Revised 2020  '(8q   " 6 F c f g s ; < @ [ s w  $»Ʋ®§»§§    ® hY)h1jh1U h&lhuP h&lh] h68h]huPhKh]0J h]h]h]jh]U hLh h68hh h0h"Rh`,M h`,MaJ0h'XhWaJ0 hWaJ84( <  ? @  W [ %q!gd]!gduP "$a$gd9&!gd9&!gduPgd`,ME67O ) H$d`'P(gd) &gd'gdr!gd]567;<OXYcehǽ h&lhuPhoLh&lhraJh&lh`,M5aJh&lh5aJ h{'aJh&lhaJ h{'6aJh&lh6aJh h&lhqVv5B* CJ$OJQJph8ejhqVvUmHnHu hY)h1jh1Uh121h:pvV/ =!8"8#8$%o ny%uG}oڈzե0?/G?>N]J#쀽\!BiY-GZo\͛v=7+6˥0칩gyTy˖%h^. aym#h^WBobEQidz:QItz"uvoyו ik.&&P.a١6XӥvFVzR_' `+aGSgCrvUԶld!s;^oE"<.9ʇ&Q|[ɏk'VRNЉ4p=O;FD]bQ{xnUI}056Ӻ\'(~^j{AuɹJ묶SCQ 5c/ϖi-I~MCqnH(y 2+v'݈]a&]aj&2rձ'ͬ{g{(=oOל@T&7}Y]KM[ȞM펹 1[F0ON66'|$gv!^i6G#d8fiQ|^Fپk(yXo7rm3hl̰mqr4 :9F6t}8)R:9Վ[\^*"Vlcm_ChѰF_o?;Ą~ ӘEoJ/0'UN/kE!VO(7OZ2n+(>sG!m?#Z֘'ox/y"O?m;3/4~M7?!U~c9vZ[ Ki6WF/]/4J a#/tb op9oh͙CN`G"JʼnI{ј s|Ih>Wz!{P;Ja]20RGm ׉'^/8eg)>9d/acUkBu&EaqO/_](5%t:&sL|5{Q|m7UHF2o‚,"Ā'&b3d a?[Hpbؿfڝ~IQGl .%9%ϴ;Ccr{wyWS֐ʩƜ'd|CNiвNgWgydOPX?RG{2[iĞ-tbNΎrbB~i [ R%g|O~|i_T 3IO:Jac?[bLhiZ4+v?.;rߋ9ոqҼO Tc( O_lj| pif6q,գ\q0~,_nUszpMO}d9j,mW.S9ƫ~V[Y)mZ*Gj"`w C›ۣeB=X|B&Q$L+Uhh$Q 4ҟmo'}T vRjwe*o锕#f퍏Q֔e#ŌʒT%%v$"H{T_Ҿt|r;ʒFgEOiVmɏ-AkIjGNֻS4KݞQXvz<"Qoa[7fb0ZaZzKM|3xLGK4(2 )e?dzWh'_~ BvLNSSK)ϕh,% FVkUi-2K rk+!<选R:9E2\}K==gң4>Vs9oI=Pg.S>I/t2O~ԕYD=G'BszFw}OB˔aZ6G8MߐڒO(KGZKNC.k撉Lz~՝iQgdbZ44~QYƼCdjRe[)lGy:qe\C[ۀvG*؝Cٲ:qgTl[sqԚqLhp;V$i) qr̴LPqT?Z%KhQuALcvi ]ھ6:ӬؘV'oAxqH!;HYstq5Q֧\\tH)kǷޢ: c,2T??2Mfʮ J? 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