Orange — Claim of Exemption for Levy on Personal Property

Source: https://www.occourts.org/system/files/shc-cpj-03.pdf

SUPERIOR COURT OF CALIFORNIA Self-Help Services COUNTY OF ORANGE www.occourts.org/self-hel p

CLAIM OF EXEMPTION FOR LEVY ON PERSONAL PROPERTY

SELF-HELP FORM PACKET

SHC-CPJ-03 (Rev. 01/01/2026)

Self-Help Services can review your completed forms before you file them with the Court. To request review of your completed forms:

1. Complete the attached forms in black ink.
2. Scan your completed forms and save as a single PDF file.
3. Go to www.occourts.org/self-help (click the blue button labeled Click Here to Contact Self-Help Services), attach the PDF, and complete the online request form. Make sure to select CIVIL as the case type on the form.

www.occo u rts.o rg/self-hel p

[NOT FOR WAGE GARNISHMENT] EJ-160 RETURN TO LEVYING OFFICER. DO NOT FILE WITH COURT ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO.: FOR LEVYING OFFICER USE ONLY NAME: (Levying Officer Name and Address)

FIRM NAME:

STREET ADDRESS:

CITY: STATE: ZIP CODE:

TELEPHONE NO.: FAX NO.:

EMAIL ADDRESS:

ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF/PETITIONER: LEVYING OFFICER FILE NUMBER:

DEFENDANT/RESPONDENT: CLAIM OF EXEMPTION FOR COURT USE ONLY (Enforcement of Judgment)

Instructions for completing this form: Read Exemptions from the Enforcement of Judgments (form EJ-155) and Current Dollar Amounts of Exemptions from Enforcement of Judgments (form EJ-156) to help you figure out whether your property is exempt.

If you check the box for item 4, you must attach a completed Financial Statement (form EJ-165) to this Claim of Exemption. You can get a copy of form EJ-165 for free

by asking the levying officer or going to courts.ca.gov/rules-forms/find-your-court- forms or your court's self-help center.

You must give the levying officer this original completed form and one copy of the completed form. You should save at least one copy of the form for your records. CASE NUMBER: Do not file this form with the court.

1. My name is:

2. Papers should be sent to:

   me. my attorney (I have filed with the court and served on the judgment creditor a request to have papers sent to my attorney, and my attorney has consented in writing to receive these papers.)

   at the address shown above another address (specify):

3. I am not the judgment debtor named in the notice of levy. The name and last known address of the judgment debtor is

   (specify):

4. Some or all of my property is exempt because it is needed to support me and my spouse and dependents.

   A completed Financial Statement (form EJ-165) is attached to this claim. (As used in this form, "spouse" includes a registered domestic partner. (Code Civ. Proc., § 17(b)(12).))

5. Some or all of my property is exempt without making a claim of exemption. That property is (describe; if more space is needed, check here and attach a page labeled Attachment 5):

Judicial Council of California, courts.ca.gov Rev. January 1, 2026, Optional Form Claim of Exemption EJ-160, Page 1 of 2 Code Civ. Proc., § 703.520 (Enforcement of Judgment)

EJ-160 SHORT TITLE: LEVYING OFFICER FILE NO. COURT CASE NO.

6. The property I claim to be exempt is (describe; if more space is needed, check here and attach a page labeled Attachment 6):

7. My property is exempt under the following laws (specify code and section, for example "Code of Civil Procedure section 703.140(b)"; if more space is needed, check here and attach a page labeled Attachment 7):

8. The facts supporting my claim of exemption are (describe; if more space is needed, check here and attach a page labeled Attachment 8):

9. The property I claim to be exempt is (if more space is needed to complete any of the lettered subdivisions below,
   check here and attach a page labeled Attachment 9, and label the information on the attachment with the relevant
   subdivision letter):

   a. a motor vehicle, the proceeds of an execution sale of a motor vehicle, or the proceeds of insurance or other indemnification for the loss, damage, or destruction of a motor vehicle. I own other property of the same type, either alone or with other people, and that property is (describe):

   b. tools, implements, materials, uniforms, furnishings, books, equipment, a commercial motor vehicle, a vessel, or other personal property used in the trade, business, or profession of the judgment debtor or spouse. I own other property of the same type, either alone or with other people, and that property is (describe):

   c. the loan value of unmatured life insurance policies (including endowment and annuity policies) or benefits from matured life insurance policies (including endowment and annuity policies). My spouse or I own, either alone or with other people, other property of the same type, and that property is (describe):

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:

(TYPE OR PRINT NAME) (SIGNATURE)

Rev. January 1, 2026 Claim of Exemption EJ-160, Page 2 of 2 (Enforcement of Judgment)

WG-007/EJ-165 SHORT TITLE: LEVYING OFFICER FILE NO. COURT CASE NO.

FINANCIAL STATEMENT (Wage Garnishment-Enforcement of Judgment

NOTE: If you are married, this form must be signed by your spouse unless you and your spouse are living separate and apart. If this form is not signed by your spouse, check the applicable box on the reverse in item 9.

1. The following persons other than myself depend, in whole or in part, on me or my spouse for support: MONTHLY TAKE-HOME NAME AGE RELATIONSHIP TO ME INCOME & SOURCE

   a. Spouse b.

   C. d.

   e.

2. My monthly income a. My gross monthly pay is:.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a.$ b. My payroll deductions are (specify purpose and amount): ( 1 ) Federal and state withholding, FICA, and SDI. . . . . . . . . $ (2) ______________ $ (3) ______________ $ ( 4 ) ______________ $ My TOTAL payroll deduction amount is (add (1) through (4)): ................................................ b.$ c. My monthly take-home pay is (a minus b): .................................................................................. c. $ d. Other money I get each month from (specify source): -------------------------- is......................... d.$ e. TOTAL MONTHLY INCOME (c plus d) .................................................................................. e. $

3. I, my spouse, and my other dependents own the following property:

a. Cash .......................................................................................................................................... 3a. $ _______
b. Checking, savings, and credit union accounts (list banks):
(1) $
(2) $
(3) $ b.$ -------
C. Cars, other vehicles, and boat equity (list make, year of each):
(1) $
(2) $
(3) $ C. $ -------
d. Real estate equity ...................................................................................................................... d. $ -------
e. Other personal property 0ewelry, furniture, furs, stocks, bonds, etc. ) (list separately):

e.$ --------

Page 1 of2 Form Adopted by 706.124. 703.530 the Judicial Council FINANCIAL STATEMENT Code of Civil Procedure,§§ of California www.courtinfo.ca. g ov WG-007/EJ-165 IRev. January 1. 2007] (Wage Garnishment-Enforcement of Judgment)

WG-007/EJ-165 SHORT TITLE: LEVYING OFFICER FILE NO. COURT CASE NO.

4. The monthly expenses for me, my spouse, and my other dependents a. Rent or house payment and maintenance ................................................................................. 4 a.$ b. Food and household supplies ................................................................................................... . b.$ c. Utilities and telephone .............................................................................................................. . C. $ d. Clothing ..................................................................................................................................... . d.$ e. Medical and dental payments .................................................................................................... . e.$ f. Insurance (life, health, accident, etc.) ....................................................................................... . f. $ g. School, child care ....................................................................................................................... g.$ h. Child, spousal support (prior marriage) ...................................................................................... h.$ I. Transportation & auto expenses (insurance, gas, repair) (list car payments in item 5) .............. i. $ j. Installment payments (insert total and itemize below in item 5) .................................................. j. $ k. Laundry and cleaning ................................................................................................................ . k. $ I. Entertainment ............................................................................................................................ . I. $ m. Other (specify):

   m.$

   n. TOTAL MONTHLY EXPENSES (add a through m): .................................................................... n. $

5. I, my spouse, and my other dependents owe the following debts: OWED BY

CREDITOR'S NAME F OR MO. PAYMENTS BALANCE OWED (State person's name)

6. Other facts which support this Claim of Exemption (i.e., unusual medical needs, school tuition, expenses for recent family emergencies, or other unusual expenses to help your creditor and the judge understand your budget) (describe): (If more space is needed, attach page labeled Attachment 6.)

7. D An earnings withholding order is now in effect with respect to my earnings or those of my spouse or dependents named in item 1 (specify each person's name and monthly amount):

8. D A wage assignment for support is now in effect with respect to my earnings or those of my spouse or dependents named in item 1 (specify each person's name and monthly amount):

9. D My spouse has signed below. D I have no spouse. D My spouse and I are living separate and apart. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date: (TYPE OR PRINT NAME) ► (SIGNATURE) (TYPE OR PRINT NAME OF SPOUSE) ► (SIGNATURE OF SPOUSE) WG-00?IEJ-165 [Rev. January 1, 2007) FINANCIAL STATEMENT Page 2 of 2 (Wage Garnishment-Enforcement of Judgment)

EJ-155 EXEMPTIONS FROM THE ENFORCEMENT OF JUDGMENTS The following is a list of assets that may be exempt from levy in enforcing a judgment.

Exemptions are found in the United States Code (USC) and in the California codes, primarily the Code of Civil Procedure (CCP).

Because of periodic changes in the law, the list may not include all exemptions that apply in your case. The exemptions may not apply in full or under all circumstances. Some are not available after a certain period of time. You or your attorney should read the statutes.

If you believe the assets that are being levied on are exempt, file the claim of exemption form that you received with the Notice of Levy packet.

AMOUNT OF EXEMPTIONS: For the exemption amount, please refer to the code section listed below for each type of property. The current amounts of certain exemptions are listed in Current Dollar Amounts of Exemptions From Enforcement of Judgments (form EJ-156). The amounts of some of the exemptions are amended every three years and become effective immediately on April 1 under the provisions of Code of Civil Procedure section 703.150.

Type of Property Code and Section Type of Property Code and Section

ABLE Accounts .... . .. .. .. ... .. . . Welf & I C§ 4 880(c) Benefit Payments (cont.) Accounts (See Deposit Accounts) Relocation Benefits ........... . CCP§ 704.180 Appliances .. . . ... .. .. . ... . .. .. . CCP§ 704.020 Retirement Benefits Art and Heirlooms . . ... . .. .. ... .. . CCP§ 704.04 0 and Contributions: Automobiles . . . .. . . ... .. .. ... .. . CCP§ 704.010 Private ................. . CCP§ 704.115 BART District Benefits ... .. . . .. ... CCP§ 704.110 Public .................. . CCP§ 704.110 Pub Util C§ 28896 Segregated Benefit Funds ... Ins C§ 104 98.5 Benefit Payments: Social Security Benefits ......... 4 2 USC§4 07 BART District Benefits . .. .. ... . CCP§ 704.110 Strike Benefits ............... . CCP§ 704.120 Pub Util C§ 28896 Supplemental Security Income ... . 4 2 USC§ 1383 Charity .................... . CCP§ 704.170 4 2 USC§ 4 07(d) Civil Service Retirement Transit District Retirement Benefits (Federal) ......... . 5 USC §834 6 Benefits (Alameda and County Employees Contra Costa Counties) ...... CCP§704.110 Retirement Benefits ....... . CCP§ 704.110 Pub Util C §25337 Unemployment Benefits Govt C§ 314 52 and Contributions .......... CCP§ 704.120 Disability Insurance Benefits .... CCP§ 704.130 Fire Service Retirement Veterans Benefits ............. 38 USC§ 5301 Benefits ................. . CCP§ 704.110 Veterans Medal of Honor Govt C§ 32210 Benefits.................. 38 USC§1562 Fraternal Organization Welfare Payments ............ CCP§ 704.170 Welf & I C §174 09 Funds Benefits ............ CCP§ 704.130 Workers Compensation ........ CCP§704.160 CCP§ 704.170 Health Insurance Benefits ...... . CCP§ 704.130 Boats ........................ . CCP§ 704.060 Irrigation System CCP§ 704.710 Retirement Benefits......... CCP§ 704.110 Books ........................ . CCP§ 704.060 Judges Survivors Benefits Building Materials (Residential) ..... CCP§ 704.030 (Federal) ................ . 28 USC § 376(n) Business: Legislators Retirement Licenses ................... . CCP§ 695.060 Benefits ................. . CCP§ 704.110 CCP§ 699.720(a) (1) Govt C§ 9359.3 Tools of Trade............... . CCP§ 704.060 Life Insurance Benefits: Cars and Trucks (including Group ................... . CCP§ 704. 100 proceeds) .................. . CCP§ 704.010 Individual ................. CCP§ 704. 100 Cash ....................... .. CCP§ 704.070 Lighthouse Keepers Cemeteries: Surviving Spouses Benefits.... 33 USC§ 775 Land Proceeds .............. . Health & SC § 7925 Longshore & Harbor Workers Plots ...................... . CCP§ 704.200 Compensation or Benefits.... 33 USC§ 916 Charity ....................... . CCP§704.170 Military Benefits: Claims, Actions and Awards: Personal Injury ................ CCP§704.14 0 Retirement................ 10 USC§14 4 0 Worker's Compensation........ CCP§ 704.160 Survivors................. 10 USC§14 50 Wrongful Death............... CCP§ 704.150 Municipal Ut

Retirement................ 10 USC§14 4 0
Worker's Compensation........ CCP§ 704.160 Survivors................. 10 USC§14 50
Wrongful Death............... CCP§ 704.150
Municipal Utility District Clothing ....................... . CCP§ 704.020
Retirement Benefits......... CCP§ 704.110
Pub Util C§ 12337 Condemnation Proceeds ........... CCP§ 704.720(b)
Peace Officers Retirement County Employees Retirement Benefits ................. . CCP§ 704.110
Benefits .................... . CCP§ 704.110 Govt C§ 31913
Pension Plans Govt C § 314 52
(and Death Benefits): Damages (See Personal Injury
Private .................. . CCP§ 704.115 and Wrongful Death)
Public ................... . CCP§ 704.110 Deposit Accounts:
Public Assistance .............. CCP§ 704.170 Deposit Accounts (generally) ... .. CCP § 704.220
Welf & I C§ 174 09 Deposit Accounts (hardship). . . ... . CCP§ 704.225
Page 1 of2

Form Adopted for Mandatory Judicial Council of California Use EXEMPTIONS FROM THE ENFORCEMENT OF JUDGMENTS Code§§ 681.030(c),of Civil Procedure,700.010 EJ-155 [Rev. September 1, 2021] www.courts.ca.gov

EJ-155 EXEMPTIONS FROM THE ENFORCEMENT OF JUDGMENTS (Continued) Type of Property Code and Section Type of Property Code and Section Deposit Accounts (cont.) Motor Vehicle (Including Escrow or Trust Funds ....... Fin C §174 10 Proceeds). .. ... .. ..... .. .... . CCP §704.010 Social Security Direct CCP §704.060 Deposits ........... ...... CCP §704.080 Municipal Utility District Direct Deposit Account: Retirement Benefits ............ . CCP§704.110 Social Security ............... CCP §704.080 Peace Officers Retirement Pub Util C §12337 Benefits ..................... . CCP§704.110 Supplemental Security Income .. . CCP §704.080 Public Benefits ............... CCP §704.080 Pension Plans: Govt C § 31913 Private ..................... . CCP§704.115 Disability Insurance Benefits ...... . CCP §704.130 Public ...................... . CCP§704.110 Dwelling House ................ . CCP §704.74 0 Personal Effects ................ . CCP §704.020 Earnings ...................... . CCP §704.070 CCP §706.050 Personal Injury Actions 15 USC§1673(a) or Damages .................. . CCP §704.14 0 Educational Grant ............... . Ed C§21116 Prisoner's Funds ................ . CCP §704.090 Employment Bonds .............. Lab C§4 04 Property Not Subject to Federal Emergency Management Enforcement of Money Agency (FEMA) funds . .. .. ... .. . . CCP §704.230 Judgments .................... CCP §704.210 Prosthetic and Orthopedic Financial Assistance: Devices ..................... . CCP §704.050 Charity .................... . CCP §704.170 Provisions (for Residence) ......... CCP §704.020 Public Assistance ............. CCP §704.170 Public Assistance ............... . CCP §704.170 Welf & I C§174 09 Welf & I C§174 09 Student Aid ................. CCP §704.190 Public Employees: Welfare (See Public Assistance) Death Benefits ............... CCP §704.110 Fire Service Retirement . .. . CCP §704.110 Pension .................... . CCP §704.110 Govt C§ 32210 Retirement Benefits .......... . CCP §704.110 Fraternal Organizations Vacation Credits .............. CCP§704.113 Funds and Benefits . ... .. .. ... . CCP §704.130 Railroad Retirement Benefits ........ 4 5 USC§ 231m CCP §704.170 Railroad Unemployment Fuel for Residence .. .. .. ... .. . ... CCP §704.020 Insurance ................... . 4 5 USC§ 352(e) Furniture . . ... .. .. .. ... .. . . .. ... CCP §704.020 Relocation Benefits .............. . CCP §704.180 General Assignment for Retirement Benefits and Benefit of Creditors . .. ... .. ... .. CCP §1801 Contributions: Health Aids .. . .. .. .. ... .. . . .. ... CCP §704.050 Private ..................... CCP§704.115 Health Insurance Benefits .......... CCP §704.130 Public ..................... . CCP §704.110 Home: Ins C§104 98.5 Building Materials ............. CCP §704.030 Dwelling House ............. . CCP §704.74 0 Scholarshare (Higher Education Homestead .................. CCP §704.720 Savings) ................ CCP §704.105 Segregated Benefit Funds .......... Ins C§104 98.6 CCP §704.730 Servicemembers Property ........... 50 USC§ 523(b) Housetrailer ................. CC

ngs) ................ CCP §704.105 Segregated Benefit Funds .......... Ins C§104 98.6 CCP §704.730 Servicemembers Property ........... 50 USC§ 523(b) Housetrailer ................. CCP §704.710 Social Security .................. . 4 2 USC§4 07 Mobilehome ................ . CCP §704.710 Homestead ................... . CCP §704.720 Social Security Direct Deposit . ....... CCP §704.080 Strike Benefits .................. . CCP§704.120 CCP §704.730 Household Furnishings ........... . CCP §704.020 Supplemental Security Income ... . 4 2 USC§1383(d) Insurance: 4 2 USC §4 07 Disability Insurance ........... CCP §704.130 Student Aid .................... . CCP §704.190 Fraternal Benefit Society ...... . CCP §704.110 Tools of Trade .................. . CCP §704.060 Group Life ................... CCP §704.100 Transit District Retirement Health Insurance Benefits ..... . CCP §704.130 Benefits (Alameda and Contra Individual .................... CCP §704.100 Costa Counties) ............... . CCP§704.110 Insurance Proceeds-- Pub Util C §25337 Motor Vehicle ... . .. .. .. ... . CCP §704.010 Travelers Check Sales Proceeds ..... Fin C§1875 Irrigation System Unemployment Benefits and Retirement Benefits ............ CCP§704.110 Contributions ................. . CCP§704.120 Jewelry ........................ . CCP §704.04 0 Uniforms ...................... . CCP §704.060 Judges Survivors Benefits Vacation Credits (Public (Federal) .................... . 28 USC§ 376(n) Employees) .................. . CCP§704.113 Legislators Retirement Veterans Benefits ............... . 38 USC§ 5301 Benefits .................... . CCP §704.110 Veterans Medal of Honor Govt C§9359.3 Benefits ...................... 38 USC§1562 Licenses ..................... . CCP § 695.060 Wages ........................ . CCP § 704.070 CCP §720(a)( 1) CCP §706.050 Lighthouse Keepers Surviving CCP §706.051 Spouses Benefit . .............. 33 USC§775 Welfare Payments ............... . CCP §704.170 Longshore and Harbor Workers Welf & I C §174 09 Compensation or Benefits ........ 33 USC§916 Workers Compensation Military Benefits: Claims or Awards ............. . CCP § 704.160 Retirement ................. . 10 USC§14 4 0 Survivors ................... . 10 USC§14 50 Wrongful Death Actions or Military Personnel-Property 50 USC§ 3934 Damages ..................... CCP § 704.150 EJ-155 [Rev. September 1, 2021] EXEMPTIONS FROM THE ENFORCEMENT OF JUDGMENTS Page 2 of 2 For your protection and privacy, please press the Clear This Form button after you have printed the form. Print this form Save this form

EJ-156 CURRENT DOLLAR AMOUNTS OF EXEMPTIONS FROM ENFORCEMENT OF JUDGMENTS Code of Civil Procedure sections 703.140(b) and 704.010 et seq.

EXEMPTIONS UNDER SECTION 703.140(b)

The following lists the current dollar amounts of exemptions from enforcement of judgment under Code of Civil Procedure section 703.140(b) used in a case under title 11 of the United States Code (bankruptcy).

These amounts are effective April 1, 2019. Unless otherwise provided by statute after that date, they will be adjusted at each three-year interval, ending on March 31. The amount of the adjustment to the prior amounts is based on the change in the annual California Consumer Price Index for All Urban Consumers for the most recent three-year period ending on the preceding December 31, with each adjusted amount rounded to the nearest $25. (See Code Civ. Proc., § 703.150(d).)

Code Civ. Proc.. § 703.140(b) Type of Property Amount of Exemption

(1) The debtor's aggregate interest in real property or
personal property that the debtor or a dependent of
the debtor uses as a residence, or in a cooperative
that owns property that the debtor or a dependent of
the debtor uses as a residence, $29,275

(2) The debtor's interest in one or more motor vehicles $ 5,850

(3) The debtor's interest in household furnishings,
household goods, wearing apparel, appliances,
books, animals, crops, or musical instruments, that
are held primarily for the personal, family, or
household use of the debtor or a dependent of the
debtor (value is of any particular item) $ 725

(4) The debtor's aggregate interest in jewelry held
primarily for the personal, family, or household use of
the debtor or a dependent of the debtor $ 1,750

(5) The debtor's aggregate interest, plus any unused
amount of the exemption provided under paragraph
(1), in any property $ 1,550

(6) The debtor's aggregate interest in any implements,
professional books, or tools of the trade of the debtor
or the trade of a dependent of the debtor $ 8,725

(8) The debtor's aggregate interest in any accrued dividend or interest under, or loan value of, any unmatured life insurance contract owned by the debtor under which the insured is the debtor or an individual of whom the debtor is a dependent $15,650

(11)(0) The debtor's right to receive, or property traceable to,
a payment on account of personal bodily injury of the
debtor or an individual of whom the debtor is a
dependent $29,275

Page 1 of2

Form Approved for Judicial Council of California Optional Use CURRENT DOLLAR AMOUNTS OF EXEMPTIONS Code§§ of703.140,Civil Procedure,703.150, EJ-156 [Rev. October 1, 2021) FROM ENFORCEMENT OF JUDGMENTS 704.010 et seq. www.courts.ca.gov

EJ-156 CURRENT DOLLAR AMOUNTS OF EXEMPTIONS FROM ENFORCEMENT OF JUDGMENTS Code of Civil Procedure sections 703.140(b) and 704.010 et seq. EXEMPTIONS UNDER SECTION 704.010 et seq.

The following lists the current dollar amounts of exemptions from enforcement of judgment under title 9, division 2, chapter 4, article 3 (commencing with section 704.010) of the Code of Civil Procedure.

The amount of the automatic exemption for a deposit account under section 7O4.22O(a) is effective July 1, 2021, and unless otherwise provided by statute after that date, will be adjusted annually effective July 1 by the Department of Social Services under Welt. & Inst. Code,§ 11453 to reflect the minimum basic standard of care for a family of four as established by§ 11452.*

The other amounts are all effective April 1, 2019. Unless otherwise provided by statute after that date, they will be adjusted at each three-year interval, ending on March 31. The amount of the adjustment to the prior amounts is based on the change in the annual California Consumer Price Index for All Urban Consumers for the most recent three-year period ending on the preceding December 31, with each adjusted amount rounded to the nearest $25. (See Code Civ. Proc., § 7O3.15O(d).)

Code Civ. Proc. Section Type of Property Amount of Exemption 704.010 Motor vehicle (any combination of aggregate equity, proceeds $ 3,325 of execution sale, and proceeds of insurance or other indemnification for loss, damage, or destruction) 704.030 Material to be applied to repair or maintenance of residence $ 3,500 704.040 Jewelry, heirlooms, art $ 8,725 704.060 Personal property used in debtor's or debtor's spouse's trade, $ 8,725 business, or profession (amount of exemption for commercial motor vehicle not to exceed $ 4,850) 704.060 Personal property used in debtor's and spouse's common $ 17,450 trade, business, or profession (amount of exemption for commercial motor vehicle not to exceed $ 9,700) 704.220 Deposit account, generally (exemption without claim; amount $ 1,826* per judgment debtor, section 7O4.22O(a),(e)) 1

704.080 Deposit account with direct payment of social security or public
2 benefits (exemption without claim, section 7O4.O8O(b))
• Public benefits, one depositor is designated payee $ 1,750

Social security benefits, one depositor is designated $ 3,500 . payee
Public benefits, two or more depositors are $ 2,600 . designated payees 3
Social security benefits, two or more depositors are $ 5,250 . designated payees 3
704.090 Inmate trust account $ 1,750

Inmate trust account (restitution fine or order) $ 325 4
704.100 Aggregate loan value of unmatured life insurance policies $ 13,975

1 This exemption does not preclude or reduce other exemptions for deposit accounts. However, if the exemption amount for the deposit
account applicable under other automatic exemptions-such as those applicable for direct deposit of social security benefits or public
benefits-is greater under the other exemptions, then those apply instead of this one. (Code Civ. Proc.,§ 704.220(b).)
2 The amount of a deposit account with direct deposited funds that exceeds exemption amounts shown is also exempt to the extent it consists
of payments of public benefits or social security benefits. (Code Civ. Proc.,§ 704.0S0(c).)

3 If only one joint payee is a beneficiary of the payment, the exemption is in the amount available to a single designated payee. (Code Civ.
Proc.,§ 704.080(b)(3) and (4).)
4 This amount is not subject to adjustments under Code Civ. Proc., § 703.150.

Judicial Council of California Page 2 of 2EJ-156 [Rev. October 1, 2021] CURRENT DOLLAR AMOUNTS OF EXEMPTIONS l Print this form] I Save this form I [

EJ-157 ATTORNEY OR PARTY WITHOUT ATTORNEY (name and address): After recording, return to:

TEL NO.: FAX NO.: EMAIL ADDRESS: ATTORNEY JUDGMENT ASSIGNEE JUDGMENT □ FOR □ORIGINALCREDITOR □ OF RECORD □ DEBTOR

SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE: BRANCH NAME: FOR COURT USE ONLY

LEVYING OFFICER (name and address):

PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT:

EX PARTE APPLICATION FOR ORDER ON DEPOSIT ACCOUNT EXEMPTION LEVYING OFFICER FILE NO.: D Without hearing COURT CASE NO.: Hearing on shortened time D Read Instructions for Ex Parle Application for Order on Deposit Account Exemption (f o rm EJ-157-INFO) before filing this application. That form describes the requirements for giving notice of this application.

1. Applicant (check one): D Judgment Debtor (name): D Judgment Creditor (original or assignee of record) (name): applies for a court order as to how and to which of the judgment debtor's multiple deposit accounts the exemption from enforcement of a civil money judgment under Code of Civil Procedure section 704.220 should be applied.

2. This application is being made because: a. D judgment debtor has multiple deposit accounts in one financial institution. b. D judgment debtor has deposit accounts in multiple financial institutions.

3. A Writ of Execution (Money Judgment) was issued in this case on (date issued) and states that the underlying judgment is not for unpaid wages, child support, or spousal support. Date writ issued: . (Attach a copy or provide an explanation why not attached.)

4. A Notice of Levy (form EJ-150) has been issued based on the writ in item 3 to the following financial institutions (identify and attach copy of each notice or provide an explanation why not attached):

   Financial Institution Date of Issuance

D Check here if there is not enough space to list all current notices of levy, and continue the list on an attached sheet titled Attachment 4. Page 1 of2 Form Approved for § 704.220 Optional Use EX PARTE APPLICATION FOR ORDER ON DEPOSIT ACCOUNT Code of Civil Procedure,Judicial Council of California www.courls.ca.gov EJ-157 [Rev. January 1, 2021] EXEMPTION (Enforcement of Judgment)

SHORT TITLE: LEVYING OFFICER FILE NO.: COURT CASE NO.:

5. Applicant requests that the judgment debtor's deposit account exemption under Code of Civil Procedure section 704.220(a) be applied (check one): a. D to deposit account number (last four digits only): at (financial institution): b. D spread across multiple deposit accounts as follows:

   Name of financial institution Deposit account number Amount of exemption to be applied to account
   (last four digits only) (Total cannot exceed total amount of exemption (See
   form EJ-156).)

6. a. D This matter may be set for hearing. b. D Applicant is seeking this order without further hearing to help prevent immediate loss to a deposit account subject to exemption or enforcement. The facts supporting this need for immediate issuance of an order are (explain circumstances):

D Check here if there is not enough space, and continue the item on an attached sheet titled Attachment 6.

Date: ► (TYPE OR PRINT NAME) (SIGNATURE)

Declaration by Applicant

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date: ---------- ► (TYPE OR PRINT NAME) (SIGNATURE) D Original judgment creditor D Judgment debtor D Assignee of record EJ-157 [Rev. January 1, 2021] EX PARTE APPLICATION FOR ORDER ON DEPOSIT ACCOUNT Page 2 of 2 EXEMPTION (Enforcement of Judgment) For your protection and privacy, please press the Clear This Form button after you have printed the form. Print this form] Save this form Clear this form I I I I I

EJ-158 PARTY WITHOUT ATTORNEY OR ATTORNEY: STATE BAR NUMBER: FOR COURT USE ONLY NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: ZIP CODE:

TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE STREET ADDRESS:

MAILING ADDRESS: CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT:

DECLARATION REGARDING NOTICE AND SERVICE FOR EX PARTE CASE NUMBER: APPLICATION FOR ORDER ON DEPOSIT ACCOUNT EXEMPTION

This form may be filed any time an Ex Parte Application for Order on Deposit Account Exemption Application (form EJ-157) is filed.

1. I am (specify): D attorney for D original judgment creditor D assignee of record D judgment debtor

2. D did D did not give notice that papers will be submitted to the court asking a judicial officer how and to which of judgment debtor's deposit accounts the exemption under Code of Civil Procedure section 704.220 should apply, and that the court will consider the request on the date, time, and location indicated below: a. Date: Time: D Dept.: b. Address of court: D same as noted above D other (specify):

3. NOTICE (If you gave notice, complete item 3a. If you did not give notice, complete item 3b or 3c.) a. D I gave notice as described in items (1) through (5): (1) I gave notice to (select all that apply):

D judgment debtor. D judgment debtor's attorney. D judgment creditor (or assignee of record). D judgment creditor's attorney (or assignee of record's attorney). D Other (specify): (2) I gave notice on (date): at: D a.m. D p.m. D personally at (location): , California. D by telephone using telephone no.: D by fax using fax no.: D by voicemail using voicemail no.: D by electronic means (if permitted)(specify electronic service address of person): D by overnight mail or other overnight carrier (specify address of delivery):

(3) I gave notice (select one):

D by 10 a.m. the court day before this ex parte appearance. D after 10 a.m. the court day before this ex parte appearance because of the following exceptional circumstances (specify):

Page 1 of2 Form Approved for Optional Use DECLARATION REGARDING NOTICE AND SERVICE Cal.CodeRulesofofCivilCourt,Procedure,rules 3.1203-12075§ 704.220,Judicial Council of California EJ-158 [Rev. January 1, 2021] FOR EX PARTE APPLICATION FOR ORDER www.courts.ca.gov ON DEPOSIT ACCOUNT EXEMPTION

EJ-158 PLAINTIFF/PETITIONER: CASE NUMBER: DEFENDANT/RESPONDENT:

3. a. (4) I notified the person in 3a(1) that an order is being requested designating that the exemption under section 704.220 should be applied to the following accounts (specify): (5) The person in 3a(1) responded as follows: (6) I D do D do not believe that the person in 3a(1) will oppose the ex parte application. b. D Request for waiver of notice. I did not give notice about the ex parte application. I ask that the court waive notice to the other party for the following reasons (identify the exceptional circumstances): D Attachment 3b. c. D Unable to provide notice. I did not give notice about the ex parte application. I used my best efforts to tell the opposing party when and where this hearing would take place but was unable to do so. The efforts I made to inform the other person were (specify below): D Attachment 3c.

4. 0 SERVICE OF FORMS a. An untiled copy of Ex Parle Application for Order on Deposit Account Exemption (form EJ-157) and related documents were served on: D judgment debtor. D judgment debtor's attorney. D judgment creditor (or assignee of record). D judgment creditor's attorney (or assignee of record's attorney). D Other (specify): b. Documents were served on (date): at: D a.m. D p.m. D personally at (location): , California. D by fax using fax no.: D by electronic means (if permitted) (specify electronic service address of person): D by overnight mail or other overnight carrier (specify address of delivery):

   c. D Documents were not served on the opposing party because of the exceptional circumstances specified in: D 3b, above D 3c, above D Attachment 4c.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:

(TYPE OR PRINT NAME) (SIGNATURE)

EJ-158 IRev. January 1. 2021] Page 2 of 2 DECLARATION REGARDING NOTICE AND SERVICE FOR EX PARTE APPLICATION FOR ORDER ON DEPOSIT ACCOUNT EXEMPTION For your protection and privacy, please press the Clear This Form button after you have printed the form. Print this form] Save this form Clear this form I[ I I Ir I

EJ-159 ATTORNEY OR PARTY WITHOUT ATTORNEY (name and address): After recording, return to:

TEL NO.: FAX NO.: EMAIL ADDRESS:

ATTORNEY ORIGINAL JUDGMENT JUDGMENT ASSIGNEE D FOR D CREDITOR D DEBTOR D OF RECORD

SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME: FOR COURT USE ONLY

PLAINTIFF/PETITIONER: LEVYING OFFICER (name and address):

DEFENDANT/RESPONDENT:

ORDER ON APPLICATION FOR DESIGNATION OF LEVYING OFFICER FILE NO.:
DEPOSIT ACCOUNT EXEMPTION

COURT CASE NO.:

1. Applicant (check one): (name): D Judgment Debtor

D Judgment Creditor (original or assignee of record) (name): applied ex parte for an order as to how and to which of the judgment debtor's multiple deposit accounts the exemption from enforcement of a civil money judgment under Code of Civil Procedure section 704.220 should be applied. 2. The court, having reviewed the application, makes the following ruling. 3. D Application Denied. The court denies the application. a. D The application is incomplete. b. D The application did not meet the requirements for providing notice or service of the application. c. D There is no showing that judgment debtor has multiple deposit accounts subject to the deposit account exemption in section 704.220. d. D Other (specify): 4. D Order Shortening Time. A hearing will be held on the application, as follows. a. The hearing will be on the date, time, and location indicated below: Date: Time: D Dept.: D Room: Address of court: D same as noted above D other (specify): b. Applicant must serve this order and the Ex Parle Application (form EJ-157) on all other parties by(date): c. Any papers in opposition must be served on all other parties and filed by (date): 5. D Ex Parte Order. The court finds that delay in ruling would result in loss or damage to deposit accounts subject to enforcement of judgment in this matter, and therefore rules ex parte to designate the account subject to exemption, as stated below. 6. D Order After Hearing. This ruling is made after the application was heard on shortened time at a. Date: Time: D Dept.: D Room: b. The following were present at the hearing: D Judgment debtor D Judgment debtor's attorney D Judgment creditor (or assignee of record) D Judgment creditor's attorney (or assignee of record's attorney) D Other (specify): Page 1 of2 Form Approved for Optional Use ORDER ON APPLICATION FOR DESIGNATION OF Code of Civil Procedure, § 704.220Judicial Council of California www.courts.ca.gov EJ-159 [Rev. January 1, 2021] DEPOSIT ACCOUNT EXEMPTION (Enforcement of Judgment)

SHORT TITLE: LEVYING OFFICER FILE NO.: COURT CASE NO.:

7. D Findings. The court makes the following findings: a. D The underlying judgment in this case is not based on unpaid wages or child or spousal support. b. D A Notice of Levy has been issued in this case to the following financial institutions (identify): Financial Institution Date of Issuance c. Applicant has requested that the court designate to which among multiple deposit accounts the exemption under Code of Civil Procedure section 704.220(a) be applied, and has specified that account or accounts in the application. d. D An alternative designation was requested by D judgment debtor c=Jjudgment creditor (or assignee of record) e. D Other findings:

8. Designation of Deposit Account. The exemption under Code of Civil Procedure section 704.220(a) from enforcement of civil money judgment is to be applied (check one): a. D to deposit account number (last four digits only): at (financial institution): b. D spread across multiple deposit accounts, because the exemption amount is greater than the amount in a single deposit account, as follows: Name of financial institution Deposit accounts Amount of exemption to be applied (last four digits only)

9. Other Rulings.

   Date: ----------

   Judicial Officer

   Page 2 of 2EJ-159 [Rev. January 1, 2021] ORDER ON APPLICATION FOR DESIGNATION OF
   DEPOSIT ACCOUNT EXEMPTION
   (Enforcement of Judgment)

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