Wage Garnishment Exemption Automation (California)

California Wage Garnishment Claim of Exemption - Free Auto-Fill

Answer every question below. If a question doesn't apply to you, type N/A — every field must have an answer. When you're done, click the button at the bottom to generate your completed, ready-to-sign PDF packet. Nothing you enter is sent anywhere; the PDF is created entirely in your own browser.

County where the case was filed (e.g. "Riverside"):
Court street address (printed on your notice, if shown):
Court mailing address (if different from street address):
Court city and ZIP code:
Court branch name (if any):
Court case number:
Plaintiff / Judgment Creditor (the company or person suing you):
Defendant / Judgment Debtor (your name, as listed on the notice):
Levying Officer name (usually the county Sheriff or Marshal's office — printed on the notice):
Levying Officer File Number (printed on the notice):
Street address:
City:
State:
ZIP:
Phone number:
Email (N/A if none):
At:
If another address, specify (otherwise type N/A):
If (c), amount needed per pay period (otherwise type N/A):
If a specific amount, enter it (otherwise type N/A):
If "other", specify (otherwise type N/A):
Standard federal/state/FICA/SDI withholding amount:
Other payroll deductions (purpose + amount) — up to 3, N/A if none:
Total payroll deductions (state the total you're claiming — not necessarily the sum of the lines above):
Monthly take-home pay:
Other monthly income — source (N/A if none):
Other monthly income — amount:
Total monthly income:
Note: This tool does not calculate any totals for you. You are responsible for the math on every total field — check it yourself before signing.
Cash on hand:
Bank accounts (bank name + balance) — up to 3, N/A if none:
Total bank accounts:
Vehicles (description + equity) — up to 3, N/A if none:
Total vehicle equity:
Real estate equity:
Other personal property — description (N/A if none):
Other personal property — value:
Note: This tool does not calculate any totals for you. You are responsible for the math on every total field — check it yourself before signing.
Rent/house payment
Food/household supplies
Utilities/telephone
Clothing
Medical/dental
Insurance
School/child care
Child/spousal support (prior marriage)
Transportation/auto
Installment payments
Laundry/cleaning
Entertainment
Other — description (N/A if none)
Other — amount
Total monthly expenses (state the total you're claiming):
Note: This tool does not calculate any totals for you. You are responsible for the math on every total field — check it yourself before signing.
If yes, specify name(s) and monthly amount (otherwise N/A):
If yes, specify name(s) and monthly amount (otherwise N/A):
Spouse's printed name (N/A if not applicable):
Important: This tool only fills out your paperwork. It does not file, mail, or deliver anything for you. Once you have your completed packet, you must sign it and deliver it to the levying officer yourself — that step is on you, not this tool.
California Wage Garnishment Claim of Exemption - Free Auto-Fill

Answer every question below. If a question doesn't apply to you, type N/A — every field must have an answer. When you're done, click the button at the bottom to generate your completed, ready-to-sign PDF packet. Nothing you enter is sent anywhere; the PDF is created entirely in your own browser.

County where the case was filed (e.g. "Riverside"):
Court street address (printed on your notice, if shown):
Court mailing address (if different from street address):
Court city and ZIP code:
Court branch name (if any):
Court case number:
Plaintiff / Judgment Creditor (the company or person suing you):
Defendant / Judgment Debtor (your name, as listed on the notice):
Levying Officer name (usually the county Sheriff or Marshal's office — printed on the notice):
Levying Officer File Number (printed on the notice):
Street address:
City:
State:
ZIP:
Phone number:
Email (N/A if none):
At:
If another address, specify (otherwise type N/A):
If (c), amount needed per pay period (otherwise type N/A):
If a specific amount, enter it (otherwise type N/A):
If "other", specify (otherwise type N/A):
Standard federal/state/FICA/SDI withholding amount:
Other payroll deductions (purpose + amount) — up to 3, N/A if none:
Total payroll deductions (state the total you're claiming — not necessarily the sum of the lines above):
Monthly take-home pay:
Other monthly income — source (N/A if none):
Other monthly income — amount:
Total monthly income:
Note: This tool does not calculate any totals for you. You are responsible for the math on every total field — check it yourself before signing.
Cash on hand:
Bank accounts (bank name + balance) — up to 3, N/A if none:
Total bank accounts:
Vehicles (description + equity) — up to 3, N/A if none:
Total vehicle equity:
Real estate equity:
Other personal property — description (N/A if none):
Other personal property — value:
Note: This tool does not calculate any totals for you. You are responsible for the math on every total field — check it yourself before signing.
Rent/house payment
Food/household supplies
Utilities/telephone
Clothing
Medical/dental
Insurance
School/child care
Child/spousal support (prior marriage)
Transportation/auto
Installment payments
Laundry/cleaning
Entertainment
Other — description (N/A if none)
Other — amount
Total monthly expenses (state the total you're claiming):
Note: This tool does not calculate any totals for you. You are responsible for the math on every total field — check it yourself before signing.
If yes, specify name(s) and monthly amount (otherwise N/A):
If yes, specify name(s) and monthly amount (otherwise N/A):
Spouse's printed name (N/A if not applicable):
Important: This tool only fills out your paperwork. It does not file, mail, or deliver anything for you. Once you have your completed packet, you must sign it and deliver it to the levying officer yourself — that step is on you, not this tool.
California Wage Garnishment Claim of Exemption - Free Auto-Fill

Answer every question below. If a question doesn't apply to you, type N/A — every field must have an answer. When you're done, click the button at the bottom to generate your completed, ready-to-sign PDF packet. Nothing you enter is sent anywhere; the PDF is created entirely in your own browser.

County where the case was filed (e.g. "Riverside"):
Court street address (printed on your notice, if shown):
Court mailing address (if different from street address):
Court city and ZIP code:
Court branch name (if any):
Court case number:
Plaintiff / Judgment Creditor (the company or person suing you):
Defendant / Judgment Debtor (your name, as listed on the notice):
Levying Officer name (usually the county Sheriff or Marshal's office — printed on the notice):
Levying Officer File Number (printed on the notice):
Street address:
City:
State:
ZIP:
Phone number:
Email (N/A if none):
At:
If another address, specify (otherwise type N/A):
If (c), amount needed per pay period (otherwise type N/A):
If a specific amount, enter it (otherwise type N/A):
If "other", specify (otherwise type N/A):
Standard federal/state/FICA/SDI withholding amount:
Other payroll deductions (purpose + amount) — up to 3, N/A if none:
Total payroll deductions (state the total you're claiming — not necessarily the sum of the lines above):
Monthly take-home pay:
Other monthly income — source (N/A if none):
Other monthly income — amount:
Total monthly income:
Note: This tool does not calculate any totals for you. You are responsible for the math on every total field — check it yourself before signing.
Cash on hand:
Bank accounts (bank name + balance) — up to 3, N/A if none:
Total bank accounts:
Vehicles (description + equity) — up to 3, N/A if none:
Total vehicle equity:
Real estate equity:
Other personal property — description (N/A if none):
Other personal property — value:
Note: This tool does not calculate any totals for you. You are responsible for the math on every total field — check it yourself before signing.
Rent/house payment
Food/household supplies
Utilities/telephone
Clothing
Medical/dental
Insurance
School/child care
Child/spousal support (prior marriage)
Transportation/auto
Installment payments
Laundry/cleaning
Entertainment
Other — description (N/A if none)
Other — amount
Total monthly expenses (state the total you're claiming):
Note: This tool does not calculate any totals for you. You are responsible for the math on every total field — check it yourself before signing.
If yes, specify name(s) and monthly amount (otherwise N/A):
If yes, specify name(s) and monthly amount (otherwise N/A):
Spouse's printed name (N/A if not applicable):
Important: This tool only fills out your paperwork. It does not file, mail, or deliver anything for you. Once you have your completed packet, you must sign it and deliver it to the levying officer yourself — that step is on you, not this tool.