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AFFIDAVIT OF CLAIMANT IN RESPONSE TO NOTICE TO APPEAR

BEFORE ME, the undersigned authority, appeared ………. (name of claimant or claimant’s agent) ………., who, after being first duly sworn, deposes and states, under penalty of perjury:

1. I am the ………. (claimant, or identify relationship to claimant) ……….
2. I (or claimant) was served with a Notice to Appear on ………. (date) ……….
3. I (or claimant) own(s) and am/is entitled to possession of ………. (describe the property, debt, or other obligation due to the judgment debtor identified in the Notice to Appear) ……….
4. This property should not be applied to satisfy the judgment because ………. (state all reasons why the property, debt, or other obligation due to the judgment debtor identified in the Notice to Appear should not be applied to satisfy the judgment) ……….
5. (Select a or b)
a. I (or claimant) request(s) a trial by jury on all issues so triable.
b. I (or claimant) request(s) a non-jury trial on all issues.

FURTHER AFFIANT SAYETH NAUGHT.
Dated: ____________________

Signature of Affiant
Printed Name:
STATE OF ______________________________
COUNTY OF ____________________________
Sworn to or affirmed and signed before me on this _____ day of _______________, 20 _____ by (name of affiant) _________________________, who is personally known to me or who has produced _________________________, as identification and who did take an oath.

NOTARY PUBLIC, STATE OF………. (Print, Type or Stamp Commissioned Name of Notary Public) ……….