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(4) Set -off. Enter on the line below the amount of any set -off, defense, lien or claim which the <br />garnishee claims against the amount set forth on lines (1) (e), (2) and (3) above. Allege the <br />facts by which such set -off, defense, lien or claim is claimed. (Any indebtedness to a <br />garnishee- employer incurred by the judgment debtor within 10 days prior to the receipt of <br />the first garnishment on a debt is void-and should be disregarded.) <br />(5) Exemption. Enter on the line below any amounts of property claimed by the judgment <br />debtor to be exempt from execution. <br />(6) Adverse Interest. Enter on the line below any amounts claimed by other persons by reason <br />of ownership or interest in the judgment debtor's property. (Any assignment of wages made <br />by the judgment debtor within 10 days prior to the receipt of the first garnishment on a debt <br />is void and should be disregarded. State the names and addresses of such persons and the <br />nature of their claim, if known.) <br />(7) Enter on the line below the total of lines (4), (5) and (6). <br />(8) Enter on the line below the difference obtained (never less than zero) when line (7) is <br />subtracted from the sum of lines (1) (e), (2) and (3). <br />(9) Enter on the line below 110 per cent of the amount of the judgment creditor's judgment <br />which remains unpaid. <br />(10) Enter on the line below the lesser of line (8) and line (9). As garnishee, you are hereby <br />instructed to retain this amount only if it is $10.00 or more. <br />Signature <br />Subscribed and sworn to before me this <br />day of , 19 <br />Notary Public <br />Authorized Representative of Garnishee <br />Title <br />O <br />z <br />State of Minnesota <br />0 <br />0 <br />GARNISHMENT DISCLOSURE <br />10 <br />