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Missouri Affidavit For Head of Family Exemption of Wages Garnishment

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The Missouri Affidavit for Head of Family Exemption of Wages Garnishment is completed by an affiant to claim the head of family exemption.

Missouri Affidavit For Head of Family Exemption of Wages Garnishment
Missouri Affidavit For Head of Family Exemption of Wages Garnishment
IN THE CIRCUIT COURT OF ________________________________ COUNTY, MISSOURI
Judge or Division:
Case Number:
Plaintiff/Petitioner:
vs.
Defendant/Respondent:
Affiant’s SSN:
(Date File Stamp)
Affidavit for Head of Family Exemption of Wages Garnishment
I, ___________________________________________, being of lawful age and being duly sworn on
oath state that I am a resident of ___________________________________ County, Missouri,
residing at __________________________________________________________ and that I am the
head of a family and that I contribute to the support of my spouse and/or dependents and under the
laws of the State of Missouri I am entitled to a head of family exemption from garnishment of wages.
I swear/affirm under penalty of perjury that these facts are true according to my best knowledge and
belief.
____________________________________
Affiant’s Signature
OSCA (03-05) CV 95 1 of 2 Rule 90.15, 513.440 and 525.030 RSMo
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Missouri Affidavit For Head of Family Exemption of Wages Garnishment
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