"EXEMPTION NOTICE
as required by New York Law
YOUR BANK ACCOUNT IS RESTRAINED OR "FROZEN"
The attached Restraining Notice or notice of Levy by Execution has
because a creditor has obtained a money judgment against you, and one or
more of your bank accounts has been restrained to pay the judgment. A
money judgment is a court's decision that you owe money to a creditor.
You should be aware that FUTURE DEPOSITS into your account(s) might also
be restrained if you do not respond to this notice.
You may be able to "vacate" (remove) the judgment. If the judgment is
vacated, your bank account will be released. Consult an attorney
(including free legal services) or visit the court clerk for more infor-
mation about how to do this.
Under state and federal law, certain types of funds cannot be taken
from your bank account to pay a judgment. Such money is said to be
"exempt."
DOES YOUR BANK ACCOUNT CONTAIN ANY OF THE FOLLOWING TYPES OF FUNDS?
1. Social security;
2. Social security disability (SSD);
3. Supplemental security income (SSI);
4. Public assistance (welfare);
5. Income earned while receiving SSI or public assistance;
6. Veterans benefits;
7. Unemployment insurance;
8. Payments from pensions and retirement accounts;
9. Disability benefits;
10. Income earned in the last 60 days (90% of which is exempt);
11. Workers’ compensation benefits;
12. Child support;
13. Spousal support or maintenance (alimony);
14. Railroad retirement; and/or
If YES, you can claim that your money is exempt and cannot be taken.
To make the claim, you must
(a) complete the EXEMPTION CLAIM FORM attached;
(b) deliver or mail the form to the bank with the restrained or
"frozen" account; and
(c) deliver or mail the form to the creditor or its attorney