Claim of Exemption and Financial Declaration (State Tax Liability)

Judicial Council of California · Civil

Verified current as of August 1, 2026

This form lets someone claim that money or property shouldn't be taken from them to pay a state tax debt because they need it to support themselves and their family. A person who owes California taxes uses this form to ask a court to protect their wages or bank account from seizure by explaining their financial situation and essential expenses.