Cal. Fin. Code § 6660
(a) For the purposes of this section:
(3) “Charges” means those charges which an association may, from time to time, impose on an account in the normal course of business in the operation of the account and, does not include:
(c) Not later than the day following the exercise of any setoff with respect to an account for any debt claimed to be owed to the association by a customer, the association shall deliver to each customer personally or send by first-class mail postage prepaid to the address of each customer as shown on the records of the association a written notice in at least 10-point type containing the following:
(5) A response form in at least 10-point type containing substantially the following:
| “The debt described in the Notice of Setoff received from the savings and loan association is __ is not __ my debt or the debt of another person in whose name the account is maintained. | ||
| “I claim that the debt: | ||
| has been paid. | ||
| is not now owing. | ||
| is not subject to setoff because the money in the account is: | ||
| Paid earnings (CCP 704.070) | ||
| Proceeds from execution sale of or insurance for loss of a motor vehicle (CCP 704.010) | ||
| Proceeds from execution sale of household furnishings or other personal effects (CCP 704.020) | ||
| Relocation benefits (CCP704.180) | ||
| Life insurance proceeds (CCP 704.100) | ||
| Disability and health insurance benefits (CCP 704.130) | ||
| Workers’ compensation benefits (CCP 704.160) | ||
| Unemployment or strike benefits (CCP 704.120) | ||
| Retirement benefits including, but not limited to, social security benefits (CCP 704.080, 704.110, 704.115) | ||
| Public assistance benefits including welfare payments and supplemental security income (SSI) or charitable aid (CCP 704.170) | ||
| Proceeds from sale of or insurance for damage or destruction of a dwelling (CCP 704.720, 704.960) | ||
| Proceeds from execution sale of or insurance for loss of tools of a trade (CCP 704.060) | ||
| Award of damages for personal injury (CCP 704.140) or wrongful death (CCP 704.150) | ||
| Financial aid paid by an institution of higher education to a student for expenses while attending school (CCP 704.190) | ||
| I declare under penalty of perjury that the foregoing is true and correct. | ||
| Executed at City or County , California on Date | ||
| Signed: ” |