COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: Index No. Calendar No. CR-118 FOR COURT USE ONLY Plaintiff(s) -against- : : : JUDICIAL SUBPOENA PEOPLE OF THE STATE OF CALIFORNIA v. DEFENDANT: : Defendant(s) : ...................................................... CASE NUMBER: INFORMATION REGARDING INCOME DEDUCTION ORDER (Pen. Code, § 1202.42) THE PEOPLE OF THE STATE OF NEW YORK 1. The court has found that you have the ability to pay restitution and has ordered you to pay restitution in the amount of TO a. $ victims plus percent interest from the date of the order and fees of $ to all b. c. GREETINGS: as listed in the probation report, dated (specify): listed in the sentencing minute order, dated (specify): Payment must be COMMAND YOU, that all business WE made as ordered at the hearing. 2. The court has entered an income deduction order for your employer to deduct: $ the Honorable from your pay located at County of each pay period. in room , on the day of , 20 , at o'clock in the noon, and at any recessed of employment. a. The order applies to current and subsequent employers and all periods action on the part of the or adjourned date, to testify and give evidence as a witness in this b. A copy of the income deduction order will be served on each of your employers and payers. and excuses being laid aside, you and each of you attend before , at the Court c. Enforcement of the income deduction order may only be contested on the ground of mistake of fact regarding the amount owed or a showing of good cause for nonpayment. subpoena is punishable as a contempt of court and will make you liable to Your failure to comply with this d. You are required to notify the Clerk of the Court within 7 days of a change in your address, a change in any of your employers, result of yourin the address in any of your employers. failure to comply. or a change e. This income deduction order will be enforced under Penal Code section 1202.42(b) only if you fail to pay the Witness, Honorable , one of the Justices of the restitution as ordered at the hearing. the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Court in f. (1) County, day of , 20 Upon receipt of notice that you have failed to pay the restitution ordered at the hearing: The court or its agent will request that you provide evidence that timely payments have been made or (Attorney provide above and type name to provide information establishing good cause for the failure. If you fail tomust sign the evidence or fail below) establish good cause within 5 days of the request, you will receive notice that the order will be enforced, and the court will serve the income deduction order on each of your employers. Within 15 days of being informed that the stay will be lifted, you may apply for a hearing to contest enforcement of the income deduction order on the ground of mistake of fact regarding the amount of restitution owed or on the ground that you have good cause for the nonpayment. Upon the timely request for a hearing, the income deduction order will not be enforced until the hearing is held and a determination is made on whether the enforcement of the income deduction order is proper. Office and P.O. Address (2) Attorney(s) for Form Approved for Optional Use Judicial Council of California CR-118 [New January 1, 2005] Telephone No.: Facsimile No.: E-Mail Address: INFORMATION REGARDING INCOME DEDUCTION ORDER Mobile Tel. No.: (Pen. Code, § 1202.42) Page 1 of 1 Penal Code, § 1202.42 www.courtinfo.ca.gov American LegalNet, Inc. www.USCourtForms.com