LEVYING OFFICER (Name and Address):ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):ATTORNEY FOR (Name): : PLAINTIFF/PETITIONER:DEFENDANT/RESPONDENT: APPLICATION FOR EARNINGS WITHHOLDING ORDER (Wage Garnishment)TO THE SHERIFF OR ANY MARSHAL OR CONSTABLE OF THE COUNTY OF: OR ANY REGISTERED PROCESS SERVERThe judgment creditor (name):issuance of an Earnings Withholding Order directing the employer to withhold the earnings of the judgment debtor (employee). Name and address of employee The amounts withheld are to be paid toa.The attorney (or party without an attorney) named at the top of this page.b.Other (name, address, and telephone): Judgment was entered on (date):Collect the amount directed by the Writ of Execution unless a lesser amount is specified here: $ The Writ of Execution was issued to collect delinquent amounts payable for the support of a child, former spouse, or a.I have not previously obtained an order directing this employer to withhold the earnings of this employee. ORb.I have previously obtained such an order, but that order (check one): was terminated by a court order, but I am entitled to apply for another Earnings Withholding Order under (TYPE OR PRINT NAME)(SIGNATURE OF ATTORNEY OR PARTY WITHOUT ATTORNEY) Date: (SIGNATURE OF DECLARANT)(TYPE OR PRINT NAME) Code Civ. Procedure, 247 706.121APPLICATION FOR EARNINGS WITHHOLDING ORDER (Wage Garnishment)Name and address of employerWG-001Page 1 of 1 SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS:CITY AND ZIP CODE: BRANCH NAME:E-MAIL ADDRESS:TELEPHONE NO.:FAX NO.:5.Special instructions Social Security no. unknown on form WG-035b.The Writ of Execution was issued to collect a judgment based in part on a claim for elder or dependent adult financial abuse. c.The amount that arises from the claim for elder or dependent adult financial abuse is (state amount): $ a.requests LEVYING OFFICER FILE NUMBER:COURT CASE NUMBER:2.1.3.a.b.4.6. American LegalNet, Inc. www.FormsWorkFlow.com