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Application For Earnings Withholding Order (Wage Garnishment) Form. This is a California form and can be use in Wage Garnishment Judicial Council.
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Tags: Application For Earnings Withholding Order (Wage Garnishment), WG-001, California Judicial Council, Wage Garnishment
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
Index No.
WG-001
LEVYING OFFICER (Name and Address):
:
:
Plaintiff(s)
-against-
Calendar No.
JUDICIAL SUBPOENA
:
ATTORNEY FOR (Name):
:
NAME OF COURT, JUDICIAL DISTRICT, OR BRANCH COURT, IF ANY:
:
Defendant(s)
:
......................................................
PLAINTIFF:
DEFENDANT:
APPLICATION FOR EARNINGS WITHHOLDING ORDER
LEVYING OFFICER FILE NO.:
COURT CASE NO.:
THE PEOPLE OF THE (Wage Garnishment)
STATE OF NEW YORK
TO THE SHERIFF OR ANY MARSHAL OR CONSTABLE OF THE COUNTY OF
TO
OR ANY REGISTERED PROCESS SERVER
1. The judgment creditor (name):
requests issuance of an Earnings Withholding Order directing the employer to withhold the earnings of the judgment debtor (employee).
GREETINGS:
Name and address of employer
Name and address of employee
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Social Security Number (if known):
2. The amounts withheld are to be paid to
a.
The attorney (or party without an attorney)
named at the top of this page.
b.
Other (name, address, and telephone):
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
subpoena was issued for a maximum penalty of $50 and all damages sustained as a
b. Collect the your failure to comply. of Execution unless a lesser amount is specified here:
result of amount directed by the Writ
3. a. Judgment was entered behalf this
the party on whose on (date):
$
4.
The Writ Witness, Honorable to collect delinquent amounts payable for the support of athe Justices of the or spouse
of Execution was issued
, one of child, former spouse,
of the employee.
Court in
5.
County,
day of
, 20
Special instructions (specify):
(Attorney must sign above and type name below)
6. (Check a or b)
a.
I have not previously obtained an order directing this employer to withhold the earnings of this employee.
OR
b.
I have previously obtained such an order, but that order (check one):
Attorney(s) for
was terminated by a court order, but I am entitled to apply for another Earnings Withholding Order under
the provisions of Code of Civil Procedure section 706.105(h).
was ineffective.
(TYPE OR PRINT NAME)
Office and P.O. Address
(SIGNATURE OF ATTORNEY OR PARTY WITHOUT ATTORNEY)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
Telephone No.:
Facsimile No.:
............................................
(TYPE OR PRINT NAME)
(SIGNATURE OF DECLARANT)
E-Mail Address:
Page 1 of 1
Code Civ. Procedure, ยง 706.121
Form Adopted by the
Mobile Tel. No.:
APPLICATION FOR EARNINGS WITHHOLDING ORDER
www.courtinfo.ca.gov
Judicial Council of California
WG-001 [Rev. January 1, 2007]
(Wage Garnishment)
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