WG-011 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO: FOR COURT USE ONLY ATTORNEY FOR (Name): NAME OF COURT, JUDICIAL DISTRICT OR BRANCH COURT, IF ANY: PLAINTIFF: DEFENDANT: LEVYING OFFICER FILE NO: COURT CASE NO.: ORDER DETERMINING CLAIM OF EXEMPTION (Wage Garnishment) 1. The application of (name): for an order determining the Claim of Exemption of (name): was heard on (date): (Check boxes to indicate personal presence) Judgment Creditor (name): Judgment Debtor (name): Attorney (name): Attorney (name): 2. The court considered the evidence in support of and in opposition to the Claim of Exemption. 3. IT IS ORDERED a. b. c. d. e. The judgment debtor's Claim of Exemption is denied. The judgment debtor's Claim of Exemption is granted. The levying officer is directed to release any earnings held to the judgment debtor. The levying officer is directed to release any earnings held to the judgment creditor for payment on the judgment. Other orders (specify): f. The clerk shall transmit a certified copy of this order to the levying officer. The levying officer shall notify the employer of any change in the Earnings Withholding Order and release any retained sums as provided in this order. Date: (SIGNATURE OF JUDGE) [SEAL] CLERK'S CERTIFICATION I certify that the foregoing is a true and correct copy of the original on file in my office. Date: Clerk, by , Deputy Page 1 of 1 Code of Civil Procedure, § 706.105 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com Form Adopted by the Judicial Council of California WG-011 [Rev. January 1, 2007] ORDER DETERMINING CLAIM OF EXEMPTION (Wage Garnishment)