. . . . . . . . . . . COURT OF CALIFORNIA, COUNTY OF . . . . . . . . . . . NAME OF MUNICIPAL OR JUSTICE COURT DISTRICT OR OF BRANCH COURT, IF ANY CASE NUMBER TITLE OF CASE (ABBREVIATED) NAME OF JUDGMENT CREDITOR(S) NAME OF JUDGMENT DEBTOR (INCLUDE OTHER IDENTIFYING INFORMATION, e.g., ADDRESS, SOCIAL SECURITY NUMBER, ETC.) DECLARATION IN SUPPORT OF GARNISHMENT FROM GOVERNMENTAL AGENCY TO: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name of Governmental Agency and Department, Division or Bureau of Employment.) There are wages, salary or other money owing and unpaid to the judgment debtor from this governmental agency. The judgment creditor(s) wish and have that money, or enough of that money to satisfy the judgment in this case, paid into the above court (excluding an amount equal to one-half or such greater portion, as is provided by statutes of the United States, of the judgment debtor's earnings for his personal services rendered to this governmental agency at any time within 30 days next preceding the filing with you of this declaration and the attached abstract of judgment). The total amount now due on the judgment (including interest to date, accrued costs, costs of this levy and of filing this declaration and the attached abstract of judgment with you, and excluding all payments and other credits) is $. . . . . . . . . . . . . . . . . . . . I declare under penalty of perjury that the foregoing is true and correct and that this declaration was executed on .................. , 20 .... .......................................... (Type or print name) at ......................... Signature of: Attorney , California. Agent for Judgment Creditor .......................................... (Type or print address and telephone number) NOTICE TO EMPLOYING and case number; (2) Amount now due as shown by this declaration; and (3) Name of employee whose salary is levied upon. Make warrant payable to the clerk of the court designated in the attached abstract of judgment. NOTICE TO JUDGMENT CREDITOR: In the event the moneys owing to the judgment debtor are for wages or salary, you are required by law to mail under separate cover at the time of filing the above declaration with the governmental agency, in an envelope marked ''Personal and Confidential,'' a copy of the above declaration and a notice to judgment debtor as set forth below, addressed to the judgment debtor at his place of employment. NOTICE TO JUDGMENT DEBTOR by the above governmental agency. YOU MAY BE ENTITLED TO FILE A CLAIM EXEMPTING YOUR SALARY OR WAGES FROM EXECUTION. ALSO, YOU MAY SEEK THE ADVICE OF ANY ATTORNEY OR MAY, WITHIN 10 DAYS FROM THE DATE YOUR SALARY OR WAGES ARE LEVIED UPON, DELIVER AN AFFIDAVIT TO EXEMPT SUCH SALARY OR WAGES, AS PROVIDED IN SECTION 690.50 OF THE CODE OF CIVIL PROCEDURE. Dated: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................... (Type or print name) Signature of: Attorney DECLARATION IN SUPPORT OF GARNISHMENT FROM GOVERNMENTAL AGENCY Agent for Judgment Creditor CCP 690.50, 710 2000 (C) American LegalNet, Inc.