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   B y C R-1 19SUPERIOR COURT OF CALIFORNIA, COUNTY OFFOR COURT USE ONLYSTR EET A D DR ESSM AIL IN G A D D RESSC IT Y A N D Z IP C O DEBR AN CH N AM EP EO PLE O F T H E S TA TE O F C ALIF O RNIAV.D EFE N DAN T:CASE N UM BERO RDER F O R I N CO M E D ED UC TIO N (Pen . C ode, § 1 202.4 2)TO : E m plo ye r:A ddre ss:P hone:1 .h e o r s h e p ay r e stit u tio n o f $T he c o urt h as f o und t h at t h e d efe nd ant h as t h e a bilit y t o p ay r e stit u tio n u nder P enal C ode s e ctio n 1 202.4 2 a nd h as o rd ere d t h at plu s 1 0% in te re st.2 .Y ou a re o rd ere d t o w it h hold a p ortio n o f t h e e arn in gs o f t h e d efe ndant in t h is a ctio n ( n am e): (la st 4 d ig it s o f s o cia l s e cu rit y n um ber ( s p ecif y ):I), e a ch p ay p erio d.3. You are ordered to deduct: $ fu nds t o t h efr o m t h e a bove n am ed e m plo ye e's p ay e ach p erio d a nd f o rw ardC le rk o f t h e a bove e ntit le d c o urtO th er ( s p ecif y ):4 . T his o rd er w ill t e rm in ate u pon p a ym ent in f u ll o r f u rth er o rd er o f t h is c o urt.D ate :C LE R K'S C ER TIF IC ATEThe f o re goin g is a f u ll, t r u e, a nd c o rre ct co py o f t h e o rig in al o n f ile in t h is o ffic e .SEALC LE R K O F T H E S U PER IO R C O UR TDate :, D eputyP age 1 o f 2F orm A ppro ve d fo r O ptio na l U se Ju d ic ia l C ouncil o f C alif o rn ia CR -1 19 [N ew J a nuary 1 , 2 005]O RDER F O R I N CO M E D ED UC TIO N (Pen . C ode, § 1 202.4 2)Penal C ode, § 1 202.4 2ele ctr o nic f o rm  2 005 WWW.LawCA.com La w P ublis h ers P EO PLE O F T H E S TA TE O F C ALIF O RNIA v . DE FE N DAN T:CASE N UM BERN otic e t o E m plo yer r e : O rd er f o r I n co m e D ed uctio n ( P en . C ode, § 1 202.4 2)1.Y ou a re r e quir e d t o d educt t h e a m ount s p ecif ie d in t h e O rd er f o r I n co m e D eductio n f r o m t h e e m plo ye e's in co m e a nd t o p ay that a m ount t o t h e c le rk o f t h e a bove e ntit le d c o urt o r it s a gent.2 .T he o rd er is t o b e im ple m ente d n o la te r t h an t h e f ir s t p aym ent d ate t h at o cc u rs m ore t h an 1 4 d ays a fte r t h e d ate o f s e rv ic e o f the o rd er.3 .W Ith in t w o d ays a fte r e ach p aym ent d ate , f o rw ard t h e a m ount d educte d a nd a s ta te m ent a bout w heth er t h e a m ount t o ta lly or p artia lly s a tis fie s t h e p erio dic a m ount s p ecif ie d in t h e in co m e d eductio n o rd er.4 .If y o u f a il t o d educt t h e p ro per a m ount f r o m t h e e m plo ye e's in co m e, y o u a re lia ble f o r t h e a m ount y o u s h ould h ave d educte d, plu s c o sts , in te re st, a nd r e aso nable a tto rn ey f e es.5 .Y ou m ay c o lle ct u p t o f iv e d olla rs ( $ 5) a gain st t h e e m plo ye e's in co m e t o r e im burs e y o u f o r a dm in is tr a tiv e c o sts f o r t h e f ir s t de ductio n a nd u p t o o ne d olla r ( $ 1) f o r e ach d eductio n t h ere afte r.6 .T his o rd er a nd n otic e a re b in din g u ntil f u rth er n otic e b y t h e c o urt o r u ntil y o u n o lo nger p ro vid e in co m e t o t h e e m plo ye e.7.W hen y o u n o lo ng er p ro vid e in co m e t o t h e e m plo ye e, y o u m ust n otif y t h e c le rk o f t h e a bove e ntit le d c o urt a nd p ro vid e t h e em plo ye e's la st k n ow n a ddre ss a nd t h e n am e a nd a ddre ss o f t h e e m plo ye e's n ew e m plo ye r, if k n ow n. I f y o u v io la te t h is pr o vis io n, y o u a re s u bje ct t o a c iv il p enalt y n ot t o e xce ed t w o h undre d f if ty d olla rs ( $ 250) f o r t h e f ir s t v io la tio n o r f iv e h undre d dolla rs ( $ 500) f o r a ny s u bse quent v io la tio n.8.Y ou m ust n ot d is ch arg e, r e fu se t o e m plo y, o r t a ke d is cip lin ary a ctio n a gain st t h e e m plo ye e b eca use o f a n in co m e deductio n o rd er. I f y o u v io la te t h is p ro vis io n, y o u a re s u bje ct t o a c iv il p enalt y n ot t o e xce ed t w o h undre d f if ty d olla rs ( $ 250) f o r the f ir s t v io la tio n o r f iv e h undre d d olla rs ( $ 500) f o r a ny s u bse quent v io la tio n.9.If y o u r e ce iv e in co m e d eductio n o rd e rs f o r t w o o r m ore e m plo ye es s e nt b y t h e s a m e c o urt, y o u m ay c o m bin e t h e a m ounts th at a re t o b e p aid in a s in gle p aym ent, b ut y o u m ust id entif y t h e p ortio n o f t h e p aym ent t h at is a ttr ib uta ble t o e ach e m plo ye e.10. I f y o u r e ce iv e t w o o r m ore in co m e d eductio n o rd ers a gain st t h e s a m e e m plo ye e, y o u m ust c o nta ct t h e a bove e ntit le d c o urt f o r furth er in str u ctio ns.C R-1 19 [N ew J a nuary 1 , 2 005]O RDER F O R I N CO M E D ED UC TIO N (Pen . C ode, § 1 202.4 2)Page 2 o f 2e le ctr o nic f o rm  2 005 WWW.LawCA.com La w P ublis h ers