Fill and Sign the Nc 500 California Courts Cagov Form

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) : TELEPHONE NO.: ATTORNEY FOR (Name): LEVYING OFFICER (Name and Address): NAME OF COURT OF COURT, JUDICIAL DISTRICT, OR BRANCH COURT, IF ANY PLAINTIFF: DEFENDANT: APPLICATION FOR EARNINGS WITHHOLDING ORDER (Wage Garnishment) LEVYING OFFICER FILE NO.: COURT CASE NO.: TO THE SHERIFF OR ANY MARSHAL OR CONSTABLE OF THE COUNTY OFOR ANY REGISTERED PROCESS SERVER1.The judgment creditor (name): re qu ests is su ance o f a n E arn in gs W it h hold in g O rd er d ir e ctin g t h e e m plo ye r t o w it h hold t h e e arn in gs o f t h e ju dgm ent d ebto r ( e m plo ye e). Name and address of employerName and address of employee Social Security Number (if known): 2. The a m ounts w it h held a re t o b e p aid t o a . T he a tto rn ey ( o r p arty w it h out a n a tto rn ey) n am ed a t t h e t o p o f t h is p age.b. O th er ( n am e, a ddre ss, a n d t e le phone): 3 . a. Ju dgm en t w as e nte re d o n ( d ate ): b. Colle ct t h e a m ount d ir e cte d b y t h e W rit o f E xe cu tio n u nle ss a le sse r a m ount is s p ecif ie d h ere :$ 4. T he W rit o f E xe cu tio n w as is su ed to c o lle ct d elin quent a m ounts p aya ble fo r th e s u pport o f a c h ild , fo rm er s p ouse , o r s p ou se o f th e e m plo ye e. 5. S pecia l in str u ctio ns ( s p ecif y ): 6. (C heck a o r b )a. I h ave n ot p re vio usly o bta in ed a n o rd er d ir e ctin g t h is e m plo ye r t o w it h hold t h e e arn in gs o f t h is e m plo ye e. O R  b. I h ave p re vio usly o bta in ed s u ch a n o rd er, b ut t h at o rd er ( c h eck o ne): w as te rm in ate d b y a c o urt o rd er, b ut I a m e ntit le d to a pply fo r a noth er E arn in gs W it h hold in g O rd er u nder th e p ro vis io ns of C ode o f C iv il P ro ce dure s e ctio n 7 06.1 05(h ).w as in effe ctiv e .  (T Y PE O R P R IN T N AM E)(S IG NATU RE O F D EC LA R AN T) I d ecla re u nder p e nalt y o f p erju ry u nder t h e la w s o f t h e S ta te o f C alif o rn ia t h at t h e f o re goin g is t r u e a nd c o rre ct.D ate :   (T Y PE O R P R IN T N AM E)(S IG NATU RE O F D EC LA R AN T) F orm A dopte d b y th e Ju dic ia l C ouncil o f C alif o rn ia WG-001 [Rev. January 1, 2007]A PPLIC ATIO N F O R E A RNIN G S W IT H HO LD IN G O RDER (W ag e G arn is h m en t) C CP 7 06.1 21 electronic form 1999-2007 WWW.LawCA.com Law Publishers WG-001