Fill and Sign the Notice of Termination or Modification of Earnings Withholding Order Form

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) : TELEPHONE NO.: ––––– ––––– ––––– ––––– ––––– ATTORNEY FOR (Name) : ––––– LEVYING OFFICER (Name and Address) : ––––– ––––– ––––– ––––– ––––– NAME OF COURT, JUDICIAL DISTRICT, OR BRANCH COURT, IF ANY ––––– ––––– PLAINTIFF: ––––– ––––– DEFENDANT: ––––– ––––– NOTICE OF TERMINATION OR MODIFICATION OF EARNINGS WITHHOLDING ORDER LEVYING OFFICER FILE NO. : ––––– COURT CASE NO.: ––––– 1. TO EMPLOYER: You are given notice that the Earnings Withholding Order is modified as follows: Name and address of employer Name and address of employee ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– Attn: ––––– Social Security Number (if known) : ––––– ( Insert name above ) 2. THE EARNINGS WITHHOLDING ORDER IS a. terminated for all earnings payable on or after (date) : ––––– b. modified for all earnings payable on or after (date) : ––––– , as follows: (1) the sum to be withheld is (specify amount/weekly, monthly, etc.) : ––––– ––––– The amount withhold must not exceed the maximum permitted by law, as explained in the Employer's Instructions. (2) The sum necessary for the support of the judgment debtor and family is (specify amount/weekly, monthly, etc.) : ––––– All disposable earnings exceeding that amount are to be withheld, but the amount withheld must not c. Other orders (specify) : ––––– ––––– 3. Withheld earnings presently in your possession should be paid in accordance with the terms of this notice. Date: ––––– Levying Officer, by ––––– 4 ( TYPE OR PRINT NAME) ( SIGNATURE ) CREDITOR'S INSTRUCTION TO TERMINATE OR MODIFY EARNINGS WITHHOLDING ORDER To the levying officer: You are directed to terminate or modify the Earnings Withholding Order as indicated above. Date: ––––– ––––– 4 (TYPE OR PRINT NAME) ( SIGNATURE ) WG-012 Adopted by the Judicil Council of California WG-012 [Rev. January 1, 2007] NOTICE OF TERMINATION OR MODIFICATION OF EARNINGS WITHHOLDING ORDER (Wage Garnishment) CCP 706.105(f), 706.105(g) Electronic Form Copyright © 1997 Fresno LaserGraphics Inc