Fill and Sign the Support Arrearage Form

Form Adopted by Rule 1297.93 Judicial Council of California 1297.92 [Rev. January 1, 1990] NOTICE OF SUPPORT ARREARAGE (Support Arrearage) Code of Civil Procedure, section 708.780(c)ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) : TELEPHONE NO.: ––––– ––––– ––––– ––––– ––––– ATTORNEY FOR JUDGMENT CREDITOR FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– Form Adopted by Rule 1297.93 Judicial Council of California 1297.93 [Rev. January 1, 1990] NOTICE TO JUDGMENT DEBTOR (Support Arrearage) Electronic form (c) 1997-98 www.lawca.comPETITIONER/PLAINTIFF: ––––– ––––– RESPONDENT/DEFENDANT: ––––– NOTICE OF SUPPORT ARREARAGE CASE NUMBER: ––––– 1. Attached to this application is a. an Abstract of Support Judgment b. a certified copy of the judgment or order 2. An Application for Notice of Support Arrearage was filed in this court on (date) : ––––– Form Adopted by Rule 1297.93 Judicial Council of California 1297.93 [Rev. January 1, 1990] NOTICE TO JUDGMENT DEBTOR (Support Arrearage) Electronic form (c) 1997-98 www.lawca.com3. a. No objection to issuance of a Notice of Support Arrearage was received from the judgment debtor – OR – b. An objection to issuance of a Notice of Support Arrearage was received and a hearing was held. 4. The court has ordered this notice to issue The sum of: $ ––––– is owed as child support arrearage. The sum of: $ ––––– is owed as spousal or family support arrearage by. a. (name of judgment debtor) : ––––– b. (address) : ––––– c. Social Security No. of debtor: ––––– Form Adopted by Rule 1297.93 Judicial Council of California 1297.93 [Rev. January 1, 1990] NOTICE TO JUDGMENT DEBTOR (Support Arrearage) Electronic form (c) 1997-98 www.lawca.com––––– ––––– 5. The money shall be mailed to court for the benefit of a. (name of creditor) : ––––– b. (address) : ––––– c. Social Security No. of debtor: ––––– ––––– 6. This notice is issued on (date) : ––––– Clerk, by____________________________ , Deputy – INSTRUCTIONS – 7. A copy of this form and a the application with an Abstract of Support Judgment or a certified copy of the judgment or order Form Adopted by Rule 1297.93 Judicial Council of California 1297.93 [Rev. January 1, 1990] NOTICE TO JUDGMENT DEBTOR (Support Arrearage) Electronic form (c) 1997-98 www.lawca.comand a check or money order for $5 made out to the State Treasurer must be served on the State Controller in Sacrament. MAIL TO: State Controller’s Office Division of Tax Administration P.O. Box 942004 Sacramento, CA 94250-2004 Attn.: Accounting Supervisor – OR – PERSONALLY SERVE AT: Division of Tax Administration State Controller 3301 C. St., Room 301 Sacramento, CA 95816 8. A copy of this form and a copy of the Abstract of Support Judgment or a certified copy of the judgment or order must also be served on the judgment debtor at the last known address . 9. Complete the proof of service on he reverse and file the form with the court . Form Adopted by Rule 1297.93 Judicial Council of California 1297.93 [Rev. January 1, 1990] NOTICE TO JUDGMENT DEBTOR (Support Arrearage) Electronic form (c) 1997-98 www.lawca.comSee reverse for important instructions PETITIONER/PLAINTIFF: ––––– RESPONDENT/DEFENDANT: ––––– CASE NUMBER: ––––– Form Adopted by Rule 1297.93 Judicial Council of California 1297.93 [Rev. January 1, 1990] NOTICE TO JUDGMENT DEBTOR (Support Arrearage) Electronic form (c) 1997-98 www.lawca.comNOTICE TO JUDGMENT DEBTOR Y o u m a y o b j e c t t o t h e c o u r t i s s u i n g t h e N o t i c e o f S u p p o r t A r r e a r a g e o n a n y o f t h e f o l l o w i n g g r o u n d s : ( 1 ) T h e r e i s a n e r r o r i n t h e a m o u n t o f t h e a r r e a r a g e s t a t e d i n t h e a p p li c a t i o n ( 2 ) Y o u a r e n o t t h e ju d g m e n t d e b t o r f r o m w h o m t h e s u p p o r t i s d u e . ( 3 ) T h e a m o u n t t o b e in t e r c e p t e d e x c e e d s t h a t a ll o w a b l e u n d e r f e d e r a l l aw . ( 4 ) A d e f a u l t i n p a y m e n t o f t h e s u p p o r t f o r 3 0 d a y s h a s n o t o c c u r r e d . ( 5 ) O t h e r n e c e s s a r y f a c t u a l a ll e g a t i o n s c o n t a i n e d in t h e a f f i d a v i t a r e e r r o n e o u s . I f y o u h a v e n o t o b j e c t e d , t h e S t a t e C o n t r o l l e r c a n d e d u c t t h e u n p a i d s u p p o r t f r o m a n y t a x r e f u n d s o r l o t t e r y wi n n i n g s y o u w o u l d o t h e r w i s e r e c e i v e . T h e m o n e y wi t h h e l d w il l b e p a i d t o t h e c o u r t a n d y o u wi ll r e c e i v e n o t i c e o f a n o p p o r t u n i t y t o f i l e a c l a m o f e x e m p t i o n i n c o u r t b e f o r e t h e m o n e y i s p a i d t o t h e ju d g m e n t c r e d i t o r . PROOF OF SERVICE OF NOTICE OF SUPPORT ARREARAGE Form Adopted by Rule 1297.93 Judicial Council of California 1297.93 [Rev. January 1, 1990] NOTICE TO JUDGMENT DEBTOR (Support Arrearage) Electronic form (c) 1997-98 www.lawca.com1. At the time of service I was at least 18 years of age and not a party to this legal proceeding. 2. I served copies of the Application for Notice of Support Arrearage and Abstract of Support Judgment certified copy of the judgment or order in the manner shown below. 3. Manner of service on DISTRICT ATTORNEY a. Personal service. I personally delivered these papers to the State Controller as follows: (1) State Controller (name) : ––––– (2) Address where served: ––––– ––––– (3) Date delivered: ––––– (4) Time delivered: ––––– Form Adopted by Rule 1297.93 Judicial Council of California 1297.93 [Rev. January 1, 1990] NOTICE TO JUDGMENT DEBTOR (Support Arrearage) Electronic form (c) 1997-98 www.lawca.comb. First-class mail. I deposited these papers with the United States Postal Service, in a sealed envelope with postage fully prepaid. I am a resident of or employed in the county where the notice was mailed. I used certified mail and requested a return receipt. The envelope was addressed and mailed as follows: (1) State Controller (name) : ––––– (2) Address on envelope: ––––– ––––– (3) Date mailed: ––––– (4) Place of mailing (city, state) : ––––– I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ––––– ––––– 4 (TYPE OR PRINT NAME) (SIGNATURE OF PERSON WHO SERVED THE NOTICE) Form Adopted by Rule 1297.93 Judicial Council of California 1297.93 [Rev. January 1, 1990] NOTICE TO JUDGMENT DEBTOR (Support Arrearage) Electronic form (c) 1997-98 www.lawca.comResidence or business address and phone No.: ––––– ––––– 4. Manner of service on the JUDGMENT DEBTOR a. Personal service. I personally delivered these papers as follows: (1) Judgment debtor (name) : ––––– (2) Address where served: ––––– ––––– (3) Date delivered: ––––– (4) Time delivered: ––––– b. First-class mail. I deposited these papers with the United States Postal Service, in a sealed envelope with postage fully prepaid. I am a resident of or employed in the county where the notice was mailed. I used certified mail and requested a return receipt. The envelope was addressed and mailed as follows: (1) Judgment debtor (name) : ––––– Form Adopted by Rule 1297.93 Judicial Council of California 1297.93 [Rev. January 1, 1990] NOTICE TO JUDGMENT DEBTOR (Support Arrearage) Electronic form (c) 1997-98 www.lawca.com(2) Address on envelope: ––––– ––––– (3) Date mailed: ––––– (4) Place of mailing (city, state) : ––––– I declare under penalty of perjury under the laws of the State of California that the foregoing items 4, 5, and 7 are true and correct. Date: ––––– ––––– 4 (TYPE OR PRINT NAME) (SIGNATURE OF PERSON WHO SERVED THE NOTICE) Residence or business address and phone No.: ––––– =