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Fill and Sign the Wg 021 Confidential Supplement to Application for Earnings Form

Fill and Sign the Wg 021 Confidential Supplement to Application for Earnings Form

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Open the document and fill out all its fields.
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C O NFID EN TIA L WG-021 APPLICATION OF (Name):CASE NUMBER,TAXPAYER/RESPONDENTCO NFID EN TIA L S TA TE M EN T O F T A XPA YER 'S SO CIA L S EC URIT Y N UM BERSupple m ent t o A pp lic a tio n f o r E arn in gs W it h hold in g O rd er f o r T axe s (F orm 9 82.5 (1 1 )) (D o n ot a tta ch t o A pplic a tio n)T his s e pa ra te C onfid entia l S ta te m ent o f T axp aye r's S ocia l S ecu rit y N um ber c o nta in s t h e s o cia l s e cu rit y nu m ber o f t h e t a xp aye r- r e sp ondent in t h e c a se r e fe re nce d a bove . T his s u pple m ent s h ould b e k e pt s e para te fr o m t h e A pplic a tio n f o r E arn in gs W it h hold in g O rd er f o r T axe s f ile d in t h is c a se , a nd s h ould n ot b e a p ublic re co rd .IN FO RM ATIO N O N T A XPAYE R -R ESPO NDEN T:1 - N am e:2 . S ocia l S ecu rit y N um ber:TO COURT CLERK THIS STATEMENT IS CONFIDENTIAL. DO NOT FILE THIS CONFIDENTIAL STATEMENT IN A PUBLIC COURT FILE. Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California WG-021 [Rev. January 1, 2007]CONFIDENTIAL SUPPLEMENT TO APPLICATION FOR EARNINGS WITHHOLDING ORDER FOR TAXES (Wag e G arn is h m en t-S ta te T ax L ia b ilit y )electronic form 1999-2007 WWW.LawCA.com Law Publishers

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