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Index No.
WG-012
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO:
Calendar No.
LEVYING OFFICER (Name and Address)
Plaintiff(s) -againstATTORNEY FOR (Name):
JUDICIAL SUBPOENA
NAME OF COURT, JUDICIAL DISTRICT, OR BRANCH COURT, IF ANY:
PLAINTIFF:
..... DEFENDANT: .
Defendant(s) : ................................................
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 employee Name and address of employer
THE PEOPLE OF THE STATE OF NEW YORK TO
Attn:
GREETINGS:
(Insert name above)
Social Security Number (if known):
2.
THE EARNINGS WITHHOLDING ORDER IS
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court a. located at County ofterminated for all earnings payable on or after (date): in room , on the day of , 20 , at o'clock in the noon, and at any recessed modified b. or adjourned date,for all earnings payable on or after a witness in this action on the part of the to testify and give evidence as
(date): , as follows: (1) The sum to be withheld is (specify amountlweekly, monthly, etc.): $
Your failure to amount withheld must not exceed the maximum permitted by law, and will make you liable to The comply with this subpoena is punishable as a contempt of court as explained in the the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Employer’s instructions. result of your failureThecomply. to sum necessary for the support of the judgment debtor and family is (specify amountlweekly, monthly, (2) Witness, Court in
c. etc.): $ Honorable
, one of the Justices of the
All disposable earnings exceeding that amount are to be withheld, but the amount withheld must not County, day of , 20 exceed the maximum permitted by law, as explained in the Employer's Instructions. Other orders (specify):
(Attorney must sign above and type name below)
3. Date:
Withheld earnings presently in your possession should be paid in accordance with the terms of this notice.
Attorney(s) for
..............................
(TYPE OR PRINT NAME) (SIGNATURE)
Levying Officer, by
CREDITOR’S INSTRUCTION TO TERMINATE OR MODIFY EARNINGS WITHHOLDING ORDER Office and P.O. Address To the levying officer: You are directed to terminate or modify the Earnings Withholding Order as indicated above. Date:
........................................
(TYPE OR PRINT NAME) Form Adopted by the Judicial Council of California WG-012 [Rev. January 1, 2007]
Telephone No.: Facsimile No.: E-Mail Address: NOTICE OF TERMINATION OR MODIFICATION Mobile Tel. No.:
OF EARNINGS WITHHOLDING ORDER (Wage Garnishment)
(SIGNATURE)
Page 1 of 1
Code of Civil Procedure, §§ 706.105(f), 706.105 www.courtinfo.ca.gov
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