wg023_003

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COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. :

ATTORNEY (Name, State Bar number, and address):



Index No. Calendar No.

FOR COURT USE ONLY



WG-023



: Plaintiff(s) : : : :



-againstTELEPHONE NO.: ATTORNEY FOR STATE TAX AGENCY FAX NO.:



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NAME OF COURT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH .NAME: ..... ....



Defendant(s) : ............................................

TAXPAYER/RESPONDENT



APPLICATION OF (Name):



NOTICE OF HEARING—EARNINGS WITHHOLDING ORDER FOR TAXES

NAME OF STATE TAX AGENCY: TO



THE PEOPLE OF THE STATE OF NEW YORK



CASE NUMBER:



TAX AGENCY NUMBER:



1. NOTICE TO a. Attorney for State Tax Agency (name and address):



GREETINGS:



b. Taxpayer (name and address):



WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a for Taxes will be held as follows: 2. A hearing on the Application for Earnings Withholding Order witness in this action on the part of the

a. Date: Time: Dept.: Div.: Room:



Your failure b. Address of court:



to comply with this subpoena isother (specify): a contempt of court and will make you liable to punishable as same as noted above the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. , one of the Justices of the day of , 20



Witness, Honorable Court in County,



CLERK'S CERTIFICATE OF MAILING

(Attorney must sign above mailed, postage fully I certify that I am not a party to this cause and that a true copy of the foregoing Notice of Hearing was and type name below) prepaid, in a sealed envelope addressed as shown in item 1 above, and this certificate was executed on (date): at (place):



Attorney(s) for

, California. Clerk,Office by



and P.O. Address



, Deputy



Form Adopted for Mandatory Use Judicial Council of California WG-023 [Rev. January 1, 2007]



WITHHOLDING ORDER FOR TAXES (Wage Garnishment-State Tax Liability)



Telephone No.: Facsimile No.: E-Mail Address: NOTICE OF HEARING-EARNINGSTel. No.: Mobile



Page 1 of 1 Code of Civil Procedure, § 706.076 www.courtinfo.ca.gov



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