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.: To keep other people from seeing what you entered on JUDICIALform, please press the SUBPOENA your Clear This Form button at the end of the form when finished. 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 American LegalNet, Inc. www.FormsWorkflow.com Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form

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