Santa Cruz — Attachment to Earnings Withholding Order Instructions

Source: https://www.courts.ca.gov/documents/wg035.pdf

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CONFIDENTIAL WG-035

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): DATE RECEIVED BY COURT (Do not file in public court file.)

TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF : STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF/PETITIONER: COURT CASE NUMBER:

DEFENDANT/RESPONDENT: CONFIDENTIAL STATEMENT OF JUDGMENT DEBTOR'S LEVYING OFFICER FILE NUMBER: SOCIAL SECURITY NUMBER (Supplement to Wage Garnishment Forms WG-001, WG-002, WG-004, WG-005, WG-009, WG-012, and WG-030)

(Do not attach to forms.)

This separate Confidential Statement of Judgment Debtor’s Social Security Number contains the Social Security number of the judgment debtor for whom an earnings withholding order is being sought or has issued in the case referenced above. This supplement must be kept separate from any applications or orders filed in this case, and should not be a public record.

INFORMATION ON JUDGMENT DEBTOR:

1. Name:

2. Social Security Number:

   TO COURT CLERK THIS STATEMENT IS CONFIDENTIAL.

   DO NOT FILE THIS CONFIDENTIAL STATEMENT IN A PUBLIC COURT FILE.

Form Adopted for Mandatory Use CONFIDENTIAL STATEMENT OF JUDGMENT DEBTOR'S www.courts.ca.govJudicial Council of California WG-035 [New January 1, 2012] SOCIAL SECURITY NUMBER Wage Garnishment

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