WG-020 Application for Earnings Withholding Order for Taxes (State Tax Liability)

Source: https://www.courts.ca.gov/documents/wg020.pdf

WG-020 ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

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ATTORNEY FOR STATE TAX AGENCY end of the form when finished. NAME OF COURT:

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

APPLICATION OF (Name):

TAXPAYER / RESPONDENT
CASE NUMBER:
APPLICATION FOR EARNINGS WITHHOLDING ORDER FOR TAXES

NAME OF STATE TAX AGENCY: TAX AGENCY NUMBER:

THE STATE OF CALIFORNIA APPLIES FOR AN EARNINGS WITHHOLDING ORDER FOR TAXES

1. Employer (name and address): 2. Employee-taxpayer (name and address):

2. The amount of taxes, interest, and penalties owed is: $

3. The amount to be withheld each pay period is: $ This amount exceeds the sum that can be withheld administratively.

4. A Temporary Earnings Withholding Order for Taxes (form WG-024) was served on the employer on (date):

5. The reason for this application is (specify):

   IMPORTANT NOTICE TO TAXPAYER/EMPLOYEE

A. The state tax agency named above has asked the court to order money withheld from your earnings to pay a tax liability. The amount due is shown in item 3. B. The clerk of the court will send you a notice of the time and place of a court hearing. You have the right to appear at the hearing and ask for an exemption of up to seventy-five percent of your earnings. C. A form called Claim of Exemption and Financial Declaration (Wage Garnishment—State Tax Liability) (form WG-026) is enclosed. To claim an exemption, complete that form. File it with the clerk of the court and mail a copy to the tax agency as soon as possible.

D. Keep a copy of the Claim of Exemption and take it with you to the court hearing. E. If you wish to obtain the advice of an attorney, you should do so at once.

EMPLOYEE: KEEP THIS LEGAL PAPER EMPLEADO: GUARDE ESTE PAPEL OFICIAL

(Proof of service on reverse) Page 1 of 2 Form Adopted for Mandatory Judicial Council of California Use APPLICATION FOR EARNINGS Code of Civil Procedure,www.courtinfo.ca.gov§§ 706.075, 706.076 WG-020 [Rev. January 1, 2007] WITHHOLDING ORDER FOR TAXES (Wage Garnishment-State Tax Liability)

WG-020 APPLICATION OF (Name): CASE NUMBER:

TAXPAYER / RESPONDENT

PROOF OF SERVICE BY MAIL

1. I am over the age of 18 and not a party to this cause. I am a resident of or employed in the county where the mailing occurred.

2. My residence or business address is shown in the box labeled Attorney for State Tax Agency on the reverse.

3. I served the foregoing Application for Earnings Withholding Order for Taxes by enclosing a copy in an envelope addressed to the taxpayer as shown in item 2 on the reverse AND a. depositing the sealed envelope with the United States Postal Service with the postage fully prepaid. b. placing the envelope for collection and mailing on the date and at the place shown in item 4 below following our ordinary business practices. I am readily familiar with this business' practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid.

4. a. Date of deposit: b. Place of deposit (city and state):

5. I served a Claim of Exemption and Financial Declaration (Wage Garnishment—State Tax Liability) (form WG-026) along with the foregoing Application.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)

WG-020 [Rev. January 1, 2007] APPLICATION FOR EARNINGS Page 2 of 2 WITHHOLDING ORDER FOR TAXES (Wage Garnishment-State Tax Liability)

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