Fillable WG-005 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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WG-005 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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(Insert name above)
I received the Earnings Withholding Order on
The employee is
a.
b.
The employee's pay period is
a. b. c.
e.d.
(IF YOU HAVE RECEIVED NO OTHER ORDERS THAT PRESENTLY AFFECT THIS EMPLOYEE'S EARNINGS, OMIT ITEMS 4, 5
AND 6, AND PROCEED TO THE DECLARATION AT THE END OF THIS FORM.)
(Continued on reverse)
EMPLOYER'S RETURN
(Wage Garnishment)
Form Adopted for Mandatory Use
Judicial Council of California
WG-005 [Rev. September 1, 2017]
Code of Civil Procedure, § 706.126
www.courts.ca.gov
Page 1 of 2
Social Security No.
The Federal Wage Garnishment Law and federal rules provide the basic protections on which the California law is based.
EMPLOYER: You must complete both copies of this form and mail them to the levying officer within 15 days.
Please correct any errors in the mailing information below and provide any missing information, including the
name of the person to whom notices should be directed.
FAILURE TO COMPLETE AND RETURN THESE FORMS MAY SUBJECT YOU TO PAYMENT OF ATTORNEY FEES
AND OTHER CIVIL PENALTIES.
Attn:
(date):
$
now employed by this employer and in the last pay period had gross earnings of:
(specify):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
LEVYING OFFICER (name and address):
LEVYING OFFICER FILE NUMBER:
COURT CASE NUMBER:
EMPLOYER'S RETURN
(Wage Garnishment)
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
STATE BAR NUMBER:
WG-005
Name and address of employer Name and address of employee
on form WG-035 unknown
1.
2.
not employed by this employer (if not employed, omit items 2b through 6 and proceed to the declaration at the end of this
form).
3.
daily weekly every two weeks
twice a month monthly otherf.
If you have received other orders that presently affect this employee's earnings, another order may have priority over this
one. The following list indicates the priority of orders:
Wage and Earnings Assignment Order (for Support)
First priority
Second priorityEarnings Withholding Order for Support
Third priorityEarnings Withholding Order for Taxes
Fourth priority
Earnings Withholding Order
If two or more orders have the same priority, comply with the one received first. If both were received on the same date,
comply with the one with the earlier date of judgment. If the dates of judgment are the same, you may select which order you
choose to comply with.
4.
5.
a.
b.
c.
d.
6.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(SIGNATURE OF DECLARANT)
If an Earnings Withholding Order is not effective when served, for any reason, do not hold it. Return it to the levying officer
with this return.
FAILURE TO COMPLETE AND RETURN THIS FORM MAY SUBJECT AN EMPLOYER TO CIVIL PENALTIES
AND ATTORNEY FEES.
EMPLOYER'S RETURN
(Wage Garnishment)
WG-005 [Rev. September 1, 2017] Page 2 of 2
Earnings Withholding Order for Elder or Dependent Adult Financial Abuse
Fifth priority
Court name, address, and case number:
Total amount to be withheld: $
Date:
(TYPE OR PRINT NAME)
COURT CASE NUMBER:SHORT TITLE:
WG-005
LEVYING OFFICER FILE NUMBER:
This order appears to have higher priority than any other order. Earnings will be withheld for this order in accord with the
EMPLOYER'S INSTRUCTIONS (on reverse of Earnings Withholding Order).
The employer has received another order affecting the employee's earnings and earnings are being withheld for the other
order because:
The other order was received on (date):
The other order was received first.
This order does not have higher priority.
A copy of the other order is attached. (Retain original for your records. If a copy is not attached, complete item d.)
A copy of the other order is NOT attached. Describe the other order by providing the following information:
(1)
(2) Levying officer name, address, and file number:
(3)
This order is not effective for the reason shown in item 5. It is returned to the levying officer with this return.
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WG-005 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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Completed 28 April 2022

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