LEVYING OFFICER (Name and Address)
NOTICE OF TERMINATION OR MODIFICATION
OF EARNINGS WITHHOLDING ORDER
TO EMPLOYER: You are given notice that the Earnings Withholding Order is modified as follows:
Name and address of employer
Attn:
(Insert name above)
THE EARNINGS WITHHOLDING ORDER IS
a. terminated for all earnings payable on or after
(date):
modified for all earnings payable on or afterb.
(date): as follows:
(1) The sum to be withheld is (specify amount as weekly, monthly, etc.):
$
The amount withheld must not exceed the maximum permitted by law, as explained in the
Employer’s Instructions.
(2) The sum necessary for the support of the judgment debtor and family is (specify amount as weekly,
monthly, etc.):
$
All disposable earnings exceeding that amount are to be withheld, but the amount withheld must not
exceed the maximum permitted by law, as explained in the Employer's Instructions.
Other orders (specify):
c.
Withheld earnings presently in your possession should be paid in accordance with the terms of this notice.
Date:
Levying Officer, by
(TYPE OR PRINT NAME) (SIGNATURE)
CREDITOR’S INSTRUCTION TO TERMINATE OR MODIFY EARNINGS WITHHOLDING ORDER
To the levying officer: You are directed to terminate or modify the Earnings Withholding Order as indicated above.
Date:
(TYPE OR PRINT NAME) (SIGNATURE)
Name and address of employee
Form Adopted by the
Judicial Council of California
WG-012 [Rev. January 1, 2012]
NOTICE OF TERMINATION OR MODIFICATION
OF EARNINGS WITHHOLDING ORDER
(Wage Garnishment)
Code of Civil Procedure, §§ 706.105(f), 706.105
www.courtinfo.ca.gov
1.
2.
3.
,
WG-012
Page 1 of 1
Social Security No.
unknownon form WG-035
COURT CASE NUMBER:
LEVYING OFFICER FILE NUMBER:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
ATTORNEY FOR (Name):
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
E-MAIL ADDRESS:
TELEPHONE NO.:
FAX NO.:
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
