Earnings Withholdingnorder For Taxes

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WG-023
FOR COURT USE ONLY
ATTORNEY (Name, State Bar number, and address):
To keep other people from
seeing what you entered on
your form, please press the
TELEPHONE NO.:
FAX NO.:
Clear This Form button at the
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:
NOTICE OF HEARING—EARNINGS WITHHOLDING ORDER FOR TAXES
NAME OF STATE TAX AGENCY:
TAX AGENCY NUMBER:
1. NOTICE TO
a. Attorney for State Tax Agency (name and address):
b. Taxpayer (name and address):
2. A hearing on the Application for Earnings Withholding Order for Taxes will be held as follows:
a. Date:
Time:
Dept.:
Div.:
Room:
b. Address of court:
same as noted above
other (specify):
CLERK'S CERTIFICATE OF MAILING
I certify that I am not a party to this cause and that a true copy of the foregoing Notice of Hearing was mailed, postage fully prepaid, in a
sealed envelope addressed as shown in item 1 above, and this certificate was executed on (date): at (place):
, California.
Clerk, by
, Deputy
Page 1 of 1
Form Adopted for Mandatory
Code of Civil Procedure, § 706.076
NOTICE OF HEARING-EARNINGS
Use Judicial Council of California
WITHHOLDING ORDER FOR TAXES
WG-023 [Rev. January 1, 2007]
(Wage Garnishment-State Tax Liability)
For your protection and privacy, please press the Clear This Form
Save This Form
Print This Form
Clear This Form
button after you have printed the form.

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