Confidential Statement Of Taxpayers Social Security Number Template

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WG-025
CONFIDENTIAL
APPLICATION OF (Name):
CASE NUMBER:
TAXPAYER/RESPONDENT
CONFIDENTIAL STATEMENT OF TAXPAYER'S
SOCIAL SECURITY NUMBER
Supplement to Temporary Earnings Withholding Order for Taxes (Form WG-024)
(Do not attach to Order)
This separate Confidential Statement of Taxpayer’s Social Security Number contains the social security number
of the taxpayer-respondent in the case referenced above. This supplement should be kept separate from the
Temporary Earnings Withholding Order for Taxes filed in this case, and should not be a public record.
INFORMATION ON TAXPAYER-RESPONDENT:
1. Name:
2. Social Security Number:
TO COURT CLERK
THIS STATEMENT IS CONFIDENTIAL. DO NOT FILE
THIS CONFIDENTIAL STATEMENT IN A PUBLIC COURT FILE.
Page 1 of 1
Form Adopted for Mandatory Use
CONFIDENTIAL SUPPLEMENT TO TEMPORARY
Judicial Council of California
EARNINGS WITHHOLDING ORDER FOR TAXES
WG-025 [Rev. January 1, 2007]
(Wage Garnishment-State Tax Liability)
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