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T OF CALIFORNIA, COUNTY OF : STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: COURT CASE NUMBER: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: LEVYING OFFICER FILE NUMBER: APPLICATION FOR EARNINGS WITHHOLDING ORDER (Wage Garnishment) TO THE SHERIFF OR ANY MARSHAL OR CONSTABLE OF THE COUNTY OF: OR ANY REGISTERED PROCESS SERVER 1. The judgment creditor (name): requests issuance of an Earnings Withholding Order directing the employer to withhold the earnings of the judgment debtor.

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