ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number,  and address):

LEVYING OFFICER (Name and Address)

WG-012

FAX NO.:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (Name):

   STREET ADDRESS:

  MAILING ADDRESS:

CITY AND ZIP CODE:

        BRANCH NAME:

       PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT:

NOTICE OF TERMINATION OR MODIFICATION 
OF EARNINGS WITHHOLDING ORDER

1.

TO EMPLOYER: You are given notice that the Earnings Withholding Order is modified as follows: 

Name and address of employer

Name and address of employee

COURT CASE  NUMBER:

LEVYING OFFICER FILE NUMBER:

Social Security No. 

on form WG-035

unknown

2.

THE EARNINGS WITHHOLDING ORDER IS

(Insert name above)

Attn:

a.

b.

terminated for all earnings payable on or after
(date):

modified for all earnings payable on or after
,
(date):

as follows:

(1)

The sum to be withheld is (specify amount as weekly, monthly, etc.):

he 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.):

ll 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.

c.

Other orders (specify):

$ T

$ A

3.

Withheld earnings presently in your possession should be paid in accordance with the terms of this notice.

(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:

Levying Officer, by

Date:

(TYPE OR PRINT NAME)

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)

(SIGNATURE)

Page 1 of 1

Code of Civil Procedure, §§ 706.105(f), 706.105
www.courtinfo.ca.gov