Orange — Wage Garnishment

Source: https://www.occourts.org/system/files/selfhelp/shc-cpj-04.pdf

SUPERIORSUPERIOR COURTCOURT OFOF CALIFORNIACALIFORNIA Self-HelpSelf-Help ServicesServices COUNTYCOUNTY OFOF ORANGEORANGE www.occourts.org/self-helpwww.occourts.org/self-help

WAGE GARNISHMENT PETITION FOR RETURN OF PROPERTY

SELF-HELP FORM PACKET SELF-HELP FORM PACKET

SHC-CRIM-04 (Rev. 05/22/2026) SHC-CPJ-04 (Rev. 07/01/2026)

Self-HelpSelf-Help ServicesServices cancan reviewreview youryour completedcompleted formsforms beforebefore youyou filefile themthem withwith thethe Court.Court. ToTo requestrequest aa reviewreview ofof youryour completedcompleted forms,forms, visitvisit youryour nearestnearest Self-HelpSelf-Help CenterCenter location:location: •e CentralCentral JusticeJustice Center:Center: 700700 CivicCivic CenterCenter DriveDrive West,West, SantaSanta Ana,Ana, 9270192701 •e CostaCosta MesaMesa JusticeJustice Complex:Complex: 33903390 HarborHarbor Blvd.,Blvd., CostaCosta Mesa,Mesa, 9262692626 •e HarborHarbor JusticeJustice Center:Center: 46014601 JamboreeJamboree Road,Road, NewportNewport Beach,Beach, 9266092660 •e LamoreauxLamoreaux JusticeJustice Center:Center: 341341 TheThe CityCity DriveDrive South,South, OrangeOrange 9286892868 •e NorthNorth JusticeJustice Center:Center: 12751275 N.N. BerkeleyBerkeley Ave.,Ave., Fullerton,Fullerton, 9283292832 •e StephenStephen K.K. Tamura-WestTamura-West JusticeJustice Center:Center: 81418141 13th13th St.,St., Westminster,Westminster, 9268392683

www.occourts.org/self-helpwww.occourts.org/self-help

MC-013-INFOMC-013-INFO INFORMATIONINFORMATION SHEETSHEET FORFOR CALCULATINGCALCULATING INTERESTINTEREST ANDAND AMOUNTAMOUNT OWEDOWED ONON AA JUDGMENTJUDGMENT WhatWhat cancan thethe judgmentjudgment creditorcreditor recover?recover? UnderUnder CaliforniaCalifornia law,law, thethe amountamount recoverablerecoverable byby aa judgmentjudgment creditorcreditor (the(the partyparty toto whomwhom moneymoney isis owed)owed) includes:includes: ¢ TheThe totaltotal amountamount ofof thethe judgmentjudgment enteredentered byby thethe courtcourt (principal),(principal), plusplus costs;costs; © CostsCosts afterafter judgmentjudgment underunder CodeCode ofofCivilCivil ProcedureProcedure sectionsection 685.070;685.070; andand ¢ AccruedAccrued interestinterest onon thethe totaltotal amount.amount. CostsCosts AfterAfter JudgmentJudgment AA judgmentjudgment creditorcreditor isis entitledentitled toto reimbursementreimbursement forfor thethe “reasonable“reasonable andand necessary”necessary” costscosts ofof enforcingenforcing aa judgment.judgment. TheseThese costscosts mustmust bebe reportedreported toto thethe courtcourt withinwithin twotwo yearsyears ofof thethe datedate incurred.incurred. TheThe judgmentjudgment amountamount includesincludes costscosts orderedordered byby thethe courtcourt afterafter thethe judgment.judgment. (For(For informationinformation onon recoveringrecovering costscosts andand aa detaileddetailed listlist ofof costscosts thatthat cancan bebe recovered,recovered, seesee CodeCode ofof CivilCivil ProcedureProcedure sectionssections 684.130(b)(5),684.130(b)(5), 685.040,685.040, 685.050685.050 etet seq.,seq., 685.070(b),685.070(b), andand 685.090;685.090; seesee alsoalso “Requesting“Requesting CostsCosts andand Interest”Interest” below).below).

AccruedAccrued InterestInterest (See(See CodeCode Civ.Civ. Proc.,Proc., §§§§ 685.010685.010 && 685.020(a)685.020(a) andand Cal.Cal. Const.,Const., art.art. XV,XV, §§ 1.)1.) InterestInterest accruesaccrues onon thethe unpaidunpaid principalprincipal ofof aa judgmentjudgment atat thethe followingfollowing legallegal rates:rates: e TheThe raterate ofof interestinterest isis 10%10% perper yearyear unlessunless oneone ofofthethe followingfollowing lowerlower interestinterest ratesrates applies.applies. e TheThe raterate ofof interestinterest isis 7%7% perper yearyear ifif thethe judgmentjudgment debtordebtor (the(the partyparty whowho owesowes thethe money)money) isis aa statestate oror locallocal governmentgovernment entity.entity. e TheThe raterate ofof interestinterest isis 5%5% perper yearyear ifif thethe judgmentjudgment debtordebtor isis aa naturalnatural personperson andand thethe judgmentjudgment meetsmeets allall ofof thethe followingfollowing requirements:requirements: o TheThe judgmentjudgment waswas enteredentered oror renewedrenewed afterafter JanuaryJanuary 1,1, 2023.2023. o TheThe judgmentjudgment isis onon aa claimclaim relatedrelated toto eithereither personalpersonal debtdebt (and(and thethe unpaidunpaid principalprincipal amountamount isis underunder $50,000)$50,000) oror medicalmedical expensesexpenses (and(and thethe unpaidunpaid principalprincipal amountamount isis underunder $200,000).$200,000). o TheThe judgmentjudgment isis notnot basedbased onon tortioustortious oror fraudulentfraudulent conductconduct oror forfor unpaidunpaid wages,wages, damages,damages, oror penaltiespenalties owedowed toto anan employee.employee. ForFor judgmentsjudgments renewedrenewed afterafter JanuaryJanuary 1,1, 2023,2023, thethe 5%5% interestinterest raterate appliesapplies onlyonly toto unpaidunpaid principalprincipal remainingremaining afterafter renewal.renewal. Note,Note, forfor judgmentsjudgments thatthat otherwiseotherwise meetmeet thethe aboveabove requirementsrequirements andand areare renewedrenewed afterafter JanuaryJanuary 1,1, 2023,2023, thethe interestinterest raterate willwill changechange fromfrom 10%10% toto 5%5% forfor anyany remainingremaining unpaidunpaid principalprincipal ifif thethe unpaidunpaid principalprincipal hashas fallenfallen belowbelow thethe aboveabove amounts.amounts. InterestInterest generallygenerally accruesaccrues fromfrom thethe datedate thethe judgmentjudgment isis entered.entered. InterestInterest beginsbegins toto accrueaccrue onon thethe amountamount ofof costscosts addedadded toto aa judgmentjudgment fromfrom thethe datedate orderedordered byby thethe courtcourt oror fromfrom thethe datedate costscosts areare allowedallowed followingfollowing expirationexpiration ofof thethe timetime toto object.object. IfIf thethe judgmentjudgment isis payablepayable inin installments,installments, interestinterest accruesaccrues fromfrom thethe datedate eacheach installmentinstallment isis due.due. OnOn renewalrenewal ofof aa judgment,judgment, unpaidunpaid interestinterest thatthat hashas accruedaccrued isis addedadded toto thethe principalprincipal ofof thethe judgment,judgment, andand interestinterest beginsbegins toto accrueaccrue onon thethe totaltotal renewedrenewed amountamount onon thethe dayday thethe renewedrenewed judgmentjudgment isis entered.entered.

RequestingRequesting CostsCosts andand InterestInterest ToTo havehave costscosts andand interestinterest addedadded toto thethe enforceableenforceable amountamount owed,owed, thethe judgmentjudgment creditorcreditor mustmust filefile andand serveserve MemorandumMemorandum ofof CostsCosts AfterAfter JudgmentJudgment (form(form MC-012).MC-012). OnOn thatthat form,form, thethe judgmentjudgment creditorcreditor mustmust includeinclude thethe exactexact amountamount ofof allall costscosts andand accruedaccrued interest.interest. ThisThis meansmeans thethe judgmentjudgment creditorcreditor isis responsibleresponsible forfor calculatingcalculating thethe amountamount ofof interestinterest thatthat accruesaccrues onon thethe judgment.judgment. ItIt isis usefuluseful toto updateupdate thisthis calculationcalculation afterafter receivingreceiving payments.payments. TheThe judgmentjudgment creditorcreditor cancan onlyonly recoverrecover postjudgmentpostjudgment costscosts inin thethe categoriescategories listedlisted inin itemitem 1a(1)–(8)1a(1)-(8) onon formform MC-012.MC-012. RecoveryRecovery ofof costscosts listedlisted inin itemitem 1a(8)1a(8) onon formform MC-012MC-012 mustmust bebe authorizedauthorized byby statute.statute.

CreditingCrediting PaymentsPayments ReceivedReceived AnyAny paymentspayments receivedreceived byby thethe judgmentjudgment creditorcreditor mustmust bebe “credited”“ credited” inin aa specificspecific order.order. (Code(Code Civ.Civ. Proc.,Proc., §§ 695.220.)695.220.) AfterAfter specificspecific costscosts gogo directlydirectly toto thethe levyinglevying officerofficer andand toto thethe courtcourt forfor fees,fees, thethe judgmentjudgment creditorcreditor isis requiredrequired toto creditcredit paymentspayments receivedreceived firstfirst towardtoward accruedaccrued interestinterest andand thenthen towardtoward thethe judgmentjudgment principalprincipal (including(including costscosts approvedapproved byby thethe courtcourt afterafter entryentry ofof thethe judgment).judgment).

Rov.JudicialRev. Januaryanuuty4,2008,Council1, of2026,California,OptionalOpaotaltonencourts.ca.govForm InformationInformation SheetSheet forfor CalculatingCalculating InterestInterest MC-013-INFO,MG-013-INFO, PagePage 11 ofof 33 CodeCode Civ.Civ. Proc.,Proc., §§§§ 685.010-685.090,685.010–685.090, 695.220695.220 andand AmountAmount OwedOwed onon aa JudgmentJudgment >

MC-013-INFOMC-013-INFO

CalculationCalculation ofof InterestInterest onon JudgmentJudgment andand AmountAmount DueDue TheThe followingfollowing areare variousvarious formulasformulas andand examplesexamples toto assistassist withwith thethe calculationcalculation ofof interestinterest onon aa judgmentjudgment usingusing bothboth aa 5%5% andand aa 10%10% interestinterest rate.rate.

¢ CalculatingCalculating thethe TotalTotal AmountAmount Due,Due, IncludingIncluding Interest,Interest, onon thethe datedate ofof payment,payment, ifif therethere havehave beenbeen nono priorprior

Paymentspayments oror creditscredits

StepStep 1:1: CalculateCalculate thethe dailydaily interestinterest onon aa judgment.judgment. ThisThis isis thethe amountamount ofof interestinterest earnedearned perper dayday onon aa judgment.judgment. ToTo
calculatecalculate thethe dailydaily interest,interest, useuse thethe followingfollowing formula:formula:

Formula:Formula: (Total(Total amountamount ofof judgmentjudgment owed)owed) ×= (applicable(applicable interestinterest rate)rate) == interestinterest earnedearned perper year.year. ThatThat numbernumber
divideddivided byby 365365 == amountamount ofof dailydaily interest.interest.
Example:Example: JudgmentJudgment debtordebtor owesowes thethe judgmentjudgment creditorcreditor $5,000$5,000 (the(the “judgment“ judgment principal”).principal ”).

5%5% InterestInterest RateRate 10%10% InterestInterest RateRate

$5,000$5,000 ×x 0.050.05 == $250$250 $5,000$5,000 ×x 0.100.10 == $500$500
$250/365$250/365 == $0.69$0.69 dailydaily interestinterest $500/365$500/365 == $1.37$1.37 dailydaily interestinterest

TheThe amountamount ofofinterestinterest earnedearned willwill bebe $0.69$0.69 perper dayday asas__| TheThe amountamount ofofinterestinterest earnedearned willwill bebe $1.37$1.37 perper dayday asas
longlong asas thethe unpaidunpaid amountamount remainsremains $5,000.$5,000. longlong asas thethe unpaidunpaid amountamount remainsremains $5,000.$5,000.

StepStep 2:2: CountCount thethe totaltotal numbernumber ofof daysdays thatthat havehave passedpassed sincesince thethe courtcourt enteredentered thethe finalfinal judgmentjudgment upup toto thethe dayday ofof
payment.payment. ThenThen calculatecalculate thethe amountamount ofof interestinterest owedowed onon thethe datedate ofof paymentpayment usingusing thethe followingfollowing formula.formula.

Formula:Formula: (Total(Total numbernumber ofof daysdays sincesince judgmentjudgment waswas entered)entered) ×x (amount(amount ofof interestinterest perper day,day, calculatedcalculated inin
StepStep 1)1) == amountamount ofof interestinterest owedowed onon thethe datedate ofof payment.payment.

Example:Example: AA $5,000$5,000 judgmentjudgment waswas enteredentered onon JuneJune 1| andand thethe judgmentjudgment debtordebtor paidpaid thethe judgmentjudgment onon SeptemberSeptember 8;8; 100100 daysdays fromfrom thethe entryentry ofof thethe judgmentjudgment havehave passed.passed.

5%5% InterestInterest RateRate 10%10% InterestInterest RateRate
TheThe dailydaily interestinterest isis $0.69$0.69 (see(see above).above). TheThe dailydaily interestinterest isis $1.37$1.37 (see(see above).above).
$0.69$0.69 perper dayday ×x 100100 daysdays == $69$69 interestinterest owedowed onon thethe datedate] $1.37$1.37 perper dayday ×x 100100 daysdays == $137$137 interestinterest owedowed onon thethe
ofof paymentpayment datedate ofof payment.payment.

TheThe judgmentjudgment debtordebtor owesowes $69$69 inin interestinterest onon thethe TheThe judgmentjudgment debtordebtor owesowes $137$137 inin interestinterest onon thethe
principalprincipal ofof $5,000$5,000 onon thethe datedate ofof payment.payment. principalprincipal ofof $5,000$5,000 onon thethe datedate ofof payment.payment.

StepStep 3:3: AddAdd thethe amountamount ofof interestinterest thatthat hashas accruedaccrued toto thethe amountamount ofof thethe judgment.judgment.

5%5% InterestInterest RateRate 10%10% InterestInterest RateRate

$5,000$5,000 judgmentjudgment ++ $69$69 interestinterest == $5,069$5,069 $5,000$5,000 judgmentjudgment amountamount ++ $137$137 interestinterest == $5,137$5,137

TheThe judgmentjudgment debtordebtor owesowes aa totaltotal ofof $5,069$5,069 onon thethe 100th100th | TheThe judgmentjudgment debtordebtor owesowes aa totaltotal ofof $5,137$5,137 onon thethe 100th100th
dayday afterafter thethe courtcourt enteredentered judgment.judgment. dayday afterafter thethe courtcourt enteredentered judgment.judgment.

Rev.Rev. JanuaryJanuary 1,1, 20262026 InformationInformation SheetSheet forfor CalculatingCalculating InterestInterest MC-013-INFO,MC-013-INFO, PagePage 22 ofof 33 andand AmountAmount OwedOwed onon aa JudgmentJudgment >

MC-013-INFOMC-013-INFO

CreditingCrediting partialpartial paymentspayments andand recalculatingrecalculating thethe amountamount duedue
IfIf thethe judgmentjudgment debtordebtor doesdoes notnot paypay allall thatthat isis owedowed atat oneone time,time, thethe partialpartial paymentspayments thethe debtordebtor makesmakes areare creditedcredited
toto thethe interestinterest firstfirst andand thenthen toto thethe judgmentjudgment amountamount (the(the principal)principal) owed.owed.
Example:Example: TheThejudgmentjudgment principalprincipal isis $5,000.$5,000. AfterAfter 200200 days,days, thethe judgmentjudgment debtordebtor payspays $1,000.$1,000.

StepStep 1:1: CalculateCalculate thethe amountamount ofof interestinterest owedowed onon thethe datedate ofof paymentpayment

5%5% InterestInterest RateRate 10%10% InterestInterest RateRate
TheThe dailydaily interestinterest isis $0.69$0.69 (see(see above).above). TheThe dailydaily interestinterest isis $1.37$1.37 (see(see above).above).
$0.69$0.69 perper dayday ×x 200200 daysdays == $138$138 interestinterest owedowed onon thethe $1.37$1.37 perper dayday ×x 200200 daysdays == $274$274 interestinterest owedowed onon thethe
datedate ofof paymentpayment datedate ofof payment.payment.

StepStep 2:2: ApplyApply paymentpayment toto interestinterest
5%5% InterestInterest RateRate 10%10% InterestInterest RateRate
TheThe judgmentjudgment debtordebtor paidpaid $1,000,$1,000, whichwhich firstfirst mustmust bebe TheThe judgmentjudgment debtordebtor paidpaid $1,000,$1,000, whichwhich firstfirst mustmust bebe
usedused toto creditcredit thethe $138$138 ofof accruedaccrued interest.interest. usedused toto creditcredit thethe $274$274 ofofaccruedaccrued interest.interest.

ThatThat leavesleaves aa balancebalance ofof $862$862 ($1,000($1,000 -- $138$138 == $862)$862) toto ThatThat leavesleaves aa balancebalance ofof $726$726 ($1,000($1,000 -- $138$138 == $726)$726) toto
bebe creditedcredited towardtoward thethe $5,000$5,000 principal.principal. bebe creditedcredited towardtoward thethe $5,000$5,000 principal.principal.

StepStep 3:3: ApplyApply remainderremainder toto principalprincipal

5%5% InterestInterest RateRate 10%10% InterestInterest RateRate
TheThe remainingremaining creditcredit ofof $862$862 isis appliedapplied toto thethe judgmentjudgment TheThe remainingremaining creditcredit ofof $726$726 isis appliedapplied toto thethe judgmentjudgment
principal.principal. TheThe judgmentjudgment debtordebtor nownow owesowes $4,138$4,138 onon thethe principal.principal. TheThe judgmentjudgment debtordebtor nownow owesowes $4,274$4,274 onon thethe
[judgmentjudgment principalprincipal ($5,000($5,000 -- $862$862 == $4,138).$4,138). judgmentjudgment principalprincipal ($5,000($5,000 -- $726$726 == $4,274).$4,274).

StepStep 4:4: CalculateCalculate thethe newnew dailydaily interestinterest raterate

5%5% InterestInterest RateRate 10%10% InterestInterest RateRate
$4,138$4,138 (new(new principal)principal) ×x 5%5% == $206.90$206.90 interestinterest perper yearyear $4,274$4,274 (new(new principal)principal) ×x 10%10% == $427.40$427.40 interestinterest perper yearyear
$206.90/365$206.90/365 daysdays == $0.57$0.57 interestinterest earnedearned perper dayday $427.40/365$427.40/365 daysdays == $1.17$1.17 interestinterest earnedearned perper dayday

Example:Example: AfterAfter 100100 days,days, thethe judgmentjudgment debtordebtor makesmakes aa secondsecond paymentpayment ofof $500.$500. (Recalculate(Recalculate usingusing stepssteps 1–4.)1-4.)

5%5% InterestInterest RateRate 10%10% InterestInterest RateRate
AmountAmount ofof accruedaccrued interestinterest overover 100100 days:days: AmountAmount ofof accruedaccrued interestinterest overover 100100 days:days:
100100 daysdays ×x $0.57$0.57 dailydaily interestinterest == $57$57 totaltotal interestinterest 100100 daysdays ×x $1.17$1.17 dailydaily interestinterest == $117$117 totaltotal interestinterest

$500$500 paymentpayment creditedcredited toto interestinterest first:first: $500$500 paymentpayment creditedcredited toto interestinterest first:first:
$500$500 paymentpayment -- $57$57 interestinterest == $443$443 remainingremaining $500$500 paymentpayment -- $117$117 interestinterest == $383$383 remainingremaining

RemainderRemainder creditedcredited toto principal:principal: RemainderRemainder creditedcredited toto principal:principal:
$4,138$4,138 principalprincipal -- $443$443 remainderremainder == $3,695$3,695 newnew principalprincipal $4,274$4,274 principalprincipal -- $383$383 remainingremaining == $3891$3891 newnew principalprincipal

CalculateCalculate newnew dailydaily interest:interest: CalculateCalculate newnew dailydaily interest:interest:
$3,695$3,695 × 5%5% == $184.75/365$184.75/365 == $0.51$0.51 interestinterest perper dayday $3,891$3,891 ×= 10%10% == $389.10/365$389.10/365 == $1.07$1.07 interestinterest perper dayday

Rev.Rev. JanuaryJanuary 1,1, 20262026 InformationInformation SheetSheet forfor CalculatingCalculating InterestInterest MC-013-INFO,MC-013-INFO, PagePage 33 ofof 33 andand AmountAmount OwedOwed onon aa JudgmentJudgment

MC-012MC-012 [ATTORNEYATTORNEY OROR PARTYPARTY WITHOUTWITHOUT ATTORNEYATTORNEY STATE‘STATE BARBAR NUMBER:NUMBER: FORFOR COURTCOURT USEUSE ONLYONLY NAME:NAME: FIRMFIRM NAME:NAME:

|STREETSTREET ADDRESS:ADDRESS:

cry:CITY: STATE:STATE: ZIPZIP CODE:CODE: TELEPHONETELEPHONE NO.:NO. FAXFAX NO.:NO. EMAILEMAIL ADDRESS:ADDRESS: ATTORNEYATTORNEY FORFOR (name):(name):

SUPERIORSUPERIOR COURTCOURT OFOF CALIFORNIA,CALIFORNIA, COUNTYCOUNTY OFOF ORANGEORANGE ‘STREETSTREET ADDRESS:ADDRESS: MAILINGMAILING ADDRESS:ADDRESS: ICITYCITY ANDAND ZIPZIP CODE:CODE: BRANCHBRANCH NAME:NAME:

PLAINTIFF:PLAINTIFF: DEFENDANT:DEFENDANT: CASE°S € NUMBER:Nuweer’ MEMORANDUMMEMORANDUM OFOF COSTSCOSTS AFTERAFTER JUDGMENT,JUDGMENT, ACKNOWLEDGMENTACKNOWLEDGMENT OFOF| CREDIT,CREDIT, ANDAND DECLARATIONDECLARATION OFOF ACCRUEDACCRUED INTERESTINTEREST 1.1. PostjudgmentPostjudgment costscosts (Read(Read formform MC-013-INFOMC-013-INFO forfor informationinformation onon whichwhich costscosts areare recoverable.)recoverable.) a.a. I| claimclaim thethe followingfollowing costscosts afterafter judgmentjudgment incurredincurred withinwithin thethe lastlast twotwo yearsyears (indicate(indicate ifif therethere areare multiplemultiple itemsitems inin anyany category):category): DatesDates IncurredIncurred AmountAmount (1)(1) PreparingPreparing andand issuingissuing abstractabstract ofof judgmentjudgment $$ (2)(2) RecordingRecording andand indexingindexing abstractabstract ofof judgmentjudgment $$ (3)(3) FilingFiling noticenotice ofof judgmentjudgment lienlien onon personalpersonal propertyproperty $$ (4)(4) IssuingIssuing writwrit ofof execution,execution, toto extentextent notnot satisfiedsatisfied byby CodeCode Civ.Civ. Proc.,Proc., §§ 685.050685.050 (specify(specify county):county): $$ (5)(5) LevyingLevying officersofficers fees,fees, toto extentextent notnot satisfiedsatisfied byby CodeCode Civ.Civ. Proc.,Proc., §§ 685.050685.050 oror wagewage garnishmentgarnishment $$ (6)(6) ApprovedApproved feefee onon applicationapplication forfor orderorder forfor appearanceappearance ofofjudgmentjudgment debtor,debtor, oror otherother approvedapproved costscosts underunder CodeCode Civ.Civ. Proc.,Proc., §§ 708.110708.110 etet seq.seq. $$ (7)(7) AttorneyAttorney fees,fees, ifif allowedallowed byby CodeCode Civ.Civ. Proc.,Proc., §§ 685.040685.040 $$ (8)(8) Other:Other: (statute(statute authorizingauthorizing cost):cost): $$ (9)(9) TotalTotal ofof claimedclaimed costscosts forfor currentcurrent memorandummemorandum ofof costscosts (add(add (1)–(8))(1)— (8)) $$ b.b. AllAll previouslypreviously allowedallowed postjudgmentpostjudgment costscosts $$ c.c. TotalTotal ofof allall postjudgmentpostjudgment costscosts (add(add aa andand b)b) $$ 2.2. CreditsCredits toto interestinterest andand principalprincipal a.a. I| acknowledgeacknowledge totaltotal paymentspayments toto datedate inin thethe amountamount of:of: $$ (including(including returnsreturns onon levylevy processprocess andand directdirect payments).payments). TheThe paymentspayments receivedreceived areare appliedapplied firstfirst toto thethe amountamount ofof accruedaccrued interest,interest, andand thenthen toto thethe judgmentjudgment principalprincipal (including(including postjudgmentpostjudgment costscosts allowed)allowed) asas follows:follows: creditcredit toto accruedaccrued interest:interest: $$ ;; creditcredit toto judgmentjudgment principalprincipal $$. b.b. PrincipalPrincipal remainingrem: ig due.due. TheThe amountamount ofofjudgmentjudgment principalprincipal remainingremaining duedue isis $$ .. (See(See CodeCode Civ.Civ. Proc.,Proc., §§ 680.300)680.300) 3.3. AccruedAccrued interestinterest remainingremaining due.due. AccruedAccrued interestinterest remainsremains duedue inin thethe amountamount ofof $$ ,, whichwhich waswas calculatedcalculated byby applyingapplying interestinterest accruingaccruing atat thethe legallegal raterate ofof %% onon thethe unpaidunpaid principalprincipal amountamount ofof $$ andand(if(if differentdifferent interestinterest ratesrates applyapply toto differentdifferent unpaidunpaid principalprincipal amounts)amounts) interestinterest accruingaccruing atat thethe legallegal raterate ofof %% onon thethe unpaidunpaid principalprincipal amountamount ofof $$. .. InterestInterest isis calculatedcalculated fromfrom thethe datedate ofof thethe judgmentjudgment oror itsits renewalrenewal andand alsoalso onon anyany remainingremaining balancebalance afterafter applyingapplying anyany partialpartial paymentspayments oror credits.credits. (Read(Read formform MC-013-INFOMC-013-INFO forfor informationinformation onon calculatingcalculating interest.)interest.) 4.4. Ilamam the:the: judgmentjudgment creditorcreditor agentagent forfor thethe judgmentjudgment creditorcreditor attorneyattorney forfor thethe judgmentjudgment creditor.creditor. I| havehave knowledgeknowledge ofof thethe factsfacts concerningconcerning thethe costscosts claimedclaimed above.above. ToTo thethe bestbest ofof mymy knowledgeknowledge andand belief,belief, thethe costscosts claimedclaimed areare correct,correct, reasonable,reasonable, andand necessary,necessary, andand havehave notnot beenbeen satisfied.satisfied. I| declaredeclare underunder penaltypenalty ofof perjuryperjury underunder thethe lawslaws ofof thethe StateState ofof CaliforniaCalifornia thatthat thethe foregoingforegoing isis truetrue andand correct.correct. Date:Date: » (TYPE(TYPE OROR PRINTPRINT

nable, andand necessary,necessary, andand havehave notnot beenbeen satisfied.satisfied. I| declaredeclare underunder penaltypenalty ofof perjuryperjury underunder thethe lawslaws ofof thethe StateState ofof CaliforniaCalifornia thatthat thethe foregoingforegoing isis truetrue andand correct.correct. Date:Date: » (TYPE(TYPE OROR PRINTPRINT NAME)NAME) (SIGNATURE)(SIGNATURE) NOTICENOTICE TOTO THETHE JUDGMENTJUDGMENT DEBTORDEBTOR IfIf thisthis memorandummemorandum ofof costscosts isis filedfiled atat thethe samesame timetime asas anan applicationapplication forfor aa writwrit ofof execution,execution, thethe writwrit ofof executionexecution cancan includeinclude anyany statutorystatutory costscosts thatthat havehave notnot alreadyalready beenbeen allowedallowed byby thethe courtcourt andand thatthat dodo notnot exceedexceed aa combinedcombined totaltotal ofof $100.$100. TheThe feesfees soughtsought underunder thisthis memorandummemorandum maymay bebe disalloweddisallowed byby thethe courtcourt uponupon aa motionmotion toto taxtax filedfiled byby thethe debtor,debtor, notwithstandingnotwithstanding thethe feesfees havinghaving beenbeen includedincluded inin thethe writwrit ofof execution.execution. (Code(Code Civ.Civ. Proc.,Proc., §§ 685.070(e).)685.070(e).) AA motionmotion toto taxtax thethe costscosts claimedclaimed inin thisthis memorandummemorandum mustmust bebe filedfiled nono laterlater thanthan 1010 daysdays afterafter serviceservice ofof thisthis memorandum.memorandum. (Code(Code Civ.Civ. Proc.,Proc., §§ 685.070(c).)685.070(c).) MC-012,MC-012, PagePage 11 ofof 11Rov.JudicialRev. JanuaryJanuaryCouncil4,2008,1, of2026,California,MandatoryMandaenycourts.ca.govFormPea MemorandumMemorandum ofof CostsCosts AfterAfter Judgment,Judgment, CodeCode695.220695.220Civ.Civ.Proc.,Proc., §§§§ 685.040,685.040, 688.070,685.070, AcknowledgmentAcknowledgment ofof Credit,Credit, andand DeclarationDeclaration ofof AccruedAccrued InterestInterest

EJ-130 ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO.: FOR COURT USE ONLY NAME:

FIRM NAME:

STREET ADDRESS:

CITY: STATE: ZIP CODE:

TELEPHONE NO.: FAX NO.:

EMAIL ADDRESS:

ATTORNEY FOR (name):

ATTORNEY FOR ORIGINAL JUDGMENT CREDITOR ASSIGNEE OF RECORD

SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF/PETITIONER: CASE NUMBER:

DEFENDANT/RESPONDENT:

EXECUTION (Money Judgment) Limited Civil Case
(including Small Claims)

WRIT OF POSSESSION OF Personal Property Unlimited Civil Case SALE Real Property (including Family and Probate)

1. To the Sheriff or Marshal of the County of: You are directed to enforce the judgment described below with daily interest and your costs as provided by law.

2. To any registered process server: You are authorized to serve this writ only in accordance with Code of Civil Procedure section 699.080 or 715.040.

3. (Name): is the original judgment creditor assignee of record whose address is shown on this form above the court¶s name.

4. Judgment debtor (name, type of legal entity if not a natural person, and last known address):

   The judgment debtor has additional names that are identified on an affidavit of identity (Code Civ. Proc., § 680.135).

   Check here if there is more than one judgment debtor. List the additional judgment debtors and their last known addresses on an attached sheet of paper labeled "Attachment 4."

5. Judgment was entered on (date): (The type of judgment is stated in item 21.)

6. The judgment has been renewed. (Complete items 6a and 6b.)

   a. The judgment was renewed on (dates):

   b. The most recent renewal extended the period of enforceability of the judgment for (check one): (1) 5 years. (2) 10 years.

7. A joint debtor was declared bound by the judgment under Code of Civil Procedure sections 989 to 994. (If item 7 is checked, give information about the joint debtor in item 22.)

   NOTICE TO PERSON SERVED: SEE PAGE 4 FOR IMPORTANT INFORMATION.

Judicial Council of California, courts.ca.gov Writ of Execution EJ-130, Page 1 of 4Rev. July 1, 2026, Optional Form Code Civ. Proc., §§ 699.520, 712.010, 715.010; Gov. Code, § 6103.5

EJ-130 Plaintiff/Petitioner: CASE NUMBER: Defendant/Respondent:

8. Notice of sale under this writ: a. has not been requested. b. has been requested by (name and address):

9. This writ is a Writ of Possession or a Writ of Sale. (If item 9 is checked, give information about the writ of possession or writ of sale in item 23.)

10. This writ is issued on a sister-state judgment.

Note for items 11±17: For more information on the amount recoverable by a judgment creditor, claiming costs after judgment, and calculating accrued interest, read Information Sheet for Calculating Interest and Amount Owed on a Judgment (form MC-013-INFO).

11. Total amount of the judgment $ (If the judgment has been renewed, state the amount of the most recent renewal. Otherwise, state the amount at the time the judgment was entered.)

12. Costs after judgment (Code Civ. Proc., §§ 685.040±685.090) $

13. Subtotal (add items 11 and 12) $

14. Credits to principal (payments apply to interest first, per Code of Civil Procedure section 695.220) $

15. Principal remaining due (subtract item 14 from item 13) $

16. Accrued interest remaining due after applying any payments $ (Read form MC-013-INFO for information on calculating accrued interest. Interest cannot be charged on fees included in the judgment under Government Code section 6103.5.)

17. Fee for issuance of writ (Gov. Code, § 70626(a)(l)) $

18. TotaI amount due (add items 15, 16, and 17) $

19. Levying officer: a. Add daily interest from the date of the writ in the following amount (Read form MC-013-INFO for information on the legal daily rates of interest. Interest cannot be charged on fees included in the judgment under Government Code section 6103.5.) $

    b. Pay the following amount directly to court costs included in items 11 and 17 (Gov. Code, §§ 6103.5, 68637; Code Civ. Proc., § 699.520(j).) $

20. The amounts called for in items 11±19 are different for each debtor. (If item 20 is checked, attach a page labeled "Attachment 20" and write the amounts for each debtor. Label each amount with the applicable item number.)

[SEAL]

Date: Clerk, by , Deputy

Rev. July 1, 2026 Writ of Execution EJ-130, Page 2 of 4

EJ-130 Plaintiff/Petitioner: CASE NUMBER: Defendant/Respondent:

21. The judgment is for (check one): a. wages owed.

    b. child support or spousal support. c. personal debt, as defined in Code of Civil Procedure section 683.110(d). (If this box is checked, the judgment creditor must complete Declaration of Address Verification (form WG-015/EJ-135) before asking the sheriff to enforce this writ.)

    d. other (describe):

22. A joint debtor was declared bound by the judgment under Code of Civil Procedure sections 989 through 994.

a. The joint debtor is (specify the name, type of legal entity if not a natural person, and last known address of joint debtor):

b. The joint debtor was declared bound by the judgment on (date):

Check here if you need more space to identify joint debtors or itemize costs against joint debtors. List the additional joint debtors or itemized costs on an attached sheet of paper labeled "Attachment 22."

23. This writ is a Writ of Possession or Writ of Sale. Judgment was entered for the following:

a. Possession of real property: The complaint was filed on (date):

(1) The Prejudgment Claim of Right to Possession (form CP10.5) (check one):

(a) was served in compliance with Code of Civil Procedure section 415.46. The judgment includes all tenants,
subtenants, named claimants, and other occupants of the premises.

(b) was NOT served in compliance with Code of Civil Procedure section 415.46.

(2) The unlawful detainer resulted from a foreclosure sale of a rental housing unit. (An occupant not named in the
judgment may file a Claim of Right to Possession at any time up to and including the time the levying officer returns to
effect eviction, regardless of whether a Prejudgment Claim of Right to Possession was served.) (See Code Civ. Proc.,
§§ 415.46 & 1174.3(a)(2).)

(3) (You must complete this item if you checked 23a(1)(b) or 23a(2)):

(a) The daily rental value on the date the complaint was filed was $
(b) The court will hear objections to enforcement of the judgment under Code of Civil Procedure section 1174.3 on the
following dates (specify):

b. Possession of personal property.
If delivery cannot be had, then for the value (itemize in item 23e) specified in the judgment or supplemental order.

c. Sale of personal property.

d. Sale of real property.

e. The property is described below on Attachment 23e.

Rev. July 1, 2026 Writ of Execution EJ-130, Page 3 of 4

EJ-130 Plaintiff/Petitioner: CASE NUMBER: Defendant/Respondent:

NOTICE TO PERSON SERVED

WRIT OF EXECUTION OR SALE. Your rights and duties are indicated on the accompanying Notice of Levy (form EJ-150).

WRIT OF POSSESSION OF PERSONAL PROPERTY. If the levying officer is not able to take custody of the property, the levying officer will demand that you turn over the property. If custody is not obtained following demand, the judgment may be enforced as a money judgment for the value of the property specified in the judgment or in a supplemental order.

WRIT OF POSSESSION OF REAL PROPERTY. If the premises are not vacated within five days after the date of service on the occupant or, if service is by posting, within five days after service on you, the levying officer will remove the occupants from the real property and place the judgment creditor in possession of the property. Except for a mobile home, personal property remaining on the premises will be sold or otherwise disposed of in accordance with Code of Civil Procedure section 1174 unless you or the owner of the property pays the judgment creditor the reasonable cost of storage and takes possession of the personal property not later than 15 days after the time the judgment creditor takes possession of the premises.

EXCEPTION IF RENTAL HOUSING UNIT WAS FORECLOSED. If the residential property that you are renting was sold in a foreclosure, you have additional time before you must vacate the premises. If you have a lease for a fixed term, such as for a year, you may remain in the property until the term is up. If you have a periodic lease or tenancy, such as from month to month, you may remain in the property for 90 days after receiving a notice to quit. A blank Claim of Right to Possession and Notice of Hearing (form CP10) accompanies this writ. You may claim your right to remain on the property by filling it out and giving it to the sheriff or levying officer.

EXCEPTION IF YOU WERE NOT SERVED WITH A FORM CALLED PREJUDGMENT CLAIM OF RIGHT TO POSSESSION. If you were not named in the judgment for possession and you occupied the premises on the date on which the unlawful detainer case was filed, you may object to the enforcement of the judgment against you. You must complete Claim of Right to Possession and Notice of Hearing (form CP10) and give it to the sheriff or levying officer. A blank form accompanies this writ. You have this right whether or not the property you are renting was sold in a foreclosure.

JUDGMENTS FOR PERSONAL DEBT. If you are the judgment debtor identified in item 4 on this form, and if item 21 on this form says the judgment is for personal debt, the judgment creditor is required to verify your address before asking the levying officer to enforce this Writ of Execution. The judgment creditor must give the levying officer a completed copy of Declaration of Address Verification (form WG-015/EJ-135) and must file completed form WG-015/EJ-135 with the court within 10 business days of giving a copy of the form to the levying officer. If the judgment creditor doesn't take these steps, you can ask the court to stay any wage garnishment order, bank account levy, or other levy related to this Writ of Execution. You can use Application for Stay of Levy or Garnishment (form WG-017/EJ-137) to ask the court to stay the levy or garnishment until the address verification has been completed.

Rev. July 1, 2026 Writ of Execution EJ-130, Page 4 of 4

WG-001WG-001 ‘ATTORNEYATTORNEY OROR PARTYPARTY WITHOUTWITHOUT ATTORNEYATTORNEY (Name,(Name, StateState BarBar number,number, andand address):address): LEVYINGLEVYING OFFICEROFFICER (Name(Name andand Address):Address):

‘TELEPHONETELEPHONE NO.:NO. FAXFAX NO.:NO.
E-MAILE-MAIL ADDRESS:ADDRESS:
ATTORNEYATTORNEY FORFOR (Name):(Name):

SUPERIORSUPERIOR COURTCOURT OFOF CALIFORNIA,CALIFORNIA, COUNTYCOUNTY OFOF ORANGEORANGE STREETSTREET ADDRESS:ADDRESS: MAILINGMAILING ADDRESS:ADDRESS: CITYCITY ANDAND ZIPZIP CODE:CODE: BRANCHBRANCH NAME:NAME: CASE NUMBER:NUMBER: PLAINTIFF/PETITIONER:PLAINTIFF/PETITIONER: ‘COURTCOURT CASE DEFENDANT/RESPONDENT:DEFENDANT/RESPONDENT: APPLICATIONAPPLICATION FORFOR EARNINGSEARNINGS WITHHOLDINGWITHHOLDING ORDERORDER LEVYINGLEVYING OFFICEROFFICER FILEFILE NUMBER:NUMBER: (Wage(Wage Garnishment)Garnishment)

TOTO THETHE SHERIFFSHERIFF OROR ANYANY MARSHALMARSHAL OROR CONSTABLECONSTABLE OFOF THETHE COUNTYCOUNTY OF:OF: OROR ANYANY REGISTEREDREGISTERED PROCESSPROCESS SERVERSERVER 1.1. TheThe judgmentjudgment creditorcreditor (name):(name): requestsrequests issuanceissuance ofof anan EarningsEarnings WithholdingWithholding OrderOrder directingdirecting thethe employeremployer toto withholdwithhold thethe earningsearnings ofof thethe judgmentjudgment debtordebtor (employee).(employee). NameName andand addressaddress ofof employeremployer NameName andand addressaddress ofof employeeemployee J J

L_ J L _J onon formform WG-035WG-035 D unknownunknown2.. TheThe amountsamounts withheldwithheld areare toto bebe paidpaid toto SocialSocial SecuritySecurity no.no. D2 TheThe attorneyattorney (or(or partyparty withoutwithout anan attorney)attorney) b.b. D OtherOther (name,(name, address,address, andand telephone):telephone): a.a. D namednamed atat thethe toptop ofof thisthis page.page.

3.3. a.a. JudgmentJudgment waswas enteredentered onon (date):(date): __________ b.b. CollectCollect thethe amountamount directeddirected byby thethe WritWrit ofof ExecutionExecution unlessunless aa lesserlesser amountamount isis specifiedspecified here:here: $$ ___________ 4.4. CheckCheck anyany thatthat apply:apply: a.a. D ThespousespouseThe WritWritofofofofthetheExecutionExecutionemployee.employee.waswas issuedissued toto collectcollect delinquentdelinquent amountsamounts payablepayable forfor thethe supportsupport ofof aa child,child, formerformer spouse,spouse, oror The The WritWrit ofof ExecutionExecution waswas issuedissued toto collectcollect aa judgmentjudgment basedbased entirelyentirely onon aa claimclaim forfor elderelder oror dependentdependent adultadult financialfinancial b.b. D abuse. abuse. TheThe WritWrit ofof ExecutionExecution waswas issuedissued toto collectcollect aa judgmentjudgment basedbased inin partpart onon aa claimclaim forfor elderelder oror dependentdependent adultadult financialfinancial abuse.abuse. c.c. D TheThe amountamount thatthat arisesarises fromfrom thethe claimclaim forfor elderelder oror dependentdependent adultadult financialfinancial abuseabuse isis (state(state amount):amount): $$ ______ _

(state(state amount):amount): $$ ______ _

Special instructionsinstructions (specify):(specify):5.5. D Special

6.6. CheckCheck aa orb:orb:

| havehave notnot previouslypreviously obtainedobtained anan orderorder directingdirecting thisthis employeremployer toto withholdwithhold thethe earningsearnings ofof thisthis employee.employee. a.a. D I

—oR — -OR-

| havehave previouslypreviously obtainedobtained suchsuch anan order,order, butbut thatthat orderorder (check(check one):one): b.b. D I

was was terminatedterminated byby aa courtcourt order,order, butbut I| amam entitledentitled toto applyapply forfor anotheranother EarningsEarnings WithholdingWithholding OrderOrder underunder D the the provisionsprovisions ofof CodeCode ofof CivilCivil ProcedureProcedure sectionsection 706.105(h).706.105(h). waswas ineffective.ineffective. > D ► (TYPE(TYPE OROR PRINTPRINT NAME)NAME) (SIGNATURE(SIGNATURE OFOF ATTORNEYATTORNEY OROR PARTYPARTY WITHOUTWITHOUT ATTORNEY)ATTORNEY) I| declaredeclare underunder penaltypenalty ofof perjuryperjury underunder thethe lawslaws ofof thethe StateState ofof CaliforniaCalifornia thatthat thethe foregoingforegoing isis truetrue andand correct.correct. Date:Date: »► (TYPE(TYPE OROR PRINTPRINT NAME)NAME) (SIGNATURE(S/GNA TURE OFOF DECLARANT)DECLARANT) PagePage 11 ofof 11 Code Civ. Procedure, § 706.121 FormForm AdoptedAdopted forforMandatonMandatory UseUse net Judicial Council of California www.courts.ca.gov APPLICATIONAPPLICATION FORFOR EARNINGSEARNINGS WITHHOLDINGWITHHOLDING ORDERORDER eee WG-001WG.001 [Rev.[Rev. JanuaryJanuary1,1, 2012]2012] (Wage(Wage Garnishment)Garnishment)

WG-002WG-002 ATTORNEYATTORNEY OROR PARTYPARTY WITHOUTWITHOUT ATTORNEY.ATTORNEY: ‘STATESTATE BARBAR NO.:NO. NAME:NAME: LEVYINGLEVYING OFFICEROFFICER (name(name andand address):address): FIRMFIRM NAME:NAME:

|STREETSTREET ADDRESS:ADDRESS:

cry:CITY: STATE:STATE: ZIPZIP CODE:CODE: TELEPHONETELEPHONE NO.:NO. FAXFAX NO.NO.: EMAILEMAIL ADDRESS:ADDRESS: ATTORNEYATTORNEY FORFOR (name):(name): SUPERIORSUPERIOR COURTCOURT OFOF CALIFORNIA,CALIFORNIA, COUNTYCOUNTY OFOF ORANGEORANGE ‘STREETSTREET ADDRESS:ADDRESS: MAILINGMAILING ADDRESS:ADDRESS: CITY:city: ZIPZIP CODE:CODE: BRANCHBRANCH NAME:NAME: PLAINTIFF/PETITIONER:PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT:DEFENDANT/RESPONDENT: EARNINGSEARNINGS WITHHOLDINGWITHHOLDING ORDERORDER LEVYINGLEVYING OFFICEROFFICER FILEFILE NO.NO.: COURTCOURT CASECASE NO.:NO. (Wage(Wage Garnishment)Garnishment)

EMPLOYEE:EMPLOYEE: KEEPKEEP YOURYOUR COPYCOPY OFOF THISTHIS LEGALLEGAL PAPER.PAPER. EMPLEADO:EMPLEADO: GUARDEGUARDE ESTEESTE PAPELPAPEL OFICIAL.OFICIAL.

EMPLOYER:EMPLOYER: EnterEnter thethe followingfollowing datedate toto assistassist youryour recordkeeping.recordkeeping. DateDate thisthis orderorder waswas receivedreceived byby employeremployer (specify(specify thethe datedate ofof personalpersonal deliverydelivery byby levyinglevying officerofficer oror registeredregistered processprocess serverserver oror thethe datedate mailmail receiptreceipt waswas signed):signed): TOTO THETHE EMPLOYEREMPLOYER REGARDINGREGARDING YOURYOUR EMPLOYEE:EMPLOYEE: NameName andand addressaddress ofof employeremployer NameName andand addressaddress ofof employeeemployee

SocialSocial SecuritySecurity No.No. onon formform WG-035WG-035 unknownunknown

1.1. AA judgmentjudgment creditorcreditor hashas obtainedobtained thisthis orderorder toto collectcollect aa courtcourt judgmentjudgment againstagainst youryour employee.employee. YouYou areare directeddirected toto withholdwithhold partpart ofof thethe earningsearnings ofof thethe employeeemployee (see(see instructionsinstructions onon pagepage 22 ofof thisthis form).form). PayPay thethe withheldwithheld sumssums toto thethe levyinglevying officerofficer (name(name andand addressaddress above).above).

IfIf thethe employeeemployee worksworks forfor youyou now,now, youyou mustmust givegive thethe employeeemployee aa copycopy ofof thisthis orderorder andand EmployeeEmployee InstructionsInstructions (form(form 'WG-003)WG-003) withinwithin 1010 daysdays afterafter receivingreceiving thisthis order.order.

CompleteComplete Employer'sEmployer's ReturnReturn (form(form WG-005)WG-005) andand mailmai it toto thethe levyinglevying officerofficer withinwithin 1515 daysdays afterafter receivingreceiving thisthis order.order. YouYou mustmust dodo soso eveneven ifif thethe employeeemployee nono longerlonger worksworks forfor you.you. 2.2. TheThe totaltotal amountamount duedue is:is: $$

CountCount 3030 calendarcalendar daysdays fromfrom thethe datedate whenwhen youyou werewere servedserved withwith thisthis order.order. DoDo notnot withholdwithhold earningsearnings payablepayable forfor anyany paypay periodperiod thatthat endsends beforebefore thethe 30th30th day.day. DoDo withholdwithhold fromfrom earningsearnings thatthat areare payablepayable forfor anyany paypay periodperiod endingending onon oror afterafter thatthat 30th30th day.day. IfIf youyou receivereceive noticenotice thatthat thethe employeeemployee hashas filedfiled aa claimclaim ofof exemption,exemption, readread thethe InstructionsInstructions toto EmployerEmployer onon pagepage 22 ofof thisthis formform forfor moremore informationinformation aboutabout calculatingcalculating thethe startstart ofof thethe withholdingwithholding period.period. ContinueContinue withholdingwithholding forfor allall paypay periodsperiods untiluntil youyou withholdwithhold thethe amountamount due.due. TheThe levyinglevying officerofficer willwill notifynotify youyou ofof anan assessmentassessment youyou shouldshould withholdwithhold inin additionaddition toto thethe amountamount due.due. DoDo notnot withholdwithhold moremore thanthan thethe totaltotal ofof thesethese amounts.amounts. NeverNever withholdwithhold anyany earningsearnings payablepayable beforebefore thethe beginningbeginning ofof thethe earningsearnings withholdingwithholding period.period.

3.3. TheThe judgmentjudgment waswas enteredentered inin thethe courtcourt onon (date):(date):

TheThe judgmentjudgment creditorcreditor (if(if differentdifferent fromfrom thethe plaintiff)plaintiff) isis (name):(name):

4.4. TheThe InstructionsInstructions toto EmployerEmployer onon pagepage 22 ofof thisthis formform telltell youyou howhow muchmuch ofof thethe employee'semployee's earningsearnings toto withholdwithhold eacheach paydaypayday andand answeranswer otherother questionsquestions youyou maymay have.have. Date:Date:

(TYPE(TYPE OROR PRINTPRINT NAME)NAME) (SIGNATURE)(SIGNATURE)
LEVYING OFFICER, REGISTERED PROCESS SERVER

RovJudicialRev. JanuaryJanuaryCouncil1,1, of362026,California,NandaMandatorycourts.ca.govFormaFm EarningsEarnings WithholdingWithholding OrderOrder WG-002,WG-002, PagePage11 ofof22CoeCode Civ.Gx loc,Proc., §§708706.022,022, 708.108,706.108, 706.125706.125 (Wage Garnishment) (Wage Garnishment)

INSTRUCTIONSINSTRUCTIONS TOTO EMPLOYEREMPLOYER WG-002WG-002 ONON EARNINGSEARNINGS WITHHOLDINGWITHHOLDING ORDERSORDERS TheThe instructionsinstructions inin paragraphparagraph 11 onon pagepage 11 ofof thisthis formform describedescribe youryour initialinitial StateState lawlaw limitslimits howhow muchmuch ofof anan employee'semployee's earningsearnings cancan bebe withheld.withheld. dutiesduties toto provideprovide informationinformation toto youryour employeeemployee andand thethe levyinglevying officer.officer. TheseThese limitslimits areare basedbased onon thethe employee'semployee's disposabledisposable earnings,earnings, notnot theirtheir gross paypay oror take-hometake-home pay.pay.YourYour otherother dutiesduties areare TOTO WITHHOLDWITHHOLD THETHE CORRECTCORRECT AMOUNTAMOUNT OFOF gross EARNINGSEARNINGS (if(if any)any) andand PAYPAY ITIT TOTO THETHE LEVYINGLEVYING OFFICEROFFICER duringduring thethe (A)(A) ToTo determinedetermine thethe CORRECTCORRECT AMOUNTAMOUNT OFOF EARNINGSEARNINGS TOTO BEBE withholdingwithholding period.period. WITHHELDWITHHELD (if(if any),any), firstfirst computecompute thethe employee'semployee's disposabledisposable earnings.earnings. TheThe withholdingwithholding periodperiod isis thethe periodperiod coveredcovered byby EarningsEarnings WithholdingWithholding EarningsEarnings includeinclude anyany moneymoney (whether(whether calledcalled wages,wages, salary,salary, commissions,commissions, OrderOrder (this(this order).order). TheThe withholdingwithholding periodperiod beginsbegins 3030 calendarcalendar daysdays afterafter bonuses,bonuses, oror anythinganything else)else) thatthat isis paidpaid byby anan employeremployer toto anan employeeemployee forforyouyou werewere servedserved withwith thethe orderorder andand continuescontinues untiluntil youyou havehave withheldwithheld thethe personalpersonal services.services. VacationVacation oror sicksick paypay isis subjectsubject toto withholdingwithholding asas itit isistotaltotal amountamount due,due, plusplus additionaladditional amountsamounts forfor costscosts andand interestinterest (which(which willwill receivedreceived byby thethe employee.employee. TipsTips areare generallygenerally notnot includedincluded asas earningsearnings bebe listedlisted inin aa levyinglevying officer'sofficer's notice).notice). However,However, ifif thethe employeeemployee filesfiles aa becausebecause theythey areare notnot paidpaid byby thethe employer.employer.claimclaim ofof exemptionexemption andand notifiesnotes youyou ofof thethe filingfilng nono laterlater thanthan 2929 daysdays afterafter youyou werewere servedserved withwith EarningsEarnings WithholdingWithholding Order,Order, thenthen thethe withholdingwithholding DisposableDisposable earningsearnings areare thethe earningsearnings leftleft afterafter subtractingsubtracting thethe partpart ofof thethe periodperiod beginsbegins 4545 daysdays afterafter youyou werewere servedserved withwith EarningsEamings WithholdingWihholaing earningsearnings aa statestate oror federalfederal lawlaw requiresrequires anan employeremployer toto withhold.withhold. GenerallyGenerally Order.fer. thesethese requiredrequired deductionsdeductions areare (1)(1) federalfederal incomeincome tax,tax, (2)(2) federalfederal socialsocial security, (3)(3) statestate incomeincome tax,tax, (4)(4) statestate disabilitydisability insurance,insurance, andandThe notice security,The withholdingwithholding periodperiod maymay endend soonersooner ifif (1)(1) youyou receivereceive aa writtenwritten notice (5) (5) paymentspayments toto publicpublic employeeemployee retirementretirement systems.systems. DisposableDisposable

retirementretirement systems.systems. DisposableDisposable

retirementretirement systems.systems. DisposableDisposable earningsearningssignedsigned byby thethe levyinglevying officerofficer specifyingspecifying anan earlierearlier terminationtermination date,date, oror willwill changechange whenwhen thethe requiredrequired deductionsdeductions change.change.(2)(2) youyou receivereceive anan orderorder ofof higherhigher prioritypriority (explained(explained onon pagepage 22 ofof

Employer'sEmployer's ReturnReturn (form(form WG-005)).WG-005)). (B)(B) AfterAfter thethe employee'semployee's disposabledisposable earningsearnings areare known,known, calculatecalculate thethe YouYou areare entitledentitled toto relyrely onon andand mustmust obeyobey allall writtenwritten noticesnotices signedsigned byby thethe withholdingwithholding amountamount asas shownshown inin CodeCode ofofCivilCivil ProcedureProcedure sectionsection 706.050.706.050.levyinglevying officer.officer. YouYou cancan followfollow thethe directionsdirections belowbelow inin (C)(C) oror onon thethe CaliforniaCalifornia CourtsCourts Self-Self- HelpHelp websitewebsite (selfhelp.courts.ca.gov/guide-earnings-withholding-orders-(selfhelp.courts.ca.gov/guide-earnings-withholding-orders- Employer'sEmployer's ReturnReturn (form(form WG-005)WG-005) describesdescribes severalseveral situationssituations thatthat couldcould employers).). YouYou willwill needneed toto knowknow thethe amountamount ofof thethe minimumminimum wagewage inin thethe affectaffect thethe withholdingwithholding periodperiod forfor thisthis order.order. IfIf youyou receivereceive moremore thanthan oneone locationlocation wherewhere thethe employeeemployee works.works. EarningsEarnings WithholdingWithholding OrderOrder duringduring aa withholdingwithholding period,period, reviewreview formform WG-005 (C)(C) CalculateCalculate thethe maximummaximum amountamount thatthat maymay bebe withheldwithheld fromfrom thetheWG-005 forfor instructions.instructions. employee's employee's disposabledisposable earnings,earnings, whichwhich isis thethe lesserlesser ofof thethe followingfollowing twotwoIfIf thethe employeeemployee stopsstops workingworking forfor you,you, thethe EarningsEarnings WithholdingWithholding OrderOrder amounts: amounts:endsends afterafter nono amountsamounts areare withheldwithheld forfor aa continuouscontinuous 180-day180-day period.period. IfIf withholdingwithholding endsends becausebecause thethe earningsearnings areare subjectsubject toto anan orderorder ofof higherhigher © 2020 percentpercent ofof disposabledisposable earningsearings forfor thatthat week;week; oror priority,priority, thethe EarningsEarnings WithholdingWithholding OrderOrder endsends afterafteraa continuouscontinuous two-yeartwo-year ¢ 4040 percentpercent ofof thethe amountamount byby whichwhich thethe employee'semployee's disposabledisposable periodperiod duringduring whichwhich nono amountsamounts areare withheldwithheld underunder thethe order.order. ReturnReturn thethe earningsearnings thatthat weekweek exceedexceed thethe applicableapplicable minimumminimum wage.wage. IfIf therethere isisEarningsEarnings WithholdingWithholding OrderOrder toto thethe levyinglevying officerofficer withwith aa statementstatement aa locallocal minimumminimum wagewage inin

ethe order.order. ReturnReturn thethe earningsearnings thatthat weekweek exceedexceed thethe applicableapplicable minimumminimum wage.wage. IfIf therethere isisEarningsEarnings WithholdingWithholding OrderOrder toto thethe levyinglevying officerofficer withwith aa statementstatement aa locallocal minimumminimum wagewage inin effecteffect inin thethe locationlocation wherewhere thethe employeeemployeeexplainingexplaining whywhy itit isis beingbeing returned.returned. worksworks thatthat exceedsexceeds thethe statestate minimumminimum wagewage atat thethe timetime thethe earningsearnings are payable,payable, thethe locallocal minimumminimum wagewage isis thethe applicableapplicable minimumminimum WHATWHAT TOTO DODO WITHWITH THETHE MONEYMONEY are TheThe amountsamounts withheldwithheld duringduring thethe withholdingwithholding periodperiod mustmust bebe paidpaid toto thethe wage.wage. levyinglevying officerofficer byby thethe 15th15th dayday ofof thethe nextnext monthmonth afterafter eacheach payday.payday. IfIf youyou ToTo calculatecalculate thethe correctcorrect amount,amount, followfollow thethe stepssteps below:below: wish thanwish toto paypay moremore frequentlyfrequently than monthly,monthly, eacheach paymentpayment mustmust bebe mademade StepStep 1:1: DetermineDetermine thethe applicableapplicable minimumminimum wagewage perper paypay period.period.withinwithin 1010 daysdays afterafter thethe closeclose ofof thethe paypay period.period. © For Foraa dailydaily oror weeklyweekly paypay period,period, multiplymultiply thethe applicableapplicable hourlyhourlyIncludeInclude thethe casecase number,number, levyinglevying officer'sofficer's filefile numbernumber (if(f differentdifferent fromfrom thethe minimum minimum wagewage byby 48.48.casecase number),number), andand thethe employee'semployee's namename onon eacheach paymentpayment toto ensureensure thethe moneymoney isis appliedapplied toto thethe correctcorrect account.account. ¢ ForForaa biweeklybiweekly paypay period,period, multiplymultiply thethe applicableapplicable hourlyhourly minimumminimum wagewage byby 96.96. WHATWHAT IFIF YOUYOU STILLSTILL HAVEHAVE QUESTIONS?QUESTIONS? © ForForaa semimonthlysemimonthly paypay period,period, multiplymultiply thethe applicableapplicable hourlyhourly TheThe garnishmentgarnishment lawlaw isis containedcontained inin thethe CodeCode ofof CivilCivil ProcedureProcedure minimumminimum wagewage byby 104.104.beginningbeginning withwith sectionsection 706.010.706.010. SectionsSections 706.022,706.022, 706.025,706.026, 706.050,706.050, andand 706.104706.104 explainexplain thethe employer'semployer's duties.duties. ForForaa monthlymonthly paypay period,period, multiplymultiply thethe applicableapplicable hourlyhourly minimumminimum wage byby 208.208.TheThe FederalFederal WageWage GarnishmentGarnishment LawLaw andand federalfederal rulesrules provideprovide thethe basicbasic wage protectionsprotections onon whichwhich thethe CaliforniaCalifornia lawlaw isis based.based. InquiriesInquiries aboutabout thethe StepStep 2:2: SubtractSubtract thethe amountamount fromfrom StepStep 11 fromfrom thethe employee'semployee's disposabledisposable federalfederal lawlaw willwill bebe answeredanswered byby mail,mail, telephone,telephone, oror personalpersonal interviewinterview atat earningsearnings duringduring thatthat paypay period.period. anyany officeoffice ofof thethe WageWage andand HourHour DivisionDivision ofof the'U.S.the U.S. DepartmentDepartment ofof Labor.Labor. StepStep 3:3: IfIf thethe amountamount fromfrom StepStep 22 isis lessless thanthan zero,zero, dodo notnot withholdwithhold anyanyTheThe WageWage andand HourHour Division'sDivision's contactcontact informationinformation isis availableavailable atat dol.gov/dol.gov/

hethe WageWage andand HourHour DivisionDivision ofof the'U.S.the U.S. DepartmentDepartment ofof Labor.Labor. StepStep 3:3: IfIf thethe amountamount fromfrom StepStep 22 isis lessless thanthan zero,zero, dodo notnot withholdwithhold anyanyTheThe WageWage andand HourHour Division'sDivision's contactcontact informationinformation isis availableavailable atat dol.gov/dol.gov/ moneymoney fromfrom thethe employee'semployee's earnings.earnings.agencies/whd/contact.agencies/whd/contact. StepStep 4:4: IfIf thethe amountamount fromfrom StepStep 22 isis greatergreater thanthan zero,zero, multiplymultiply thatthat COMPUTATIONCOMPUTATION INSTRUCTIONSINSTRUCTIONS amountamount byby 0.40.0.40. CodeCode ofof CivilCivil ProcedureProcedure sectionsection 706.050706.050 explainsexplains howhow toto determinedetermine thethe StepStep 5:5: IfIf thethe amountamount fromfrom StepStep 44 isis lowerlower thanthan 2020 percentpercent ofof thethe amountamount toto withholdwithhold (if(if anything)anything) dependingdepending onon thethe employee'semployee's disposabledisposable employee'semployee's disposabledisposable earnings,earnings, withholdwithhold thisthis amount.amount. IfIf itit isis greatergreater thanthan earnings,earnings, whichwhich areare calculatedcalculated basedbased onon thethe employee'semployee's paypay periodperiod andand 2020 percentpercent ofof thethe employee'semployee's disposabledisposable earnings,earnings, withholdwithhold 2020 percentpercent ofof thethe applicableapplicable hourlyhourly minimumminimum wage.wage. ThisThs calculationcalculation isis summarizedsummarized inin thethe disposabledisposable earnings.earnings.thethe nextnext sectionsection ofof thisthis formform andand onon thethe CaliforniaCalifornia CourtsCourts self-helpself-help websitewebsite (selfhelp.courts.ca.gov/guide-earnings-withholding-orders-employers). Occasionally,Occasionally, thethe employee'semployee's earningsearnings willwill alsoalso bebe subjectsubject toto aa WageWage andand EarningsEarnings AssignmentAssignment Order,Order, anan orderorder availableavailable fromfrom familyfamily lawlaw THESETHESE COMPUTATIONCOMPUTATION INSTRUCTIONSINSTRUCTIONS APPLYAPPLY UNDERUNDER NORMALNORMAL courtscourts forfor child,child, spousal,spousal, oror familyfamily support.support. TheThe amountamount requiredrequired toto bebe CIRCUMSTANCES.CIRCUMSTANCES. THEYTHEY DODO NOTNOT APPLYAPPLY TOTO ORDERSORDERS FORFOR THETHE withheldwithheld forfor thatthat orderorder shouldshould bebe deducteddeducted fromfrom thethe amountamount toto bebe SUPPORTSUPPORT OFOFAA SPOUSE,SPOUSE, FORMERFORMER SPOUSE,SPOUSE, OROR CHILD.CHILD. withheldwithheld forfor thisthis order.order. IMPORTANTIMPORTANT WARNINGSWARNINGS 1.1. ITIT ISIS AGAINSTAGAINST THETHE LAWLAW TOTO FIREFIRE THETHE EMPLOYEEEMPLOYEE BECAUSEBECAUSE OFOF EARNINGSEARNINGS WITHHOLDINGWITHHOLDING ORDERSORDERS FORFOR THETHE PAYMENTPAYMENT OFOF ONLYONLY ONEONE INDEBTEDNESS.INDEBTEDNESS. NoNo mattermatter howhow manymany ordersorders youyou receive,receive, soso longlong asas theythey allall relaterelate toto aa singlesingle judgmentjudgment (no(no mattermatter howhow manymany debtsdebts areare representedrepresented inin thatthat judgment),judgment), thethe employeeemployee maymay notnot bebe fired.fired. 2.2. ITITISIS ILLEGALILLEGAL TOTO AVOIDAVOID ANAN EARNINGSEARNINGS WITHHOLDINGWITHHOLDING ORDERORDER BYBY POSTPONINGPOSTPONING OROR ADVANCINGADVANCING THETHE PAYMENTPAYMENT OFOF EARNINGS.EARNINGS. TheThe employee'semployee's paypay periodperiod mustmust notnot bebe changedchanged toto preventprevent thethe orderorder fromfrom takingtaking effect.effect. 3.3. ITITISIS ILLEGALILLEGAL NOTNOT TOTO PAYPAY AMOUNTSAMOUNTS WITHHELDWITHHELD FORFOR THETHE EARNINGSEARNINGS WITHHOLDINGWITHHOLDING ORDERORDER TOTO THETHE LEVYINGLEVYING OFFICER.OFFICER. YourYour dutyduty isis, toto paypay thethe moneymoney toto thethe levyinglevying officerofficer whowho willwill paypay thethe moneymoney inin accordanceaccordance withwith thethe lawlaw thatthat appliesapplies toto thisthis case.case. IFIF YOUYOU VIOLATEVIOLATE ANYANY OFOF THESETHESE LAWSLAWS YOUYOU MAYMAY BEBE HELDHELD LIABLELIABLE TOTO PAYPAY CIVILCIVIL DAMAGESDAMAGES ANDAND YOUYOU MAYMAY BEBE SUBJECTSUBJECT TOTO CRIMINALCRIMINAL PROSECUTION!PROSECUTION!

Rev.Rev. JanuaryJanuary 1,1, 20262026 EarningsEarnings WithholdingWithholding OrderOrder WG-002,WG-002, PagePage 22 ofof22 (Wage(Wage Garnishment)Garnishment)

WG-005 ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO.: LEVYING OFFICER (name and address):

NAME:

FIRM NAME:

STREET ADDRESS:

CITY: STATE: ZIP CODE:

TELEPHONE NO.: FAX NO.:

EMAIL ADDRESS:

ATTORNEY FOR (name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF/PETITIONER: COURT CASE NUMBER:

DEFENDANT/RESPONDENT: EMPLOYER'S RETURN LEVYING OFFICER FILE NUMBER: (Wage Garnishment)

Instructions to the employer for completing this form: You must complete this form and mail it to the levying officer within 15 days. Failure to complete and return this form may subject you to payment of attorney's fees and other civil penalties. Give your name and address, the name of the person to whom notices should be directed, the name and address of the employee, and information about where to find the employee's Social Security number in the boxes below. If that information has already been provided, please correct any errors.

Name and address of employer Name and address of employee

Send notices to (name): Social Security No. on form WG-035 unknown

1. I received the Earnings Withholding Order on (date):

2. The employee is (check one): a. not employed by this employer. (If not employed, skip items 2b through 7 and proceed to the declaration at the end of this form.)

   b. now employed by this employer and in the last pay period had gross earnings of: $

3. The employee's pay period is

   a. daily c. weekly e. every two weeks

   b. twice a month d. monthly f. other (specify):

4. The employee was given a copy of the Earnings Withholding Order and Employee Instructions (form WG-003) a. on (date):

   b. by (name and title of person):

   c. as follows (describe how the documents were provided to the employee):

   (IF YOU HAVE RECEIVED NO OTHER ORDERS THAT PRESENTLY AFFECT THIS EMPLOYEE'S EARNINGS, SKIP ITEMS 5, 6, & 7 AND PROCEED TO THE DECLARATION AT THE END OF THIS FORM.)

   The Federal Wage Garnishment Law and federal rules provide the basic protections on which the California law is based.

Judicial Council of California, courts.ca.gov Rev. July 1, 2026, Mandatory Form Employer's Return WG-005, Page 1 of 2 Code Civ. Proc., § 706.126 (Wage Garnishment)

WG-005

SHORT TITLE: LEVYING OFFICER FILE NUMBER: COURT CASE NUMBER:

If you have received other orders that presently affect this employee's earnings, another order may have priority over this one. Orders are prioritized as follows:

PRIORITY OF EARNINGS WITHHOLDING ORDERS

First: Wage and Earnings Assignment Order (for Support)
Second: Earnings Withholding Order for Support
Third: Earnings Withholding Order for Taxes
Fourth: Earnings Withholding Order for Elder or Dependent Adult Financial Abuse
Fifth: Earnings Withholding Order

If two or more orders have the same priority, comply with the one received first. If both were received on the same date, comply with the one with the earlier date of judgment. If the dates of judgment are the same, you may select which order you choose to comply with.

5. This order appears to have higher priority than any other order. Earnings will be withheld for this order in accord with the

   EMPLOYER'S INSTRUCTIONS (on page 2 of Earnings Withholding Order).

6. The employer has received another order affecting the employee's earnings and earnings are being withheld for the other order because:

   a. The other order was received first. The other order was received on (date):

   b. This order does not have higher priority.

   c. A copy of the other order is attached. (Keep the original for your records. If a copy is not attached, complete item d.)

   d. A copy of the other order is NOT attached. (Describe the other order by providing the following information:)

   (1) Court name, address, and case number:

   (2) Name of the judgment creditor who secured the order:

   (3) Date the order was issued:

   (4) Date the order expires:

   (5) Levying officer name, address, and file number:

   (6) Total amount to be withheld: $

7. This order is not effective for the reason shown in item 6. It is being returned to the levying officer with this return.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

Type or Print Name Signature of Declarant

If an Earnings Withholding Order is not effective when served, for any reason, do not hold it.
Return it to the levying officer with this return.

FAILURE TO COMPLETE AND RETURN THIS FORM MAY SUBJECT AN EMPLOYER
TO CIVIL PENALTIES AND ATTORNEY'S FEES.

Rev. July 1, 2026 Employer's Return WG-005, Page 2 of 2 (Wage Garnishment)

SER-001] Silt RequestRequest forfor SheriffSheriff toto ServeServe CourtCourt PapersPapers

CONFIDENTIAL | (Instructions:Instructions: EachEach countycounty inin CaliforniaCalifornia hashas aa sheriffsheriff (and(and sometimessometimes aa | ___CONFIDENTIAL

marshal’smarshal ’s office)office) thatthat cancan serveserve differentdifferent typestypes ofof courtcourt papers,papers, includingincluding ToTo CourtCourt Clerk:Clerk: DoDo notnot filefile thisthis form.form. restrainingrestraining orders.orders. NoteNote thatthat thethe sheriffsheriff cannotcannot guaranteeguarantee thatthat theythey willwill bebe successfulsuccessful inin findingfinding thethe personperson youyou needneed served,served, butbut theythey willwill trytry toto serveserve basedbased onon thethe informationinformation youyou putput onon thisthis form.form. Sheriff File Number (for sheriffto Sheriff File Number (for sheriff to . complete,complete, ifif needed):needed):

• CompleteComplete thisthis formform forfor eacheach setset ofof paperspapers youyou needneed served.served. YouYou mustmust P » completecomplete aa separateseparate formform forfor eacheach personperson youyou needneed served.served.

¢ FindFind outout wherewhere thethe personperson youyou needneed servedserved isis located.located. GiveGive youryour paperspapers toto FillFill inin casecase number:number: thethe sheriffsheriff oror marshal’smarshal’s officeoffice inin thatthat county.county. CourtCourt CaseCase Number:Number: « YouYou maymay havehave toto paypay forfor serviceservice ofof somesome courtcourt papers.papers. ForFor moremore information,information, seesee pagepage 55 ofof thisthis form,form, oror gogo toto selfhelp.courts.ca.gov/sheriff-serves.selfhelp.courts.ca.gov/sheriff-serves.

• DoDo notnot useuse thisthis formform ifif youyou areare askingasking thethe sheriffsherifftoto enforceenforce aa wagewage garnishmentgarnishment orderorder onon anan employer.employer. Instead,Instead, useuse formsforms WG-001,WG-001, ApplicationApplication forfor EarningsEarnings WithholdingWithholding Order,Order, andand WG-035,WG-035, ConfidentialConfidential StatementStatement ofof JudgmentJudgment Debtor’sDebtor's SocialSocial SecuritySecurity Number.Number.

¢ IfIf youyou wantwant thethe sheriffsheriff toto enforceenforce aa writwrit oror levy,levy, completecomplete thisthis formform andand formform SER-001A,SER-001A, SpecialSpecial InstructionsInstructions forfor WritsWrits andand LeviesLevies—Attachment.—Attachment. wy

AllAll informationinformation isis requiredrequired unlessunless itit isis listedlisted asas optionaloptional oror doesdoes notnot applyapply toto youryour case.case.

@ To thethe SheriffSheriff oror MarshalMarshal ofof (name(name ofof county):county): 1 To

@)2 YourYour InformationInformation a.a. YourYour namename (party(party requestingrequesting service):service):

b.b. YourYour lawyer’slawyer’s informationinformation (if(if youyou havehave one)one)
Name:Name:
FirmFirm name:name:

c.c. CourtCourt casecase name:name:
(example:(example: GarciaGarcia v.v. Smith)Smith)

d.d. ContactContact informationinformation forfor thethe sheriffsheriff oror marshalmarshal toto reachreach youyou
(Give(Give anan addressaddress wherewhere youyou cancan receivereceive mailmail regularly,regularly, likelike aa postpost officeoffice box,box, aa SafeSafe atat HomeHome address,address, oror
anotheranother safesafe address.address. IfIf youyou havehave aa lawyer,lawyer, givegive thethe lawyer’slawyer's information.)information.)
AddressAddress toto receivereceive mail:mail:
City:City: State:State: Zip:Zip:
TelephoneTelephone numbernumber (optional):(optional): EmailEmail addressaddress (optional):(optional):

CONFIDENTIALCONFIDENTIAL
ThisThis isis notnot aa courtcourt form.form. DoDo notnot filefile withwith thethe court.court.
PagePage 11 ofof 55FeJudicialRev.naccyJanuaryCouncil1, of2026,2008California,MandatoryMononcourts.ca.govFormEen RequestRequest forfor SheriffSheriff toto ServeServe CourtCourt PapersPapers SER-001,SER-001,

0080.10Gov.26666.10Gov. Code,Code, §§§§ 7927.430,7927.430, 26666,26666, 26666.5,266665,

CourtCourt CaseCase Number:Number:

3 InformationInformation AboutAbout PersonPerson oror EntityEntity YouYou WantWant ServedServed (Check(Check aa oror b)b)

a.a. Ilaskask thethe sheriffsheriff toto serveserve aa personperson (complete(complete sectionsection below)below)
(1)(1) NameName ofofperson:person:
NicknamesNicknames oror aliasesaliases (optional):(optional):

(2)(2) TelephoneTelephone numbernumber (optional):(optional):

(3)(3) CanCan youyou describedescribe thethe person?person?
No,No, II dodo notnot havehave anyany informationinformation aboutabout thethe personperson’s’ s description.description.
YesYes (complete(complete thethe sectionsection belowbelow withwith anyany informationinformation youyou have):have):
Gender:Gender: [J MaleMale (1) FemaleFemale [) NonbinaryNonbinary
Height:Height: Weight:Weight: HairHair color:color: EyeEye color:color:
DateDate ofof birthbirth oror ageage (give(give estimate,estimate, ifif unknown):unknown):
Race/Ethnicity:Race/Ethnicity:
SpecialSpecial marksmarks oror featuresfeatures (tattoos,(tattoos, scars,scars, etc.):etc.):
VehicleVehicle (type,(type, model,model, year,year, color,color, plateplate number):number):
CheckCheck herehere ififyouyou areare includingincluding aa picturepicture ofof thethe person.person.

(4)(4) DoDo youyou knowknow ofof anyany safetysafety oror accessibilityaccessibility issues?issues?
NoNo
YesYes (complete(complete thethe sectionsection belowbelow withwith anyany informationinformation youyou have):have):
TheThe personperson (check(check allall thatthat apply):apply):
HasHas aa gungun oror otherother weapon.weapon. IsIs onon probationprobation oror parole.parole.
HasHas aa historyhistory ofof violenceviolence oror abuse.abuse. HasHas anan aggressiveaggressive animal.animal.
HasHas specialspecial trainingtraining (examples:(examples: military,military, firstfirst responder).responder). HasHas mentalmental healthhealth issues.issues.
IsIs deafdeaf oror hardhard ofof hearing.hearing.
DoesDoes notnot speakspeak EnglishEnglish (list(list language):language):
AddAdd anyany otherother informationinformation aboutabout safetysafety oror accessibilityaccessibility thatthat youyou knowknow about:about:

b.b. Ilaskask thethe sheriffsheriff toto serveserve anan entityentity (examples:(examples: businessbusiness oror governmentgovernment agency)agency)
(1)(1) NameName andand typetype ofof entity:entity:
TelephoneTelephone numbernumber (optional):(optional):

(2)(2) IfIf therethere isis aa specificspecific personperson whowho shouldshould bebe served,served, givegive name:name:

(3)(3) IfIf therethere isis anan agentagent forfor serviceservice ofof process,process, givegive name:name:

(4)(4) ListList anyany safetysafety oror accessibilityaccessibility issuesissues (examples:(examples: weapons,weapons, aggressiveaggressive animals,animals, languagelanguage barrier):barrier):

CONFIDENTIALCONFIDENTIA

ThisThis isis notnot aa courtcourt form.form. DoDo notnot file withith thethe court.court.

Rev.Rev. JanuaryJanuary 1,1, 20262026 RequestRequest forfor SheriffSheriff toto ServeServe CourtCourt PapersPapers SER-001,SER-001, PagePage 2aNof 5

CourtCourt CaseCase Number:Number:

@ 4 AddressAddress WhereWhere PersonPerson oror EntityEntity ShouldShould BeBe ServedServed (The(The sheriffsheriff typicallytypically servesserves duringduring normalnormal businessbusiness hours.hours. CheckCheck withwith thethe sheriff'ssheriff’s officeoffice forfor thethe exactexact times.)times.)

Address:Address: HomeHome BusinessBusiness
City:City: State:State: Zip:Zip:
GateGate codecode oror specialspecial instructions:instructions:
BestBest timetime toto serveserve atat thisthis addressaddress (example:(example: 88 a.m.–noon):a.m.—noon):
CheckCheck herehereifif thethe personperson isis inin jailjail oror prisonprison (give(give namename ofoffacility):facility):

AlternateAlternate addressaddress (optional)(optional)
(If(If thethe personperson cannotcannot bebe foundfound atat thethe addressaddress listedlisted above,above, somesome sheriffssheriffs maymay trytry aa secondsecond addressaddress ifif it’sit’s inin thethe
samesame county.county. IfIf youyou havehave aa secondsecond addressaddress forfor thethe personperson youyou wantwant served,served, completecomplete thethe sectionsection below.)below.)
Address:Address: HomeHome BusinessBusiness
City:City: State:State: Zip:Zip:
GateGate codecode oror specialspecial instructions:instructions:
BestBest timetime toto serveserve atat thisthis addressaddress (example:(example: 88 a.m.–noon):a.m.—noon):

®5 InformationInformation AboutAbout YourYour RequestRequest

a.a. WhatWhat typetype ofof courtcourt paperspapers areare youyou givinggiving thethe sheriffsheriff toto serveserve (examples:(examples: summons,summons, restrainingrestraining order,order, eviction,eviction, smallsmall claims,claims, bankbank levy,levy, oror writwrit ofof attachment)?attachment)?

b. ListList allall formsforms oror courtcourt paperspapers youyou wantwant servedserved onon thethe personperson inin ®3 a.a. (optional).(optional). (Note:(Note: YouYou cancan listlist eacheach formform byby itsits formform numbernumber (example:(example: FL-100,FL-100, SC-100).SC-100). IfIf therethere isis nono formform number,number, givegive thethe titletitle ofof thethe document.document. TheThe courtcourt maymay havehave orderedordered youyou toto serveserve certaincertain papers.papers. LookLook atat thethe court’scourt’ s orderorder andand listlist allall formsforms required.required. IfIf youyou dodo notnot knowknow whichwhich paperspapers youyou needneed toto serve,serve, askask aa lawyer,lawyer, oror contactcontact youryour locallocal self-helpself-help centercenter forfor freefree information.)information.)

c.c. IsIs therethere aa courtcourt hearinghearing (court(court date)?date)? II don’tdon’t knowknow NoNo YesYes (if(ifyes,yes, givegive datedate ofof hearing):hearing):

CONFIDENTIALCONFIDENTIAL

This isis notnot aa courtcourt form.form. DoDo notnot file with thee court.court.

Rev.Rev. JanuaryJanuary 1,1, 20262026 aof 5 RequestRequest forfor SheriffSheriff toto ServeServe CourtCourt PapersPapers SER-001,SER-001, PagePage 3

CourtCourt CaseCase Number:Number:

®5 d.d. IsIs therethere aa deadlinedeadline forfor service?service? II don’tdon’t knowknow NoNo YesYes (if(if yes,yes, givegive deadline):deadline):

e.e. HasHas thethe courtcourt allowedallowed youyou toto serveserve youryour courtcourt paperspapers inin anotheranother wayway besidesbesides personalpersonal serviceservice (example:(example: substitutedsubstituted service)?service)? II don’tdon’ t knowknow NoNo YesYes (if(if yes,yes, includeinclude aa copycopy ofofthethe orderorder allowingallowing anotheranother typetype ofof service)service)

rhf. Isa therethere anyany otherother informationinformation youyou wantwant oror needneed toto givegive toto thethe sheriffsheriff toto serveserve youryour courtcourt papers?papers? NoNo YesYes (if(if yes,yes, givegive informationinformation below):below):

®6 EnforcementEnforcement ofof WritWrit oror LevyLevy

IfIf youyou wantwant thethe sheriffsheriff toto enforceenforce aa writwrit oror levy,levy, youyou mustmust completecomplete formform SER-001A,SER-001A, SpecialSpecial InstructionsInstructions forfor WritsWrits andand LeviesLevies—Attachment,—Attachment, andand turnturn itit inin withwith thisthis form.form.

(Only(Only completecomplete thisthis sectionsection ifif youyou wantwant thethe sheriffsheriff toto enforceenforce aa writwrit oror levy.)levy.) DoDo youyou wantwant thethe sheriffsheriff toto bothboth serveserve youryour courtcourt paperspapers andand actact asas levyinglevying officer?officer? YesYes No.No. II onlyonly wantwant thethe sheriffsherifftoto actact asas levyinglevying officer.officer. AA registeredregistered processprocess serverserver hashas oror willwill serveserve mymy papers.papers.

YourYour SignatureSignature (party(party askingasking forfor service,service, oror theirtheir lawyer)lawyer)

Date:Date:

TypeType oror printprint youryour namename SignSign youryour namename (may(may bebe electronic)electronic)

CONFIDENTIALCONFIDENTIA
This isis notnot aa courtcourt form.form. DoDo notnot file with thee court.court.

Rev.Rev JanuaryJanuary 1,1, 20262026 RequestRequest forfor SheriffSheriff toto ServeServe CourtCourt PapersPapers SER-001,SER-001, PagePage 4“ofoS5

CourtCourt CaseCase Number:Number:

YourYour NextNext StepsSteps

¢ FindFind outout ifif youyou needneed toto paypay aa feefee forfor serviceservice byby askingasking thethe court’scourt ’ s self-helpself-help center,center, aa lawyer,lawyer, oror thethe sheriff’ssheriff's office.office. HereHere areare somesome situationssituations wherewhere youyou dodo notnot needneed toto paypay forfor service:service: IfIf youyou havehave aa feefee waiverwaiver inin youryour casecase (fee(fee waiverwaiver grantedgranted byby aa judgejudge onon formform FW-003FW-003 oror FW-005).FW-005). IfIf youyou areare servingserving aa domesticdomestic violence,violence, elderelder abuse,abuse, oror gungun violenceviolence restrainingrestraining order.order. ¢ IfIf youyou havehave aa civilcivil harassment,harassment, workplaceworkplace violence,violence, oror schoolschool violenceviolence restrainingrestraining orderorder basedbased onon aa crediblecredible threatthreat ofof violenceviolence oror stalking.stalking.

GiveGive thisthis formform andand aa copycopy ofof allall thethe courtcourt paperspapers youyou needneed servedserved toto thethe sheriffsheriff oror marshal,marshal, includingincluding aa copycopy ofof aa feefee waiverwaiver (if(if youyou havehave one).one). YouYou cancan turnturn inin youryour paperspapers inin personperson oror sendsend themthem electronically.electronically.

¢ YouYou shouldshould getget aa formform backback fromfrom thethe sheriff.sheriff. e IfIf thethe sheriffsheriff waswas ableable toto serveserve youryour courtcourt papers,papers, youyou shouldshould receivereceive aa formform (called(called aa proofproof ofof service).service). MakeMake suresure youyou getget aa copycopy fromfrom thethe sheriffsheriff andand filefile itit withwith thethe court.court. NoteNote thatthat ifif therethere isis aa courtcourt stampstamp atat thethe toptop rightright cornercorner ofof thethe firstfirst page,page, itit hashas alreadyalready beenbeen filedfiled andand youyou dodo notnot needneed toto filefile itit withwith thethe court.court. ¢ IfIf thethe sheriffsheriff waswas unableunable toto serveserve youryour courtcourt papers,papers, youyou shouldshould receivereceive aa formform (sometimes(sometimes calledcalled declarationdeclaration ofof duedue diligence)diligence) thatthat tellstells youyou thatthat serviceservice waswas unsuccessfulunsuccessful andand willwill givegive detailsdetails aboutabout whenwhen thethe sheriffsheriff triedtried toto serveserve thethe person.person. IfIf thethe sheriffsheriff waswas unableunable toto serveserve youryour papers,papers, youyou cancan askask aa lawyerlawyer oror court’scourt’s self-helpself-help centercenter aboutabout youryour nextnext steps.steps.

¢ ToTo findfind youryour locallocal courtcourt self-helpself-help center,center, gogo toto selfhelp.courts.ca.gov/.selfhelp.courts.ca.gov/. Self-helpSelf-help centercenter staffstaff willwill notnot actact asas youryour lawyerlawyer butbut maymay bebe ableable toto givegive youyou informationinformation toto helphelp youyou decidedecide whatwhat toto dodo inin youryour case.case. ServicesServices areare free.free.

ToTo SheriffSheriff oror MarshalMarshal

e ThisThis formform isis confidentialconfidential andand mustmust notnot bebe mademade public.public.

e AnyAny paperspapers submittedsubmitted withwith thisthis formform shouldshould bebe servedserved andand listedlisted onon thethe applicableapplicable proofproof ofof serviceservice form.form.

¢ NoteNote thatthat ®5 bb isis optionaloptional andand maymay helphelp toto identifyidentify documentsdocuments thatthat shouldshould havehave beenbeen submittedsubmitted butbut werewere notnot receivedreceived byby youryour office.office.

¢ UnderUnder GovernmentGovernment CodeCode sectionsection 26666.2,26666.2, onceonce you’veyou’ve receivedreceived aa completedcompleted copycopy ofof thisthis formform andand formsforms forfor service,service, youyou mustmust attemptattempt serviceservice unless:unless: e AnyAny orderorder submittedsubmitted doesdoes notnot havehave aa judge’judge’ss signaturesignature oror otherother representationrepresentation ofof aa judge’judge’ss signature;signature; clerk’sclerk’s endorsement;endorsement; oror courtcourt stamp,stamp, seal,seal, oror otherother courtcourt endorsement;endorsement; oror

e AA courtcourt casecase numbernumber isis notnot listedlisted onon thethe order,order, summons,summons, oror otherother notice.notice. wy,

CONFIDENTIALCONFIDENTIAL

ThisThis isis notnot aa courtcourt form.form. DoDo notnot file with thee court.court.

Rev.Rev. JanuaryJanuary 1,1, 20262026 RequestRequest forfor SheriffSheriff toto ServeServe CourtCourt PapersPapers SER-001,SER-001, PagePage55 ofof 55

SER-001A SpecialSpecial InstructionsInstructions forfor CONFIDENTIAL SER-001A WritsWrits andand Levies—AttachmentLevies —Attachment SheriffSheriff FileFile NumberNumber (for(for sheriffsheriff toto complete,complete, ifif needed):needed): InstructionsInstructions Generally,Generally, youyou willwill notnot needneed toto completecomplete thisthis formform ifif youyou areare askingasking thethe sheriffsheriff toto serveserve aa complaintcomplaint (unless(unless withwith aa writwrit ofof attachment)attachment) oror aa restrainingrestraining order.order. ¢ CompleteComplete thisthis_formform ifif. youyou wantwant thethe sheriffsheriff-_ oror marshalmarshal toto enforceenforce aa writ.writ.+ YouYou FillFill—in ovecase number:ber: mustmust completecomplete thisthis formform andand formform SER-001,SER-001, RequestRequest forfor SheriffSherifftoto ServeServe CourtCourt CaseCase Number:Number: CourtCourt Paper,Paper, andand turnturn bothboth formsforms inin toto thethe sheriffsheriff oror marshal.marshal.

• YouYou mustmust includeinclude anyany writwrit andand relatedrelated orderorder youyou wantwant thethe sheriffsherifftoto enforce.enforce.

ThisThis formform isis attachedattached toto formform SER-001,SER-001, RequestRequest forfor SheriffSheriff toto ServeServe CourtCourt Papers.Papers.

AllAll informationinformation isis requiredrequired unlessunless itit isis listedlisted asas optionaloptional oror doesdoes notnot applyapply toto youryour case.case. ForFor moremore informationinformation aboutabout whatwhat maymay bebe requiredrequired inin youryour case,case, gogo toto selfhelp.courts.ca.gov/sheriff-serves.selfhelp.courts.ca.gov/sheriff-serves.

@)1 AdditionalAdditional InformationInformation AboutAbout YouYou (Person(Person RequestingRequesting Service)Service) AreAre youyou aa judgmentjudgment creditorcreditor (person(person awardedawarded moneymoney oror propertyproperty byby thethe court)?court)? YesYes NoNo (complete(complete thethe sectionsection below):below): (a)(a) WhatWhat isis youryour rolerole inin thethe case?:case?:

(b)(b) IsIs therethere aa judgmentjudgment creditorcreditor inin youryour case?case? NoNo YesYes (list(list thethe namesnames ofof allall judgmentjudgment creditors):creditors):

@2 AdditionalAdditional InformationInformation AboutAbout PersonPerson oror EntityEntity YouYou WantWant ServedServed TheThe personperson oror entityentity youyou wantwant servedserved (listed(listed inin itemitem @)3 ofof formform SER-001):SER-001): (check(check one)one)

OwesOwes youyou moneymoney inin thisthis casecase (judgment(judgment debtor).debtor). IsIs notnot aa partyparty inin thisthis casecase butbut hashas thethe property.property. IsIs aa personperson whowho liveslives onon thethe property.property. OtherOther (explain):(explain):

CONFIDENTIALCONFIDENTIAL This is notnot aa courtcourt form.form. DoDo notnot file withwith thethe court.cou

Judicial -( PagePage 11 ofof 33 Rev.Judicialov JanuaryJanuaryCouncilCouncil1,4.2028,ofof2026,California,California,MandatoryMandatedcourts.ca.govcourts.ca.govFormFarm SpecialSpeciali InstructionsInstructionsiT forfor WritsWritsi andand SER-001A,SER-001A, Gov. Code,Code, §§§§ 7927.430,7927 430, 26666,26666, 26666.5,26666.5, > Levies—AttachmentLevies—Attachment2666.10Gov.26666.10

CourtCourt CaseCase Number:Number:

@®3 InformationInformation AboutAbout thethe WritWrit andand JudgmentJudgment

a.a. DateDate writwrit waswas issued:issued:

b.b. TheThe writwrit includedincluded withwith thisthis requestrequest isis (check(check one):one): AnAn originaloriginal writ.writ. AA copycopy ofofthethe originaloriginal writwrit issuedissued byby thethe courtcourt asas anan electronicelectronic recordrecord andand hashas notnot alreadyalready beenbeen givengiven toto thethe levyinglevying officerofficer (sheriff(sheriff oror marshal).marshal). AA copycopy ofofthethe originaloriginal writwrit thatthat hashas alreadyalready beenbeen givengiven toto thethe levyinglevying officerofficer (sheriff(sherifforor marshal).marshal).

c.c. HasHas aa judgmentjudgment beenbeen issuedissued byby thethe court?court? NoNo YesYes (complete(complete sectionsection below):below): (1)(1) DateDate judgmentjudgment waswas issued:issued: (2)(2) IfIfitit isisaa moneymoney judgment,judgment, givegive amount:amount: (3)(3) ListList allall judgmentjudgment debtorsdebtors (the(the peoplepeople oror organizationsorganizations thatthat oweowe money)money) ifif therethere areare anyany inin thisthis case.case. IfIf thethe judgmentjudgment debtordebtor isis anan organizationorganization (such(such asas aa business),business), includeinclude thethe typetype ofof organizationorganization (example:(example: corporation):corporation):

O)4 InformationInformation AboutAbout thethe PropertyProperty toto LevyLevy a.a. DescribeDescribe thethe propertyproperty inin asas muchmuch detaildetail asas possible.possible. ForFor example:example: ForFor bankbank accounts,accounts, givegive accountaccount numbernumber (if(if known).known). ForFor personalpersonal property,property, describedescribe propertyproperty andand givegive thethe addressaddress wherewhere propertyproperty isis located.located. ForFor vehicles,vehicles, givegive licenselicense plateplate numbernumber andand addressaddress wherewhere vehiclevehicle isis located.located. ForFor evictions,evictions, givegive addressaddress andand anyany informationinformation neededneeded toto accessaccess thethe property.property. ForFor realreal propertyproperty (other(other thanthan evictions),evictions), givegive legallegal description,description, address,address, andand assessor’sassessor ’s parcelparcel number.number. IfIf requesterrequester isis notnot thethe personperson receivingreceiving thethe property,property, givegive clearclear instructionsinstructions onon whowho willwill receivereceive thethe propertyproperty andand how.how.

CheckCheck herehere ifif youyou areare includingincluding aa mapmap oror otherother documentdocument toto describedescribe property.property.

CONFIDENTIALCONFIDENTIAL This iss notnot aa courtcourt form.form. DoDo notnot file withith thethe court.court. Rev.Rev. JanuaryJanuary 1,1, 20262026 SpecialSpecial InstructionsInstructions forfor WritsWrits andand SER-001A,SER-001A, PagePage 22 ofof 33 Levies—AttachmentLevies — Attachment

CourtCourt CaseCase Number:Number:

@4 b.b. IsIs thethe propertyproperty inin thethe judgmentjudgment debtor’sdebtor ’s name,name, oror inin thethe defendant’sdefendant’s namename ifif thethe writwrit describeddescribed inin @)is3 is aa writwrit ofof attachment?attachment? YesYes NoNo (list(list thethe namesnames ofof ownersowners andand explainexplain theirtheir interestinterest inin thethe property,property, includingincluding anyany leaseholdleasehold interest):interest):

(Note:(Note: YouYou maymay alsoalso needneed toto havehave thethe peoplepeople listedlisted aboveabove servedserved withwith youryour courtcourt papers.papers. CheckCheck thethe CodeCode ofof CivilCivil ProcedureProcedure forfor serviceservice requirementsrequirements oror talktalk withwith aa lawyer.lawyer. YourYour locallocal courtcourt self-helpself-help centercenter maymay bebe ableable toto helphelp youyou forfor free.free. ToTo findfind youryour locallocal self-helpself-help center,center, gogo toto selfhelp.courts.ca.gov/find.)selfhelp.courts.ca.gow/find.) c.c. AreAre youyou askingasking thethe sheriffsherifftoto levylevy onon propertyproperty thatthat isis aa dwellingdwelling (a(a placeplace someonesomeone cancan livelive in)?in)? NoNo YesYes (complete(complete thethe sectionsection below):below): TheThe dwellingdwelling isis (check(check one):one): RealReal propertyproperty (examples:(examples: house,house, condo,condo, otherother buildingbuilding attachedattached toto land)land) PersonalPersonal propertyproperty (examples:(examples: houseboat,houseboat, RV)RV)

®5 EnforcementEnforcement ofof aa JudgmentJudgment forfor PersonalPersonal DebtDebt IfIf youyou areare thethe judgmentjudgment creditorcreditor andand youyou areare askingasking thethe sheriffsheriff toto serveserve aa writ,writ, levy,levy, oror otherother documentdocument relatedrelated toto enforcementenforcement ofof aa judgmentjudgment forfor personalpersonal debtdebt (as(as defineddefined inin CodeCode ofof CivilCivil ProcedureProcedure sectionsection 683.110(d)),683.110(d)), youyou mustmust verifyverify thethe judgmentjudgment debtor’sdebtor’s addressaddress beforebefore thethe sheriffsheriff cancan serveserve youryour papers.papers. AreAre thethe documentsdocuments youyou areare askingasking thethe sheriffsheriff toto serveserve relatedrelated toto enforcementenforcement ofof aa judgmentjudgment forfor personalpersonal debt?debt? NoNo Yes,Yes, andand II havehave completedcompleted DeclarationDeclaration ofof AddressAddress VerificationVerification (form(form WG-015/EJ-135)WG-015/EJ-135) andand attachedattached itit toto thisthis form.form. ®6 SpecialSpecial InstructionsInstructions forfor SheriffSheriff InIn somesome situations,situations, youyou willwill havehave toto givegive detaileddetailed instructionsinstructions onon howhow youyou wantwant thethe sheriffsheriff toto enforceenforce thethe order.order. UseUse thethe spacespace belowbelow toto listlist anyany instructions.instructions. SomeSome examplesexamples ofof whenwhen instructionsinstructions maymay bebe neededneeded include:include: •+ InstructionsInstructions toto serveserve thethe summonssummons andand complaintcomplaint withwith aa writwrit ofof attachment,attachment, ifif notnot previouslypreviously servedserved (see(see CodeCode Civ.Civ. Proc.,Proc., §§ 488.020(c)).488.020(c)). •+ InstructionsInstructions thatthat thethe levyinglevying officerofficer mustmust placeplace aa keeperkeeper inin chargecharge ofofthethe propertyproperty (see(see CodeCode Civ.Civ. Proc.,Proc., §§§§ 700.070700.070 && 700.080).700.080). •* InstructionsInstructions toto seizeseize personalpersonal propertyproperty fromfrom aa privateprivate placeplace (see(see CodeCode Civ.Civ. Proc.,Proc., §§ 699.030).699.030).

CheckCheck herehere ifif youyou needneed moremore spacespace toto listlist instructions.instructions. UseUse aa separateseparate piecepiece ofof paperpaper andand writewrite “SER-001A,“SER-001A, SpecialSpecial InstructionsInstructions forfor Sheriff”Sheriff ” atat thethe top.top. TurnTurn itit inin withwith thisthis form.form. CONFIDENTIALCONFIDENTIAL This is notnot aa courtcourt form.form. DoDo notnot filefile withwith thethe court.cou

Rev.Rey. JanuaryJanuary 1,1, 20262026 SpecialSpecial InstructionsInstructions forfor WritsWrits andand SER-001A,SER-001A, PagePage33 ofof 33 Levies—AttachmentLevies—Attachment