
PETITIONER/PLAINTIFF: CASE NUMBER:
RESPONDENT/DEFENDANT:
OTHER PARENT:
6. Modification of the existing Wage and Earnings Assignment Order is requested because
a.
the following children are emancipated (support no longer required by law) as of the following dates
(specify name(s) and date(s)):
custody of the following children has changed (specify):
b.
the support arrears in this case are paid in full.
c.
the Wage and Earnings Assignment Order must be conformed to the most recent support order as
follows (specify):
d.
the district attorney is no longer enforcing the current support obligation in this case but is required to
collect and enforce any arrears owing.
e.
g.
other (specify):
7. I request a Wage and Earnings Assignment Order issue for the following monthly deductions:
per month current child support.
per month current spousal support.
per month current family support.
per month child support arrears.
per month spousal support arrears.
per month family support arrears.
a.
b.
d.
e.
f.
g. Total deductions per month: $
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(SIGNATURE OF APPLICANT)
(TYPE OR PRINT NAME)
Page two
EX PARTE APPLICATION FOR WAGE
AND EARNINGS ASSIGNMENT ORDER
(Family Law)
1285.65 [Rev. January 1,1998]
. . . . . . . . . . . . . . . . . . . . . . . . . .
the Wage and Earnings Assignment Order should be terminated as to spousal support because
the supported spouse remarried on (date):(1)
the supported spouse died on (date):(2)
by terms of the current order, spousal support was to terminate on (date):
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