Free FL-430 EX PARTE APPLICATION FOR EARNINGS ASSIGNMENT ORDER - California

COURT
ATTORNEY OR PARTY WITHOUT ATTORNEY OR GOVERNMENTAL AGENCY (under Fam. Code, §§ 17400, 17406) (Name, state bar number, and address):

COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : :

FL-430
FOR COURT USE ONLY

Index No. Calendar No.

TELEPHONE NO.: ATTORNEY FOR (Name):

Plaintiff(s) -against-

FAX NO.:

: : : :

JUDICIAL SUBPOENA

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

RESPONDENT/DEFENDANT: OTHER PARENT:

Defendant(s) : ......................................................

PETITIONER/PLAINTIFF:

EX PARTE APPLICATION FOR EARNINGS ASSIGNMENT ORDER

THE PEOPLE OF THE STATE OF NEW YORK
MODIFICATION

CASE NUMBER:

TO APPLICANT DECLARES 1. Child support was ordered as follows: a. Date of order: respondent petitioner b. Payable by GREETINGS: respondent c. Payable to petitioner d. Total amount unpaid is at least: $
2.

other parent other (specify): as of (date):

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , theSpousal support Honorable at as Court family support was orderedthe follows: located at County ofof order: a. Date in room , on the , at noon, and at any recessed b. Payable by petitioner day of respondent , 20 other parent o'clock in the or c. Payable to adjourned date, to testify and give evidence as a witness in this action on the part of the other (specify): respondent petitioner
d. Total amount unpaid is at least: $ as of (date):

3.

(Complete for support ordered before July 1, 1990, only) Your child support spousal support is overdue in contempt of court and will payment. Payment of failure to comply with this subpoena is punishable as athe sum of at least one month'smake you liable to the party notice of mybehalf to seek an earnings assignment wasmaximum penalty of $50 and all damages sustained as a Written on whose intent this subpoena was issued for a result of your failure to 15 days before the date of filing this application a. given at least comply. (1) by first class mail. (2) by personal Witness, Honorable service. , one of the Justices of the (3) contained in the support order described in item 1 or 2. Court in (4) County, day of , 20 other (specify):

b.

waived (explain):
(Attorney must sign above and type name below)

4.

An earnings assignment order has not been issued for support ordered after July 1, 1990. does does not

5. a. The amount of arrears stated in items 1d and 2d not included, it is not waived.) b. The amount of arrears stated in items 1d and 2d are not included, they are not waived.)

Attorney(s) for

include interest at the legal rate. (If interest is

does

does not

include penalties at the legal rate. (If penalties

Office and P.O. Address

Form Adopted for Mandatory Use Judicial Council of California FL-430 [Rev. January 1, 2003]

EARNINGS ASSIGNMENT ORDER

Telephone No.: Facsimile No.: E-Mail Address: EX PARTE APPLICATION FORTel. No.: Mobile

Page 1 of 2 Family Code, §§ 5230, 5252 www.courtinfo.ca.gov

American LegalNet, Inc. www.USCourtForms.com

PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT:

CASE NUMBER:

6.

Modification of the existing earnings assignment order is requested because a. the following children are emancipated (support is no longer required by law) as of the following dates (name each and give date):

b.

custody of the following children has changed (specify):

c. d.

the support arrears in this case are paid in full. the earnings assignment order must be conformed to the most recent support order as follows (specify):

e.

the local child support agency is no longer enforcing the current support obligation in this case but is required to collect and enforce any arrears owing. the earnings assignment order should be terminated as to spousal support because (1) the supported spouse remarried on (date): (2) the supported spouse died on (date): (3) by terms of the current order, spousal support was to terminate on (date): other (specify):

f.

g.

7. I request an earnings assignment order issue for the following monthly deductions: per month current child support. a. $ per month current spousal support. b. $ per month current family support. c. $ per month child support arrears. d. $ per month spousal support arrears. e. $ f. per month family support arrears. $ 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:

(TYPE OR PRINT NAME)

(SIGNATURE OF APPLICANT)

FL-430 [Rev. January 1, 2003]

EX PARTE APPLICATION FOR EARNINGS ASSIGNMENT ORDER

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