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REQUEST FOR HEARING REGARDING EARNINGS …

FL-450 FOR COURT USE ONLYATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):TELEPHONE NO.:FAX NO. (Optional):ATTORNEY FOR (Name):SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME:PETITIONER/PLAINTIFF:RESPONDENT/DEF ENDANT:OTHER PARENT:CASE NUMBER: REQUEST FOR HEARING REGARDING EARNINGS ASSIGNMENTNOTICE: Complete and file this form with the court clerk to REQUEST a HEARING only if you object to the Income Withholding for Support (form FL-195/OMB0970-0154) or EARNINGS Assignment Order for Spousal or Partner Support (form FL-435).

FL-450) was mailed, with postage fully prepaid, in a sealed envelope addressed as shown below, and that the request was mailed at (place): on (date): Date: Clerk, by , Deputy REQUEST FOR HEARING REGARDING EARNINGS ASSIGNMENT Page 2 of 3 (Family Law—Governmental—UIFSA) FL-450 [Rev. July 1, 2008] PETITIONER/PLAINTIFF: …

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