Confidential Supplement to Application for Earnings Withholding Order for Taxes (State Tax Liability)

Judicial Council of California · Civil

Verified current as of July 10, 2026

This form collects confidential information about a taxpayer's income and assets to support an earnings withholding order for unpaid state taxes. Tax collection agencies and creditors use it to garnish wages and recover money owed to the state while keeping sensitive financial details private from the defendant.