FL-455 - Stay of Service of Earnings Assignment and Order

Summary

Stay of Service of Earnings Assignment and Order

Text

Form ID: FL-455
Title: Stay of Service of Earnings Assignment and Order
Effective Date: 2003-01-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-455
Primary Download URL: https://www.courts.ca.gov/documents/fl455.pdf
Form Detail Page:
Stay of Service of Earnings Assignment and Order
(FL-455)
Ask the judge to stop the order for child, spousal, or partner support to be taken out of your paycheck. Ask the judge to order that support be taken out of the other side's paycheck, if the judge stopped the order before. Tells you that the judge stopped or restarted the order for support to be taken out of the paycheck of the other parent, spouse, or partner.
Get form FL-455
Effective: January 1, 2003
PDF Text:
TELEPHONE NO.:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and address): FOR COURT USE ONLY
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
CASE NUMBER:
TERMINATION OF STAYSTAY
OF SERVICE OF EARNINGS ASSIGNMENT ORDER
APPLICATION FOR STAY
(NOTICE: If this application is made separately from a hearing on support, you must get a hearing date from the clerk and give notice. 
See below.)
I request that the court stay the service of the earnings assignment order in this case because (check one or more applicable reasons):
I have paid fully and on time the previously ordered support for the last 12 months, and I do not owe any back support 
(arrearages).
1.
a cash bond    with thecashI have not been subject to a support order for the last 12 months, but I have posted2.
clerk of the court in the amount of $ , which is equal to three months' support, and I do not owe any
back support (arrearages).
Service of the earnings assignment would cause extraordinary hardship on me as follows (state reasons):
(Note: You must prove these reasons at any hearing on this application by clear and convincing evidence.)
3.
I have a written agreement with the party receiving support that provides a stay of service of the earnings assignment order. A 
copy of the agreement is attached. (Note: This agreement must be signed by the local child support agency if support is 
payable to a county officer designated for that purpose.)
4.
My employer or the local child support agency has been unable to deliver the support payments to the recipient for at least six 
months because the recipient has not notified my employer or the local child support agency of a change of address. (Attach a 
statement made under oath by employer or local child support agency.)
5.
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)
NOTICE OF HEARING
A hearing on this application will be held as follows:
Room:Dept.:Time:a. Date:
is shown aboveb. The address of the court is:
STAY OF SERVICE OF EARNINGS ASSIGNMENT ORDER
Family Code, §§ 5260, 5261Form Adopted for Mandatory Use
Judicial Council of California
FL-455 [Rev. January 1, 2003]
FL-455
Page 1 of 2
www.courtinfo.ca.gov

CASE NUMBER:PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
APPLICATION FOR TERMINATION OF STAY
I request that the court terminate the stay of service of the earnings assignment previously issued in this case
because (check one or more applicable reasons):on (date):
The person required to make payments has missed at least one payment of support, which continues unpaid. (Note: A false 
statement about missed payments is punishable as contempt.)
1.
the local child support agency,the person required to make the paymentsI am2.
The reasons for granting the stay no longer exist. (A hearing is required. See page 1 for notice of hearing.)3.
3
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)
PROOF OF SERVICE BY MAIL
I am at least 18 years of age and not a party to this cause. I am a resident of or employed in the county where the mailing took 
place, and my residence or business address is (specify):
I served a copy of this Stay of Service of Earnings Assignment Order by enclosing it in a sealed envelope with first-class postage 
fully prepaid and depositing it in the United States Postal Service as follows:
Date of deposit:
Place of deposit (city, state):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(SIGNATURE OF DECLARANT)(TYPE OR PRINT NAME)
ORDER
GOOD CAUSE APPEARING:
The previous stay of service of the earnings assignment order made on (date):
and the earnings assignment order previously issued in this case may be served.
1.
2.
is terminated,3.
Date:
(JUDICIAL OFFICER)
STAY OF SERVICE OF EARNINGS ASSIGNMENT ORDER
FL-455 [Rev. January 1,  2003]
(State facts showing that the previous reasons for granting the stay no longer exist.)
and I wish the stay terminated.
Page 2 of 2
OTHER PARENT:
1.
2.
a.
b.
c. Addressed as follows:
Service of the earnings assignment order issued in this action is stayed.
The stay of service granted above will terminate without further order on (date):

Retrieval chunks

• #1

  Form ID: FL-455 Title: Stay of Service of Earnings Assignment and Order Effective Date: 2003-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-455 Primary Download URL: https://www.courts.ca.gov/documents/fl455.pdf Form Detail Page: Stay of Service of Earnings Assignment and Order …

• #2

  months because the recipient has not notified my employer or the local child support agency of a change of address. (Attach a statement made under oath by employer or local child support agency.) 5. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. …

• #3

  FL-455 [Rev. January 1, 2003] (State facts showing that the previous reasons for granting the stay no longer exist.) and I wish the stay terminated. Page 2 of 2 OTHER PARENT: 1. 2. a. b. c. Addressed as follows: Service of the earnings assignment order issued in this action is stayed. The stay of service g…