On April 10, 2014 a
Party Statement
was filed
involving a dispute between
Cach, Llc,
and
Stiever, Jerrid,
for Collections-CRC3.740
in the District Court of San Bernardino County.
Preview
CO j C R
S 3V sii l th r A
t
i i tt 1 C3r
WG UO T gJ3 5
SHORT TITLE LEVYING OFFICER FILE NO O
15 0 959 CND1404943
9
t3 fA
FINANCIAL STATEMENT
r
VUtiVT1U L
Wage Garnishment Enforcement of Judgment
NOTE Ifyou are married this form must be signed by your spouse unless you and your spouse are living separate and
apart If this form is not signed by your spouse check the applicable box on the reverse in item 9
1 The following persons other thanmyself depend in whole or in part
on me or my spouse for support
MONTHLY TAKE HOME
NAME AGE RELATIONSHIP TO ME INCOME SOURCE
a ELIZABETH STIEVER 26 Spouse 0
b 1VIICHAEL STIEVER 18 SON 0
c JUSTIN STIEVER 15 SON 0
d KAYDENCE STIEVER 1 DAUGHTER 0
e
2 My monthly income
a My gross monthly pay is 2a 2566 76
b My payroll deductions are specify purpose and amounf
1 Federal and statewithholding FICA and SDI 267 36
2 INSURANCE g 62 96
3
4
My TOTAL payrolldeduction amount is add 1 through 4 b 330 32
home 2236 44
c My monthly take pay is a minus b c
d Other money Iget each month from specify source
FOOD STAMPS SAN BERNARDINO COUNTY is d 660 00
e TOTAL MONTHLY INCOME c plusd e 2896 44
3 I my spouse and my other dependents own the following property
a Cash 3a 0
b Checking savings and credit union accountslist banks
DCB BANK g 12 00
2 BANK OF AMERICA g 1 00
3 g b 13 00
c Cars other vehiclesand boat equity list makeyear of each
2
3 c
d Realestate equity d 0
e Other personal property jewelry furniturefurs stocks bonds etc list separate y
e 0
Page 7 of 2
Fortn by Judicial Council Code Civil Procedure
706 124 703 530
Adopledthe
FINANCIAL STATEMENT of
of Califomia www courtin o ca gov
WG 007 EJ 165 Rev January t
2007 yyage Garnishment Enforcement of Judgment
WG 007 EJ 165
LEWING OFFICER FILE NO COURT CASE NO
SHORT TITLE
15 013959 CIVD1404943
4 The monthly expenses for me my spouse and my other dependents
a Rent or housepayment and maintenance 4 a 1235 00
b Food and household supplies b 660 00
c Utilities
and telephone c 250 00
d Clothing d
e Medicaland dentalpayments e
f Insurance lifehealthaccident etc f
g School childcare g
h Child spousal support priormarriage h
I Transportation auto expenses insurance gas repair list
carpayments in item 5 i 200 00
j Installmentpayments insert total
and itemize below in item 5 j
k Laundry andcleaning k
I Entertainment I
m Other specify
CAR PAYMENT
m 540 00
n TOTAL MONTHLY EXPENSES add a through m n 2885 00
5 I my spouse and my other dependents owe the following debts
OWED BY
CREDITOR S NAME FOR MO PAYMENTS BALANCE OWED State person s name
BALBOA THRIFT CAR 540 00 20 000 00 JERRID STIEVER
FREEDOM MORTG HOME 1235 00 219 000 00 JERRID STIEVER
6 Other facts which support this Claim of Exemptionie unusual medical needs school tuition
expenses for recent family
emergencies or other unusual expenses to help your creditor and the judge understand your budget
describe Ifmore space is
needed attach page labe d Attachment 6
7 0 An earnings withholding order is now in effect with respect to my earnings or those of my spouse or dependents named in
item 1 specify each person s name and monthly amount
JERRID STIEVER 25 OF MONTHLY INCOME TOTAL OF 559 00
8 0 A wage assignment for support is now in effect with respect to my earnings or those of my spouse
or dependents named in
item 1 specify each persons name and monthly amount
9 0 My spouse has signed below
0 Ihave no spouse
0 I living t
My spouse and are separate and apart
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct
ate 7 23 15
JERRID STIEVER Z3 I
TYPE OR PR NT NAME
SIGNATURE
ELIZABETH MARTINEZ STIEVER Z 3I 1S
TYPE OR PRINT NAME OF SPOUSE SIGNATURE OF SPOUSE
Page 2 of 2
WG 007 EJ
165 Rev 1
January2007
FINANCIAL STATEMENT
Wage Garnishment Enforcement of Judgment
4
Document Filed Date
August 14, 2015
Case Filing Date
April 10, 2014
Category
Collections-CRC3.740
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Preview
CO j C R S 3V sii l th r A t i i tt 1 C3r WG UO T gJ3 5 SHORT TITLE LEVYING OFFICER FILE NO O 15 0 959 CND1404943 9 t3 fA FINANCIAL STATEMENT r VUtiVT1U L Wage Garnishment Enforcement of Judgment NOTE Ifyou are married this form must be signed by your spouse unless you and your spouse are living separate and apart If this form is not signed by your spouse check the applicable box on the reverse in item 9 1 The following persons other thanmyself depend in whole or in part on me or my spouse for support MONTHLY TAKE HOME NAME AGE RELATIONSHIP TO ME INCOME SOURCE a ELIZABETH STIEVER 26 Spouse 0 b 1VIICHAEL STIEVER 18 SON 0 c JUSTIN STIEVER 15 SON 0 d KAYDENCE STIEVER 1 DAUGHTER 0 e 2 My monthly income a My gross monthly pay is 2a 2566 76 b My payroll deductions are specify purpose and amounf 1 Federal and statewithholding FICA and SDI 267 36 2 INSURANCE g 62 96 3 4 My TOTAL payrolldeduction amount is add 1 through 4 b 330 32 home 2236 44 c My monthly take pay is a minus b c d Other money Iget each month from specify source FOOD STAMPS SAN BERNARDINO COUNTY is d 660 00 e TOTAL MONTHLY INCOME c plusd e 2896 44 3 I my spouse and my other dependents own the following property a Cash 3a 0 b Checking savings and credit union accountslist banks DCB BANK g 12 00 2 BANK OF AMERICA g 1 00 3 g b 13 00 c Cars other vehiclesand boat equity list makeyear of each 2 3 c d Realestate equity d 0 e Other personal property jewelry furniturefurs stocks bonds etc list separate y e 0 Page 7 of 2 Fortn by Judicial Council Code Civil Procedure 706 124 703 530 Adopledthe FINANCIAL STATEMENT of of Califomia www courtin o ca gov WG 007 EJ 165 Rev January t 2007 yyage Garnishment Enforcement of Judgment WG 007 EJ 165 LEWING OFFICER FILE NO COURT CASE NO SHORT TITLE 15 013959 CIVD1404943 4 The monthly expenses for me my spouse and my other dependents a Rent or housepayment and maintenance 4 a 1235 00 b Food and household supplies b 660 00 c Utilities and telephone c 250 00 d Clothing d e Medicaland dentalpayments e f Insurance lifehealthaccident etc f g School childcare g h Child spousal support priormarriage h I Transportation auto expenses insurance gas repair list carpayments in item 5 i 200 00 j Installmentpayments insert total and itemize below in item 5 j k Laundry andcleaning k I Entertainment I m Other specify CAR PAYMENT m 540 00 n TOTAL MONTHLY EXPENSES add a through m n 2885 00 5 I my spouse and my other dependents owe the following debts OWED BY CREDITOR S NAME FOR MO PAYMENTS BALANCE OWED State person s name BALBOA THRIFT CAR 540 00 20 000 00 JERRID STIEVER FREEDOM MORTG HOME 1235 00 219 000 00 JERRID STIEVER 6 Other facts which support this Claim of Exemptionie unusual medical needs school tuition expenses for recent family emergencies or other unusual expenses to help your creditor and the judge understand your budget describe Ifmore space is needed attach page labe d Attachment 6 7 0 An earnings withholding order is now in effect with respect to my earnings or those of my spouse or dependents named in item 1 specify each person s name and monthly amount JERRID STIEVER 25 OF MONTHLY INCOME TOTAL OF 559 00 8 0 A wage assignment for support is now in effect with respect to my earnings or those of my spouse or dependents named in item 1 specify each persons name and monthly amount 9 0 My spouse has signed below 0 Ihave no spouse 0 I living t My spouse and are separate and apart I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct ate 7 23 15 JERRID STIEVER Z3 I TYPE OR PR NT NAME SIGNATURE ELIZABETH MARTINEZ STIEVER Z 3I 1S TYPE OR PRINT NAME OF SPOUSE SIGNATURE OF SPOUSE Page 2 of 2 WG 007 EJ 165 Rev 1 January2007 FINANCIAL STATEMENT Wage Garnishment Enforcement of Judgment 4