Ej 165 2026

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The document is a Financial Statement form used for wage garnishment and enforcement of judgment in California. It requires individuals to disclose their monthly income, expenses, debts, and dependent information. The form must be signed by the individual and their spouse if applicable, and it includes sections for detailing financial obligations and any claims for exemption.

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Click ‘Get Form’ to open the ej 165 in the editor.
Begin by filling in your personal information, including the Levying Officer File Number and Court Case Number at the top of the form.
In Section 1, list any dependents who rely on you for support. Include their names, ages, relationships, and monthly income sources.
Proceed to Section 2 to detail your monthly income. Enter your gross pay, payroll deductions, and calculate your take-home pay.
In Section 3, document any property owned by you or your dependents. This includes cash, bank accounts, vehicles, and real estate.
Section 4 requires you to outline monthly expenses such as rent, food, utilities, and other necessary costs.
Finally, complete Sections 5 through 9 regarding debts owed and any additional facts that support your claim of exemption. Ensure all signatures are included where required.

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