Income Deduction Order
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Income Deduction Order Form. This is a New York form and can be use in Supreme Court Statewide.
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Tags: Income Deduction Order, New York Statewide, Supreme Court
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF
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Plaintiff,
Index No.
-againstINCOME DEDUCTION
ORDER
Defendant.
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ORDERED that the payments required by the support order issued simultaneously herewith shall be
withheld by the debtor’ employer from the debtor’ compensation, made payable to the creditor identified
s
s
below and sent to:
‘ Direct Payment OR ‘ Forwarded Payment
Address:
Debtor:
Name:
Address:
Social Security No.:
Creditor:
Name:
Address:
Social Security No.:
Debtor’ Employer:
s
Amount to be withheld:
$
per
Date of Termination of Payments:
Dated:
SO ORDERED:
Justice
(Appendix - Rev. 5/99)
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