JDF 180 8 R 5 - 1 8 OBJECTION TO THE ACTIVATION OF AN INCOME ASSIGNMENT PAGE 1 OF 2 District Court County, Colorado Court Address: In Re: Petitioner: Respondent/Co - Petitioner: COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Phone Number: E - mail: FAX Number: Atty. Reg.#: Case Number: Division Courtroom OBJECTION TO THE ACTIVATION OF AN INCOME ASSIGNMENT I declare that I am the Obligor in the above - named action an d have received a copy of the Advance Notice of the Activation of an Income Assignment. I object to this Notice for the following reasons: (THIS OBJECTION MUST BE BASED ON A MISTAKE OF FACT, SUCH AS AN ERROR IN THE IDENTITY OF THE OBLIGOR OR IN THE AMOU NT OF SUPPORT OR ARREARS.) If I sign this objection, I understand I am to file this document with the Court and send a copy to the Obligee. I request a hearing pursuant to 24714 - 14 - 111.5, C.R.S., and appropriate a ttorney fees and costs. I understand that by filing this objection, the following procedures will be followed: 1. The Court must schedule and conduct a hearing within 42 days after the date the NOTICE was mailed. 2. The Court shall deny this objection if any reason other than a mistake of fact is used. 3. The sole issue at the hearing is limited to the mistake of fact stated above. 4. If this objection is based on the amount of arrears, the income assignment may be activated and enforced as to current support o bligation, and the activation of the income assignment as to arrears will be stayed pending the outcome of a hearing on this objection. American LegalNet, Inc. www.FormsWorkFlow.com JDF 1808 R 5 - 1 8 OBJECTION TO THE ACTIVATION OF AN INCOME ASSIGNMENT PAGE 2 OF 2 5. If the Court denies my objection, the income assignment will be activated pursuant to 24714 - 14 - 111.5 (4), C.R.S. 6. Attorney fees and costs may be awarded to the prevailing party. 7. If I do not object, the income assignment will be activated. By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. SIGNATURE (Printed name of Petitioner Respondent/Co - Peti tioner) Signature of Petitioner Co - Petitioner/Respondent Adress City State Zip Code Work Phone Home Phone CERTIFICATE OF SERVICE I certify that on (date) I sent the original and one copy of the Objection to the United States Mail, first class prepaid, addressed as follows: Signature American LegalNet, Inc. www.FormsWorkFlow.com