IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF DELAWARE IN RE: ) ) ) ) ) ) CASE NO. CHAPTER 13 Debtor ORDER FOR PAYROLL DEDUCTION HAVING CONSIDERED the Debtor's Application for an Order directing: (Name and address of employer) To make payroll deduction of (Amount to be deducted) per month to fund the Debtor's Chapter 13 Plan, and it appearing that such relief is appropriate and would not prejudice any creditor or concerned party, it is hereby ORDERED this ______________ day of _________________, 20 , that: (name of Employer) deduct the sum of (Amount to be deducted) (Debtor's name) , Social Security Every pay period from the wages of Number __-___- (last four digits) and remit the amount deducted to: Michael B. Joseph, Esquire Chapter 13 Trustee PO Box 660 Memphis, TN 38101-0660 Account Number: until further Order of this Court. ________________________________________ UNITED STATES BANKRUPTCY JUDGE American LegalNet, Inc. www.FormsWorkflow.com