Petition To Contest Notice To Withhold Income
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Petition To Contest Notice To Withhold Income Form. This is a Illinois form and can be use in Lake Local County.
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Tags: Petition To Contest Notice To Withhold Income, 171-80, Illinois Local County, Lake
IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT,
LAKE COUNTY, ILLINOIS
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Petitioner,
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Respondent. )
Gen. No.
PETITION TO CONTEST NOTICE TO WITHHOLD INCOME
Now comes
, obligor in the above entitled case and states that service of the Notice
to Withhold Income dated
is being contested for the following reason(s): (Complete as
appropriate)
1. The amount of delinquent support stated in the Notice to Withhold Income is incorrect in that
2. There is not a delinquency in this case in that
3. Payment for support is ensured in that
4. The Petitioner disputes that he/she is the Obligor in that
Wherefore Obligor Prays:
1. That service of the Notice to Withhold Income dated
2. For such other and further relief as the Court deems just.
be amended/vacated.
CERTIFICATION
Under penalties as provided by law pursuant to 735 ILCS 5/1-109 of the Code of Civil Procedure, the undersigned certifies
that the statements set forth in this instrument are true and correct, except as to matters therein stated to be on information
and belief and as to such matters the undersigned certifies as aforesaid that he/she verily believes the same to be true.
Obligor or Legal Representative
By:
Signature
Street Address
City & State
Home Phone No.
Work Phone No.
171-80
4/98
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