Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Voluntary Application For Income Withholding Order Form. This is a Kansas form and can be use in 7th Judicial District (Douglas County) Local District Court.
Loading PDF...
Tags: Voluntary Application For Income Withholding Order, Kansas Local District Court, 7th Judicial District (Douglas County)
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
DISTRICT COURT TRUSTEE
SEVENTH JUDICIAL DISTRICT
:
JUDICIAL CENTER, 111 E. 11TH
Plaintiff(s)
LAWRENCE, KANSAS 66044-2966
-against-
785-832-5315
Fax: 785-838-2408
Index No.
Calendar No.
JUDICIAL SUBPOENA
:
:
:
Pro Se
Defendant(s)
:
. . . . . . . . .Voluntary .Application . for . . . . . . . . . . . Withholding Order
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income
THE PEOPLE OF THE STATE using typewriter or printed in black ink:
1.
Fill out completely OF NEW YORK
TO
a) Voluntary application
b) Income withholding order
c) Request for service
2.
File
GREETINGS:the original and 5 copies of the above documents with the Clerk of the District
Court’s Office. Write “District Judge Pro Tem” across the top of one copy of the
voluntary application document. and excuses being laid aside, you and each of you attend before
WE COMMAND YOU, that all business
,
the Honorable
at the
Court
3.
The Clerk of the District Court will “file stamp” all copies and give you back the
located at
County of
in room additional copies. You of
, on the
day must send ,by first,class mail a “file-stamped” copy at any recessed
20
at
o'clock in the
noon, and of the
Voluntary testify and give the Petitioner/Respondent and his/her attorney of record.
or adjourned date, to Application toevidence as a witness in this action on the part of the
You must then complete the certificate of mailing section on the original voluntary
application form.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
4.
the partyIT IS UP TO YOU tosubpoena was issued for a maximumorder for yourand all damages sustained as a
on whose behalf this get the correct papers filed in penalty of $50 income
withholding comply. be served and put into effect.
result of your failure to order to
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
IN THE DISTRICT COURT OF DOUGLAS COUNTY, KANSAS
:
In the Matter of
)
)
:
,)
Plaintiff(s)
)
Case No. DG
)
Division :3
)
:
,)
)
Petitioner,
-against-
vs.
Respondent.
Index No.
Calendar No.
JUDICIAL SUBPOENA
:
VOLUNTARY APPLICATION FOR INCOME WITHHOLDING ORDER
Defendant(s)
:
......................................................
I,
, the judgment debtor in the abovenamed case, request that an income withholding order be issued to the following (check one):
Employer
Payor (other than employer)
THE PEOPLE OF THE STATE OF NEW YORK
Name of Employer/Payor:
Address:
TO
Income is to be withheld as follows:
per month, to be applied:
$
per month for current support
$ that all business and excuses beingfor past due supporteach of you attend before
per month laid aside, you and
WE COMMAND YOU,
$
GREETINGS:
,
the Honorable
at the
Court
located at
County of
(Your the
in room
, on the
day of
, 20
, at
o'clock insignature)
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
ACKNOWLEDGMENT
State of Kansas
)
)
ss.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
County on
)
the partyof whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
This instrument was acknowledged to before me on
Witness, Honorable
Court in
County,
, 20
.
, one of the Justices of the
day of
, 20
Notary Public
My term expires:
CERTIFICATE OF MAILING must sign above and type name below)
(Attorney
I hereby certify that on the
day of
, 20
, I mailed a copy
of this application by first-class mail, postage prepaid, addressed to all interested parties as
Attorney(s) for
follows:
Office and P.O. Address
(Your signature)
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
