COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : * IN THE : Plaintiff * CIRCUIT COURT : * v. FOR Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .*. . . . . . __________________________________ Defendant * THE PEOPLE OF*THE STATE OF NEW * YORK * * * * TO Civil No.: * * * * * * * ORDER/NOTICE TO WITHHOLD INCOME FOR ALIMONY re: Employer/Withholder’s Federal EIN Number Employee/Obligor’s Name (Last, First, MI) GREETINGS: Employer/Withholder’s Name WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Obligee/Person Receiving Alimony Name (Last, First, MI) located at County of Employer/Withholder’s Address in room , on the day of , 20 , at o'clock in the noon, and at any recessed Employer/Withholder’s Address (continued) or adjourned date, to testify and give evidence as a witness in this action on the part of the Employer/Withholder’s City, State and Zip Code Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 1. Order behalf this subpoena the party on whosefor Current Alimony was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. This is an Order/Notice to Withhold Income for Alimony based upon an order for alimony from the Circuit Court for , Maryland. By law, you are required to deduct these amounts from the aboveWitness, Honorable , by your State. named employee’s/obligor’s income even if the Order/Notice is not issued one of the Justices of the Court in County, day of , 20 You are required to deduct $ employee’s/obligor’s income. per for alimony from the [ ] (Attorney must sign further order name below) Deductions shall continue indefinitely, unless modified by above and type of this court. [ ] Deductions shall continue until further order of this court. ,2 unless modified by Attorney(s) for 2. Arrearages [ ] [ ] In addition to the amount deducted under this order for current alimony, you must make Office and P.O. Address Discontinue these deductions for arrearages of $ per . . deductions for arrearages when you have deducted, under this provision, $ DO NOT, however, discontinue any deduction under the provision for current alimony unless the court so orders. Telephone No.: Facsimile No.: Arrears are 12 weeks or greater. Arrears will no longer be 12 weeks or greater after $ E-Mail Address: have been deducted under this provision. Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com Page 1 of 3 JO 13 - Revised 2 November 2000 COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : 3. Other Amounts : [ ] In addition to amounts for current alimony and arrearages, you are required to deduct per for the : following purposes: $ : Defendant(s) [ ] This deduction shall continue indefinitely unless modified by further order of this court. : ...................................................... [ ] Discontinue this deduction after , 2 . 4. Total Deduction and Alternate Schedules THE PEOPLE OF THE STATE OF NEW YORK In summary, the total amount to be deducted is as follows: TO GREETINGS: per Current Alimony $ Arrearages $ per Other Support $ per ----------------------------------------------------------------------------------------TOTAL $ per WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at to Court You do not have to vary your pay cyclethe be in compliance with this order. If your pay cycle does not located at County of match the ordered alimony payment cycle, use the following to determine how much to withhold: in room , on the day of , 20 , at o'clock in the noon, and at any recessed $ per witness in this action on the part of the or adjourned date, to testify and give evidence as a weekly pay period per biweekly pay period (every two weeks) per semimonthly pay period (twice a month) per monthly pay period $ $ $ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 5. Remittance Information the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. You must begin withholding no later than the first pay period after receipt of this Order/Notice. Send payment within 7 working days of the paydate/date of withholding. Witness, Honorable Court in 5.1 Optional County, Deduction , one of the Justices of the day of , 20 You are entitled to deduct a fee of up to $2.00 during each pay period in which you make a deduction under this order to defray the costs of withholding. (Attorney must sign above and type name below) 5.2 Limitations on Deductions Attorney(s) for You may not deduct more from your employee’s earnings than permitted by the Federal Consumer Credit Protection Act (15 U.S.C. § 1673(b)). For employees who are supporting second families, the maximum you can withhold is 50% of net income. For other employees, the maximum is 60%. To the extent that you are deducting support more than twelve weeks in arrears as of the beginning of the work-week in which earnings are to be withheld, these maximums are increased to 55% and 65%, respectively. Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com Page 2 of 3 JO 13 - Revised 2 November 2000 COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : 5.3 Employer’s Liability : The recipient or the support enforcement agency may bring a civil action against an employer who : willfully violates this order, pursuant to M D. FAM. LAW CODE ANN. § 10-127(d). An employer is liable for damages under that section in an amount equal to the amount of any withholding that the employer failed to deduct from the obligor’s earnings or failed to send Defendant(s) required under M D. FAM. LAW CODE ANN. § 10-127(a). within the time : . . . . . . . . .These . . . . . . . shall. be. in. addition .to . . . . . . . . . . paid .directly or indirectly by the obligor. . . . . amounts . . . . . . . . . . . . any amounts . . . . . . . 5.4 Remittance THE PEOPLE OFWhen remitting OF NEWprovide the pay date/date of withholding and the case number listed above. THE STATE payment, YORK TO Make it payable to: Payee and Case Number Send check to: GREETINGS: Payee’s Address WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of 6. Termination Notification in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, You must notify the Court and as a witness ten this actionyou learn thatof the to testify and give evidence payee within in days after on the part the employee is leaving your employ and include, if available, a social security number, home address, and new place of employment. 7. Anti-discrimimation Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalfsubject to a fine under issued for a discharging penalty of $50 and from employment, refusing a You are this subpoena was State law for maximum an employee/obligor all damages sustained as result of your failureor taking disciplinary action against any employee/obligor because of a alimony withholding. to employ, to comply. 8. Penalties Witness, Honorable , one of the Justices of the Court in County, day of , 20 If you willfully fail to withhold and forward the deducted payments as required by the Order/Notice, you are liable for the amount you fail to deduct and are subject to civil penalties. 9. Inability to Deliver (Attorney must sign above and type name below) If you are unable to deliver payments in two consecutive months because the recipient failed to notify you of an address change, stop making deductions, return the undeliverable payments to the employee and notify Attorney(s) for the Court. JUDGE Office and P.O. Address Recommended by: (Date) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com Page 3 of 3 JO 13 - Revised 2 November 2000