Rev. 5/2008 UNITED STATES BANKRUPTCY COURT FOR THE EASTERN DISTRICT OF MICHIGAN In re: Debtor(s). Chapter: 13 Case Number: Judge: / PAYMENT ORDER The above named Debtor(s) having filed a Petition for relief under Chapter 13 of the Bankruptcy Code, and upon motion of the Debtor(s) pursuant to L.B.R. 1007-1(c)(1)(A) (E.D.M.). IT IS HEREBY ORDERED that (“Payor”), at immediately forward and make payable to: , $ per ** (pay period) of the Debtor(s)’ future gross income until the further Order of the Court and that it cease and desist from giving effect to any prior or future garnishment or assignment of the Debtor(s)’ income except for order for child support, or alimony, current withholding taxes, union dues, and medical or other insurance premiums. Dated: United States Bankruptcy Judge Debtor’s Attorney (Set forth all names, including trade names used by the Debtor(s) within the last 6 years.) **weekly bi-weekly semi-monthly monthly American LegalNet, Inc. www.FormsWorkflow.com