Income Withholding Order
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Income Withholding Order Form. This is a Michigan form and can be use in Domestic Relations Statewide.
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Tags: Income Withholding Order, FOC 5, Michigan Statewide, Domestic Relations
Original - Court
1st copy - Friend of the court
Approved, SCAO
STATE OF MICHIGAN
JUDICIAL CIRCUIT
COUNTY
2nd copy - Plaintiff
3rd copy - Defendant
Additional copies to all sources of income
CASE NO.
ORDER REGARDING
INCOME WITHHOLDING
Court address
Court telephone no.
Plaintiff's name, address, and telephone no.
v
Defendant's name, address, and telephone no.
THE COURT FINDS:
1. The requirements for implementation or adjustment of income withholding
have
have not
been met.
2. The proposed administrative adjustment of income withholding
will
will not
produce an unjust or inappropriate result.
IT IS ORDERED:
3. Income withholding is
discontinued.
effective.
effective in an amount pursuant to the Michigan Child Support Formula to pay current support and arrears.
effective as follows:
Judge
Date
Bar no.
CERTIFICATE OF MAILING
I certify that on this date I served a copy of this order on the parties and sources of income by first-class mail addressed to their
last-known addresses as defined in MCR 3.203.
Signature
Date
FOC 5 (3/08)
ORDER REGARDING INCOME WITHHOLDING
MCL 552.601 et seq.
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