Order Canceling Assignment Of Wages Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Order Canceling Assignment Of Wages Form. This is a Michigan form and can be use in Garnishment Statewide.
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Tags: Order Canceling Assignment Of Wages, MC-391, Michigan Statewide, Garnishment
Original - Court
1st copy - Employee
2nd copy - Employer
Approved, SCAO
STATE OF MICHIGAN
JUDICIAL DISTRICT
JUDICIAL CIRCUIT
CASE NO.
ORDER CANCELING
ASSIGNMENT OF WAGES
Court address
Court telephone no.
In the matter of
Name of employee
Last four digits of social security no. or employee ID no.
Address
City
1. On
State
this court entered an order directing
Date
to withhold $
per
Zip
Date of birth
Telephone no.
Name of employer
from the earnings owed the person named above.
THE COURT FINDS:
2. Assignment of wages is unnecessary because
voluntary payments are being made.
the debt has been satisfied.
IT IS ORDERED:
3. The assignment of wages of the person named above is canceled.
Date
Judge
Bar no.
CERTIFICATE OF MAILING
I certify that on this date copies of this order were served on the employee and employer by first-class mail to their last-known
addresses as defined by MCR 2.107(C)(3).
Signature
Date
MC 391 (3/09)
ORDER CANCELING ASSIGNMENT OF WAGES
MCL 769.1k, MCL 771.3(2)(f)
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