Income Withholding Application
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Income Withholding Application Form. This is a Missouri form and can be use in Circuit Court Statewide.
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Tags: Income Withholding Application, CS20, Missouri Statewide, Circuit Court
IN THE CIRCUIT COURT OF
Judge or Division:
COUNTY, MISSOURI
Case Number:
MACSS Case ID:
Petitioner:
Person Obligated to Pay:
Petitioner
SSN/DOB:
Respondent
vs. Obligor's SSN:
Obligor's Last Known Address:
Respondent:
SSN/DOB:
(Date File Stamp)
Income Withholding Application
I am legally entitled to make an application to effect an income withholding and, pursuant to 452.350 RSMo apply to
the Circuit Court to issue a Notice of Income Withholding.
On
(date), the court entered an order for
child support
According to
maintenance
in the amount of $
per
trusteeship records maintained by the Division of Child Support Enforcement
.
an affidavit attached
to this application which states the particulars of the noncomp liance with the support order, the person obligated to pay support
is now delinquent in an amount equal to at least one month's support obligation.
Send the Notice of Income Withholding to:
Employer/Payor:
Address:
Date
OSCA (10-01) CS20
Applicant Signature
1 of 1
452.350 RSMo
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