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Motion To Withhold Wages To Enforce Child Support Order Form. This is a North Carolina form and can be use in Civil Statewide.
Tags: Motion To Withhold Wages To Enforce Child Support Order, CV-616, North Carolina Statewide, Civil
Court File No.
STATE OF NORTH CAROLINA
In The General Court Of Justice
District Court Division
County
Name Of Plaintiff
MOTION TO WITHHOLD
WAGES TO ENFORCE
CHILD SUPPORT ORDER
VERSUS
Name Of Defendant
G.S. 110-136.5
Name, Mailing And Location Address Of Employer
Name, Mailing And Location Address Of Obligor
MOTION
The Obligor is a responsible parent of each child named below for whose benefit support is due.
Pursuant to an order entered by this Court for support of the child(ren) named below the Obligor is obligated to pay child
support in the amount shown below. As of the date of this Motion, the Obligor
is delinquent.
has been erratic
in making child support payments.
Name Of Child(ren)
Name Of Child(ren)
Date of Birth
Amount Of Support Obligation
Weekly
Monthly
$
Bi-weekly
Date of Birth
Other (specify)
Date Of Support Order
Amount Of Past Due Support
$
As Of
(Date)
The undersigned believes that the Obligor receives disposable wages from the employer named above as set out below.
Amount Of Disposable Wages
Weekly
Monthly
$
Bi-weekly
Other (specify)
Now, therefore, the undersigned seeks to have the following amount withheld from the Obligor's wages to satisfy the
Order as directed by the Court.
Amount Sought To Be Withheld
(NOTE: Amount withheld ordinarily may not exceed 40% of disposable wages.)
$
Therefore, the undersigned requests the Court to enforce the Obligor's child support obligation by entry of an order for
wage withholding.
Signature Of Person Making Motion
Date
VERIFICATION
I, the undersigned being first duly sworn, say that I have read this Motion and the contents are true to my own knowledge,
except as to matters stated on information and belief, and as to those, I believe them to be true.
Date
SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME
Signature Of Person Authorized to Administer Oaths
Date
Deputy CSC
Assistant CSC
Clerk Of Superior Court
Signature Of Person Making Motion
Name And Address Of Person Making Motion
Date Commission Expires
Notary
County Where Notarized
SEAL
AOC-CV-616, Rev. 3/09
© 2009 Administrative Office of the Courts
(See NOTICE OF OBLIGOR On Reverse)
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NOTICE TO OBLIGOR
Take Notice that the foregoing Motion asks the Court to order withholding from your wages to enforce a child support
obligation, and:
1. If the Court orders withholding, the Order will apply to wages from your current employer and from any future
employer.
2. If wage withholding is ordered, it will continue until:
a. the child support order being enforced has expired or becomes invalid; or
b. the party initiating this proceeding, the district court judge, and you agree to terminate withholding because there
is another adequate means to collect child support or arrearages; or
c. all valid arrearages owed to the State are paid in full, and the whereabouts of each child for whom support is owed
and the party entitled to receive the support payments are unknown.
CERTIFICATE OF SERVICE
I certify that I served a copy of this Motion by:
delivering a copy personally to:
Name Of Person With Whom Copy Left
Name Of Person With Whom Copy Left
depositing a copy in the United States mail in an envelope bearing proper postage and addressed as follows:
Name And Address
Name And Address
leaving a copy at the office of the attorney named below, with a partner or employee
Name Of Attorney
Name Of Attorney
Party Represented
Party Represented
Person With Whom Copies Left
Person With Whom Copies Left
Date Of Service
Signature Of Person Who Served Motion And Notice
AOC-CV-616, Side Two, Rev. 3/09
© 2009 Administrative Office of the Courts
American LegalNet, Inc.
www.FormsWorkflow.com