Request For Hearing To Contest Withholding To Enforce Child Support
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Request For Hearing To Contest Withholding To Enforce Child Support Form. This is a North Carolina form and can be use in Civil Statewide.
Tags: Request For Hearing To Contest Withholding To Enforce Child Support, CV-619, North Carolina Statewide, Civil
Court File No.
STATE OF NORTH CAROLINA
IV-D Case No.
County
In The General Court Of Justice
Superior Court Division
District
Plaintiff
REQUEST FOR HEARING
TO CONTEST WITHHOLDING
TO ENFORCE CHILD SUPPORT
VERSUS
Defendant
G.S. 110-136.4(a)(3)
I request a hearing before the district court for the purpose of contesting the withholding from my disposable wages to
enforce a child support obligation. In support of this request, I show the following:
1. The county named above is the county in which a support order has been entered, or is asserted by the IV-D Agency
to have been entered, directing me to pay child support.
2. I received a Notice Of Intent To Withhold from the IV-D Agency on
.
3. I contest the proposed withholding on the grounds of the following mistake of fact:
(one or more blocks must be checked)
I am not now, and was not at the time of the issuance of the Notice Of Intent To Withhold, in arrears in child
support payments in an amount equal to the support payable for one month.
The proposed withholding purports to be pursuant to my request for withholding, and I did not request that
withholding begin.
I am not the person who is subject to the court order of support for the child(ren) named in the Notice Of Intent To
Withhold.
I do not owe the amount of current support or arrearages specified in the Notice Of Intent Of Withhold or Motion
To Withhold.
Date
Signature Of Person Requesting Hearing
NOTE TO PERSON REQUESTING A HEARING:
The original of this request is to be filed with the Clerk of Superior Court in the county where the original order was entered and a copy must be sent or
delivered to the IV-D Agency that issued the Notice Of Intent To Withhold.
AOC-CV-619, Rev. 3/09
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