FORM 3070-1D (08/18) UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF OKLAHOMA IN RE: , Debtor(s). Case No. Chapter 13 ORDER FOR WAGE DEDUCTION Name of Employee/Debtor: Debtor222s Employer: Employer222s Address: Employer222s Telephone: Employer222s email Address: The Employee, named above, is voluntarily repaying debts under Chapter 13 of the United States Bankruptcy Code. The Employee desires to have part of his/her future income deducted from wages in order to repay these debts. The Employer, named above, may be ordered to make such wage deductions, by authority of 11 U.S.C. 247 1325(c). IT IS THEREFORE ORDERED that, beginning with the first pay period after receipt of this Order by the Employer, and continuing until further order of this Court, the Employer shall, without fee or charge to the Employee: deduct $ per month from the Employee222s wages; write a check for the amount deducted once each month, naming 223Chapter 13 Trustee224 as payee, and note on the check the Employee222s name and case number ; and mail each check on or before the 25th day of each month to: Lonnie D. Eck Chapter 13 Trustee P.O. Box 613407 Memphis, TN 38101-3407 THIS IS NOT A GARNISHMENT. THIS IS AN ORDER UNDER FEDERAL LAW. IT MAY BE ENFORCED BY PENALTIES FOR CONTEMPT OF COURT UNDER 11 U.S.C. 247 105 OR FOR DISCRIMINATION AGAINST DEBTORS UNDER 11 U.S.C. 247 525. Approved: Lonnie D. Eck, Trustee Note: Pursuant to Local Rule 3070-1(D), the debtor shall submit a wage deduction order or payment order to the Chapter 13 Trustee for approval and submission to the Court. American LegalNet, Inc. www.FormsWorkFlow.com