FO RM E-1 UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF WEST VIRGINIA In re Case No. Chapter 13 Adjustment of Debts Debtor(s) ORDER TO COMMENCE WITHHOLDING Pursuant to Local Bankruptcy Rule 6.01, an amount equal to the proposed payments under the debtor's Chapter 13 Plan shall be withheld from the Debtor's wages from time to time. Accordingly, it is ORDERED that the employer, ________________________________________________, which from time to time may owe wages to the Debtor, shall withhold therefrom, to the exclusion of all other deductions and legal processes, except lawful taxes and labor union dues, the sum of $____________, and shall remit same, at least monthly, to the Trustee, Helen M. Morris, Post Office Box 8535, South Charleston, West Virginia, 25303, (304) 744-6730, and shall continue to do so each month until further order of this Court. ENTERED: ____________________________________ JUDGE American LegalNet, Inc. www.USCourtForms.com