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IN THE CIRCUIT COURT OF COOK COUNTY, …

3285 Notice of Income Withholding for Support (12/15/14) CCDR N556 A. IN THE CIRCUIT COURT OF COOK county , illinois . county department , domestic relations division . Case No. _____. TO PAYOR/EMPLOYER. Petitioner Name/Company _____. and Address _____. City _____ county _____. State _____ Zip Code _____. Respondent Telephone (_____) _____. NOTICE OF INCOME WITHHOLDING FOR SUPPORT. ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO). AMENDED IWO. ONE TIME ORDERED/NOTICE FOR LUMP SUM PAYMENT. TERMINATION OF IWO Date: _____. Child Support Enforcement (CSE) Agency COURT Attorney Private Individual/Entity (Check one.). NOTE: This IWO must be regular on its face. Under certain circumstances you must reject this IWO and return it to the sender (see IWO instructions ). If you receive this docu- ment from someone other than a State or Tribal CSE agency or a COURT , a copy of the underlying order must be attached. State/Tribe/Territory Remittance Identifier (include w/ payment).

3285 Notice of Income Withholding for Support (12/15/14) CCDR N556 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, DOMESTIC RELATIONS DIVISION

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  Department, Illinois, County, Domestic, Court, Division, Circuit, Relations, In the circuit court, Illinois county department, Domestic relations division

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