Transcription of Income Withholding for Support
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Income Withholding for Support
Income Withholding FOR SUPPORTINCOME Withholding ORDER/NOTICE FOR Support (IWO) AMENDED IWOONE-TIME ORDER/NOTICE FOR LUMP SUM PAYMENTTERMINATION OF IWODate:Child Support Enforcement (CSE) AgencyCourtAttorneyPrivate 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 document from someone other than a state or tribal CSE agency or a court, a copy of the underlying Support order must be attached. State/Tribe/TerritoryRemittance ID (include w/payment)City/ ID Private Individual/EntityCase IDEmployer/ Income Withholder's NameEmployer/ Income Withholder's AddressRE: Employee/Obligor's Name (Last, First, Middle)Employee/Obligor's Social Security NumberEmployee/Obligor's Date of BirthCustodial Party/Obligee s Name (Last, First, Middle)Employer/ Income Withholder's FEINC hild(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s) ORDER INFORMATION: This document is based on the Support order from (State/Tribe)
income withholding for support income withholding order/notice for support (iwo) amended iwo. one-time order/notice for lump sum payment termination of iwo
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