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INCOME WITHHOLDING FOR SUPPORT - …

Page 1 of 4 Form 3N051 INCOME WITHHOLDING for SUPPORT (IWO) June 2018 Expiration Date: 08/31/2020 OMB 0970-0154 INCOME WITHHOLDING FOR SUPPORT INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) <F057> AMENDED IWO <F058> ONE-TIME ORDER/NOTICE FOR LUMP SUM PAYMENT <F062> TERMINATION OF IWO <F059> Date: <F002> State/Tribe/Territory Texas Remittance ID (include w/payment) City/ Order ID Private Individual/Entity Case ID ORDER INFORMATION: This document is based on the SUPPORT order from <F135> (State/Tribe). You are required by law to deduct these amounts from the employee/obligor's INCOME until further notice. $ Per current child SUPPORT <F061> <F060> $ Per past-due child SUPPORT - Arrears greater than 12 weeks?

This document is based on the support or withholding order from _____ (State/Tribe). You are required by law to deduct these amounts from the employee/obligor’s income

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