Income Withholding for Support - portal.cs.oag.state.tx.us

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? Yes No $ Per current cash medical Support $ Per past-due cash medical Support $ (leave blank) Per (leave blank) current spousal Support $ (leave blank) Per (leave blank) past-due spousal Support $ (leave blank) Per (leave blank) other (must specify).

(State/Tribe), you must begin withholding no later than the first pay period that occurs zero days after the date of delivery. Send payment withintwo business days of the pay date. If you cannot withhold the full amount of support for any or all orders for this employee/obligor, withhold 50 …

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  Date, Income, Payments, Support, Withholding, Income withholding for support

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