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Child Supportrestraining Orderchild Support Scribd Form

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Form 807 The Petitioner, , requests the Court, pursuant to 15 V.S.A. Section 783, to enter a wage withholding order. Name Name Address Address I REQUEST THIS COURT TO: 1. Enter a Judgment against the Respondent for all unpaid support. 2. Order withholding from the Respondent's wages from the current or per month for current support and $ any future employer, for $ per month toward the arrearage balance and pay the amount deducted to the Office of Child Support for the benefit of the Petitioner. Date Signature NOTE TO RESPONDENT: If you object to the court ordering a wage withholding order, you must complete the attached "Objection to Wage Withholding" and file it with the Court within 20 days. Vermont Docket Number County Family Court Defendant VS. PETITION FOR WAGE WITHHOLDING Plaintiff (Support Order Issued before July 1, 1990) Rev. 11/01 SML 1. On , the Court ordered , the Respondent, to pay for child support and per for spousal support. The Court ordered that the support shall be, paid to 2. As of in arrears for child support to 3. , the Respondent is $ in arrears to the Department of Social Welfare, $ in arrears for spousal support. and Some or all of the amounts due under the support order are seven days overdue. 4. or, if known please list below: Respondent's Employer(s): 5. Unknown, per $ $ (date) . (time period) (time period) on (date) SELECT COUNTY

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