Fill and Sign the Form Cr 7

WITHHOLDI NG ORDER-COSTS, FINES, ASSESSMENTS AND RESTITUTION Case Num ber Form CR -7 Rev. 2/95 State of Alabama Unifie d Ju dicial System Form CR-7 R ev. 2/95 IN THE ___ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ COURT O F ___ ____ ___ ___ ___ ___ ___ ___ ___ ___ ___ , ALABAMA (Circu it, Distri ct, or Mun icip al) (Nam e o f M unicip ality o r Cou nty) STATE O F AL ABA MA MUNICIP ALITY OF ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ v. __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ Defe ndant ____ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Defe ndant ’s E mploy er ____ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Defe ndant’ s E mploy er’s A ddress _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ Defe ndant’s Social Security Num ber ____ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ City State Zip Code ____ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Defe ndant’s E mployer’s Tele phone Num ber This Withholding Order is ente red pursuant to the provision s of Section 15-18-143, Ala. Code 1975, and Rule 26.11, Alaba ma Rule s of Cri minal Procedure, as a mean s of enforcing or coll ecting moni es ord ered paid pursu ant to a cri mina l proceeding. It is therefore ORDERED by the Court as follow s: 1. The defendant is ORDERED to pay the t otal su m of $___________ ___ ______ for court-ordered moni es. 2. The defendant’s present e mploy er or any succ essive e mployer is herby ORDE RED to withhold fro m employ ment inco me due or to beco me due t o the defendant $________ ___ _________ per _________ ___ _________ ___ __. The e mploy er shall remit the total a mount deduct ed MONTHLY to the Clerk of the above-na med Court at (address) _________ __________ __ _________ ___ _________ ___ _________ ___ _________ ___ _________ ___ to be distribute d pursuant to the Court’s sent encing order. 3. When the restitution pay ments are ordered paid directly to the Clerk of this Court, there shall be paid an additional $ 1.0 0 administrativ e fee provided in Section 12-19-2 6, Ala. Code 1975, with each periodic pay ment of restitution. 4. This Order shall beco me binding after service upon the e mploy er and sh all re main in effect until the su m of $________ ___ _______ ha s be en re mitte d to the Clerk of the Court to satisfy the court-ordered e mploy ment i ncome withhol ding obligation unless the Order has been sooner modified or terminated by the Court. When the total amount ordered by the Court has been remitted to the Clerk of the Court, the employer released from his obligation to remit further payments. This Order is effective as to any current or future employer of the defendant. 5. The employer’s copy of this Order shall be : served immediately upon the defendant’s employer; OR remain in the court file until the defendant finds employment as required by this Court; OR remain in the court file until a determination is made by the Court that the defendant has failed to comply with the Court’s O rder. When the Order is served, service shall be by personal service certified mail. 6. The employer shall not discharge the defendant solely because of the Order or any other process issued as a result thereof. Any employer who violates the Order may be deemed in contempt of court and may be compelled by the Court to reinstate such employee. 7. The defendant and the employer shall promptly notify th is Court or the Clerk of the Court if payments are discontinued as a result of any layoff, suspension, discharge, or resignation of such defendant, or of any change in the defendant’s employment including the name and address, if known, of any new or successive employer. 8. Any person who willfully refuses to comply with an y court order issued pursuant to Section 15-18-143, Ala. Code 1975, directing such person to withhold, deliver or pay over any employme nt income may be deemed in contempt of court and may be held liable to the victim for any restitution lost. 9. Any person who complies with the Order for Withholding restitution issued pursuant to Section 15-18-140, et seq., Ala. Code 1975, shall not be held liable to the defendant or other person claiming any rights derived from the defendant for wr ongful withholding or wrongful conversion of any assets or income. 10. You are hereby ordered to return the enclosed Answer to Order of Withholding for Costs, Fines, Assessments, and Restitution within 14 days of service of this Order. 11. Other: _____________________________________________________________________________________ ______________________________________________________________________________________________________ Done this ____________ day of _________________________, ______________ _________________________________ Judge