Fill and Sign the Income Assignment Order Louisiana 497308827 Form

________________ : _______ JUDICIAL DISTRICT COURT VS : PARISH OF _______ , LOUISIANA ________________ : DOCKET NO. _______ ______________________________________________________________________________ INCOME ASSIGNMENT ORDER (IMMEDIATE) Pursuant to R.S. 46:236.3, A and B, on motion of the Plaintiff, through her undersigned attorney, to order an immediate income assignment if there is not a written agreement between the parties for an alternate arrangement, or if the court does not find good cause to issue an immediate income assignment order: IT IS ORDERED that there be an immediate income assignment under the provisions of R.S. 46:236.3, A and B, since there is no written agreement between the parties for an alternate arrangement and the court does not find good cause not to issue the order requiring the Defendant's present and/or future payers of any income, including but not limited to, wages, salary, commission, compensation as an independent contractor, shall withhold from the income of ________________ , Social Security No. ________________ , the OBLIGOR herein, the sum of ________________ and ___ /100 ($ _______ ) Dollars per month, payable in two (2) equal installments of $ _______ each biweekly, which includes the sum of ________________ and ___ /100 ($ _______ ) Dollars for monthly child support obligation and ________________ and ___ /100 ($ _______ ) Dollars toward the arrearage of ________________ and ___ /100 ($ _______ ) Dollars, until _______ ___ , 20 ___ . Beginning _______ ___ , 20 ___ , defendant's present and/or future payers of any income, including but not limited to, wages, salary, commission, compensation as an independent contractor, shall withhold from the income of ________________ , Social Security No. ________________ , the OBLIGOR herein, the sum of ________________ and ___ /100 ($ _______ ) Dollars per month, payable in two (2) equal installments of $ _______ each biweekly, which includes the sum of ________________ and ___ /100 ($ _______ ) Dollars for monthly child support obligation and ________________ and ___ /100 ($ _______ ) Dollars toward the arrearage of ________________ and ___ /100 ($ _______ ) Dollars. Payer of income is ordered to withhold this sum until further orders of this Court. IT IS FURTHER ORDERED that this ORDER be effectuated immediately and served upon the Payer of any income. IT IS FURTHER ORDERED that the Defendant is to notify the Court as to any change in circumstance, including change of residence or place of employment. THUS DONE AND SIGNED this _____ day of ____________ 20 ___ , at ________________ , Louisiana. _______________________________ DISTRICT JUDGE