Fill and Sign the Judicial Terrorism Book Justice4ny Form

F.C.A. §448; Art. 5-BForm 4-8b C.P.L.R.5241, 5242 (a) (Petition to Correct [ NOTE : Personal Information Form 4-5/5-1d, Income Withholding containing social security numbers of parties and Order for Support dependents, must be filed with this Petition] Enforcement) 6/2012 FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF....................................................................................... In the Matter of a Proceeding for Support Under Article of the Family Court Act Docket No. 1 Petitioner, PETITION TO CORRECT INCOME WITHHOLDINGORDER FOR SUPPORT ENFORCEMENT -against- Respondent. ....................................................................................... TO THE FAMILY COURT: The undersigned respectfully alleges that: 1.a. is a creditor as defined in C.P.L.R. Section 5241 (a) (3), Gwho resides at OR Gwhose official address is [specify]: 2 b. is a debtor as defined in C.P.L.R. Section 5241 (a) (2) who resides at . 2. On [specify date]: , an Income Withholding Order (IWO) for Support Enforcement was issued by the GSheriff GClerk of the Court, County , GAttorney for the creditor against the debtor that required [specify]: an Gemployer Gincome payor , to deduct certain sums from income due or thereafter due the debtor under Order of Support dated by the Court of County, State of New York. U se cap tio n as in o riginal sup p o rt p ro ceed ing . 1 U nless the C o urt has o rd ered the ad d ress to b e co n fid ential o n the gro und that d isclo sure w o uld p o se an 2 unreaso nab le health o r safety risk. S ee F am ily C o urt A ct § 1 5 4 -b ; F o rm 2 1 (availab le at w w w .nyco urts.go v). Form 4-8b Page 2 [Delete if inapplicable]: 3.a. (Upon information and Belief) The Income Withholding Order for Support Enforcement contains a defect, irregularity, error or omission, in that {specify]: and should be corrected as follows [specify]: b. The Income Withholding Order for Support Enforcement contains a mistake of fact as defined in C.P.L.R Section 5241(a)(8) in that [specify]: and should be corrected as follows [specify]: 4. No previous application has been made to any judge or court, including a Native American tribunal, or is presently pending before any judge or court, for the relief requested in this petition (except [specify]: ). WHEREFORE, applicant requests an order correcting the [check applicable box]: G defect, irregularity, error or omission G mistake of fact in the Income Withholding Order for Support and for such other and further relief as the law provides. Applicant Print or Type name Signature of Attorney, if any Attorney’s Name (Print or Type) Dated: , . Attorney’s Address and Telephone Number