Fill and Sign the Minnesota Child Support 497312436 Form

STATE OF MINNESOTA DISTRICT COURT COUNTY OF JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No. , Petitioner, NOTICE OF INCOME WITHHOLDING AND , Respondent, TO: ______________ You are hereby notified pursuant to Minn. Stat. .518.611, that fifteen (15) days from the date of this notice, your employer or payer of funds will be instructed to deduct your court-ordered child support payments and payments for past due support from your income. Your child support payments are more than thirty (30) days in arrears and the court will be requested to issue an order for income withholding on . In addition to withholding, $ . 00 per month for child support, an additional sum of $ . 00 per month will be withheld by your employer or payer of funds until past due support is paid in full. If you believe your payments are not at least thirty (30) days in arrears, or if other mistakes of fact exist, you can delay income withholding by scheduling a motion within fifteen (15) days - 1 - from the date of this letter requesting that the court: 1. Deny income withholding on the grounds that an arrearage of at least thirty (30) days did not exist as of the date of this notice or on other grounds, limited to mistakes of fact, and 2. Stay service on the payer of funds until the motion to deny income withholding is heard. If you request a court hearing, you must serve notice upon ______________ . If you fail to serve notice, your employer or payer of funds will be instructed to begin withholding child support payments from your income as soon as the court enters an order for the withholding of income. Dated: ______________ _______________________________ __________________ Attorney for Petitioner #1 Address #2 Address City, State Zip Telephone ( ____ ) __________ Attorney Reg. No.: ______ - 2 -