Fill and Sign the Order to Withhold from Income Form

FINDINGSCivil:Plaintiff Criminal: (Over)AOC-CV-907M, Rev. 3/03 The obligor receives disposable income as defined in G.S. 110-129(6) from the payor named above as set out below.the obligorwas in arrears equal to or more than support payable for one month. Present at the hearing were(check if applicable) At the time of the The obligor is obligated to pay child support in the amount shown below. As of the date of the hearing, the obligor is in4.STATE OF NORTH CAROLINA Court File No.Monthly Other (specify) Other findings:issuance of the show cause order, filing of the motion, obligor, represented by recipient, represented by was served on The obligorMonthly Other (specify)Weekly Bi-weekly(Date)Weekly Bi-weeklyCounty(NOTE: This form may be used in both civil and criminal cases.)As Of 2. submitted to the Court's jurisdiction. ,.3. . hearing,5.had been erratic in making child support payments.6.Amount Of Support ObligationAmount Of Past Due Support $ $Amount Of Disposable Income $ 2003 Administrative Office of the CourtsIn The General Court Of Justice DistrictSuperior Court Division STATEVERSUSORDER TO WITHHOLD FROM INCOME OTHER THAN WAGES TO ENFORCE CHILD SUPPORT G.S. 110-136.5(c)Social Security No.Name And Address Of Obligor (Supporting Party) recipient's motion for an order for income withholding. obligor's request for income withholding. Other (specify)a show cause order issued in this action. the parties' request for entry of a Consent Order. the State's motion for income withholding.. This matter is before the Court pursuant to1.Date Of Support Order Or JudgmentType Of Income`IV-D Case No.The Court makes the following findings of fact and conclusions of law based on the record and the evidence presented.Name Of DefendantName And Address Of Payor (Source Of Income)Federal Tax ID No. was delinquent in making child support payments. ORDERCONCLUSIONS The costs of this action are taxed against 2003 Administrative Office of the CourtsAOC-CV-907M, Side Two, Rev. 3/03This matter is properly before the Court and the Court has jurisdiction over the parties and the subject matter. The Support Order or Judgment referred to above is valid and continues to be in force and effect. The obligor's disposable income is subject to withholding to enforce the child support obligation.OR 40 percent (state different percent if applicable The obligor's disposable income be subjected to withholding to enforce the child support obligation referred to herein.appropriate amount to order withheld from the obligor's disposable income each pay period, which is weekly.It is ORDERED that:1. 2. 3. 4.%), WHICHEVER IS LESS, is an bi-weekly.monthly.Other (specify)1.. $2.The obligor's payor be served with a Notice Of Obligation To Withhold From Income Other Than Wages For Child Support, directing said payor to withhold and transmit to the North Carolina Centralized Collection Office, PO Box 900012, Raleigh, NC 27675 from the obligor's disposable income each pay period the percentage set out below minus the $2 processing fee, or the exact amount set out below, WHICHEVER IS LESS.(b)to the arrearages until paid in full. The withheld amounts shall be allocated as follows:Monthly Other (specify) (a)to obligor's continuing child support obligation.3.Weekly Bi-weekly *NOTE: This amount plus $2.00 processing fee must not exceed the maximum allowable percentage. Total(Note: Total should equal amount.)Maximum Allowable Percentage%Amount* $ $ $$ When all arrearages are paid in full, the amount to be withheld shall be automatically reduced to the amount sufficient to pay the obligor's continuing child support obligation as listed in 3(a) above. The North Carolina Child Support Centralized Collection Office shall notify the payor and obligor of the reduced amount to be withheld.4. plaintiff.defendant. The payor is entitled to retain a processing fee of $2.00 in addition to the amount of withholding for each withholding made. The obligor shall remain responsible for the payment of support as previously ordered by the Court, and is responsible for payments that are due before withholding becomes effective and for any amount of the support obligation or The obligor shall notify the Court when this Order and/or the Notice Of Obligation To Withhold From Income Other Than Wages For Child Support needs to be modified for any reason. If the obligor or the payor gives notice that an adjustment to withholding is needed, or if it so appears to the Clerk, this matter shall be scheduled for hearing before the Court. Other:5.6.7.8.9.10..CONSENTED TO : (if applicable)Signature Of DefendantSignature Of Presiding JudgeDate SignedSignature Of PlaintiffDate Order Entered (if different from date signed)Name Of Presiding Judge (Type Or Print)