Fill and Sign the Wage Withholding Order1 Form

DOMESTIC RELATIONS FORMS Supreme Court Approved4A-341 November 1, 20024A-341STATE OF NEW MEXICOCOUNTY OF _______________________________________________ JUDICIAL DISTRICT_____________________________________,Petitionerv. No. __________________________________________________,Respondent WAGE WITHHOLDING ORDER1 This matter having come before the court for entry of a wage withholding order. The parties have agreed as follows:A.Information on the paying parent:Name of parent: __________________________________Parent's address: ____________________________________________________________________Social security number:__________________________________Employer's name: __________________________________Employer's address: ____________________________________________________________________B.The total support owed is $__________ per month.C. ________________________ (name of paying party) agrees to this support being withheld from wages of the above employer.IT IS ORDERED THAT:The paying parent's employer (including all future employers or income providers) shall withhold support as follows (describe amount and purpose for which wages will be withheld ): __________________________________________________________________________________________________________. DOMESTIC RELATIONS FORMS Supreme Court Approved4A-341 November 1, 2002The employer shall mail or transfer the amount withheld within seven (7) days of the date the paying parent receives a pay check to:_______________________________________________ (name of person or entity and address).IT IS SO ORDERED.____________________ _______________________________DateDistrict judgeAPPROVED:Mother's signature: ________________________________Address: ________________________________________________________________________________________________Telephone:________________________________Father's signature: ________________________________Address: ________________________________________________________________________________________________Telephone:________________________________ USE NOTE 1. See Paragraph C of Domestic Relations Form 4A-205 NMRA for an explanation of the Wage Withholding Order.[Approved, effective November 15, 2002.]