Maryland > Statewide > Circuit-District Court > Domestic Violence
Emergency Family Maintenance Earnings Withholding Order CC-DC-DV 12 - Maryland
| Emergency Family Maintenance Earnings Withholding Order Form. This is a Maryland form and can be used in Domestic Violence Circuit-District Court Statewide . |
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CIRCUIT COURT DISTRICT COURT OF MARYLAND FOR City/County Located at Court Address Case No. Petitioner vs. Respondent EMERGENCY FAMILY MAINTENANCE EARNINGS WITHHOLDING ORDER To the Employer: Name Address City, State, Zip Telephone No. Pursuant to Maryland Code, Family Law Article, § 4-506(d)(9), it is hereby ORDERED this Day day of Month , per Year ,that: You are required to withhold $ from the earnings of , Social Security # Required by the State Comptroller* on a regular and continuing basis, commencing on the beginning of the next pay period after receipt of this Order, until However, you may not deduct more from your employee's earnings than permitted by the Federal Consumer Credit Protection Act (15 U.S.C. Section 1673 (b)). For employees who are supporting second families, the maximum you can withhold is 50 % of the net income. For other employees, the maximum is 60%. You may deduct and retain from the employee's wages an additional $2.00 for each deduction under this Order. Within ten (10) days of the date employee is paid earnings, you shall send all deductions required under this Order to: Name Address City, State, Zip Telephone No. If you willfully fail to withhold and forward the deducted payments as required by this Order, you are liable for the amount you failed to deduct or forward and are subject to civil penalties. You may not use withholding as a basis for reprisal, dismissal or refusal to hire or promote any employee. Within ten (10) days after you receive notice of the employee's decision to terminate employment or within ten (10) days after the termination, whichever occurs earlier, you shall notify the court and forward to the court any available information as to the employee's Social Security Number, home address, and new place of employment. Subject to federal law, this Order has priority over any lien or legal process. Date Judge * By authority of Section 205 of the Social Security Act, 42 U.S.C. § 405 (c)(2)(C)(i). This information will be kept in a confidential envelope and not be available to the public. CC-DC/DV 12 (Rev. 10/2010) American LegalNet, Inc. www.FormsWorkFlow.com
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