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(Joint) Motion For Income Withholding Order (IWO) (Packet) - Florida
| (Joint) Motion For Income Withholding Order (IWO) (Packet) Form. This is a Florida form and can be used in Family Law Hillsborough Local County . |
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IN THE CIRCUIT COURT OF THE THIRTEENTH JUDICIAL CIRCUIT, IN AND FOR HILLSBOROUGH COUNTY, FLORIDA FAMILY LAW DIVISION _______________________________, Petitioner and _______________________________, Respondent CASE NO.: DIVISION: JOINT MOTION FOR INCOME WITHHOLDING ORDER (IWO) COMES NOW the Petitioner and Respondent, and request entry of an Income Withholding Order (IWO) in the above referenced case. 1. A ( ) Final Judgment ( ) Order for Support (check one) was entered in this case on (date) and ordered: (check all that apply) child support in the amount of $__________ per: month / week / bi-weekly (circle one), alimony in the amount of $__________ per: month / week / bi-weekly (circle one). 2. A copy of the Final Judgment or Order for Support is attached to this Motion. 3. The Final Judgment/Order for Support required the ( ) Petitioner ( ) Respondent to pay: the Obligee, directly. Other: 4. The Petitioner and Respondent are requesting an IWO for the following reason: . Joint Motion for IWO (13th Judicial Circuit Form) 04/2012 American LegalNet, Inc. www.FormsWorkFlow.com Dated: Dated: Signature of Petitioner Printed Name: Address: City, State, Zip Telephone Number Fax Number Signature of Respondent Printed Name: Address: City, State, Zip Telephone Number Fax Number STATE OF FLORIDA COUNTY OF Sworn to or affirmed and signed before me on _______________ by ________________________ . ___________________________________________ NOTARY PUBLIC--STATE OF FLORIDA ___________________________________________ [Print, type, or stamp commissioned name of notary.] _____ Personally known _____ Produced identification Type of identification produced STATE OF FLORIDA COUNTY OF Sworn to or affirmed and signed before me on _______________ by ________________________ . ___________________________________________ NOTARY PUBLIC--STATE OF FLORIDA ___________________________________________ [Print, type, or stamp commissioned name of notary.] _____ Personally known _____ Produced identification Type of identification produced IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [ fill in all blanks] I, {full legal name and trade name of nonlawyer} , a nonlawyer, located at {street} , {phone} helped _________________________, {state} {name}_________________________________________, who is the petitioner, fill out this form. , {city} Joint Motion for IWO (13th Judicial Circuit Form) 04/2012 American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE THIRTEENTH JUDICIAL CIRCUIT, IN AND FOR HILLSBOROUGH COUNTY, FLORIDA FAMILY LAW DIVISION _______________________________, Petitioner and _______________________________, Respondent CASE NO.: DIVISION: MOTION FOR INCOME WITHHOLDING ORDER (IWO) COMES NOW the _____ Petitioner _____ Respondent, requesting entry of an Income Withholding Order (IWO) in the above referenced case. 1. A ( ) Final Judgment ( ) Order for Support (check one) was entered in this case on (date) and ordered: (check all that apply) child support in the amount of $__________ per: month / week / bi-weekly (circle one), alimony in the amount of $__________ per: month / week / bi-weekly (circle one). 2. A copy of the Final Judgment or Order for Support is attached to this Motion. 3. The Final Judgment/Order for Support required the ( ) Petitioner ( ) Respondent to pay: the Obligee, directly. Other: . 4. The ( ) Petitioner ( ) Respondent is requesting an IWO for the following reason: I HEREBY CERTIFY that a copy of this Motion has been furnished by [check one only] ( ) mail ( ) faxed and mailed ( )hand delivered to the person(s) listed below on [date]. Motion for IWO (13th Judicial Circuit Form) 04/2012 American LegalNet, Inc. www.FormsWorkFlow.com Other party or his/her attorney: Name: Address: City, State, Zip: Signature of Moving Party Printed Name: Address: City, State, Zip: Telephone: Fax: Dated: IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [ fill in all blanks] I, {full legal name and trade name of nonlawyer} , a nonlawyer, located at {street} , {phone} helped _________________________, {state} {name}_________________________________________, who is the petitioner, fill out this form. , {city} Motion for IWO (13th Judicial Circuit Form) 04/2012 American LegalNet, Inc. www.FormsWorkFlow.com INCOME WITHHOLDING FOR SUPPORT ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) AMENDED IWO ONE-TIME ORDER/NOTICE FOR LUMP SUM PAYMENT TERMINATION of IWO Date: _____________________ Child Support Enforcement (CSE) Agency x Court Attorney Private Individual/Entity (Check One) NOTE: This IWO must be regular on its face. Under certain circumstances you must reject this IWO and return it to the sender (see IWO instructions http://www.acf.hhs.gov/programs/cse/forms/OMB-0970-0154_instructions.pdf). If you receive this document from someone other than a State or Tribal CSE agency or a Court, a copy of the underlying order must be attached. Florida State/Tribe/Territory _________________________ Remittance Identifier (include w/payment) ____________________ Hillsborough City/County/Dist./Tribe _______________________ Order Identifier _________________________________________ N/A Private Individual/Entity ______________________ CSE Agency Case Identifier _______________________________ _____________________________________________ Employer/Income Withholder's Name _____________________________________________ Employer/Income Withholder's Address _____________________________________________ _____________________________________________ Employer/Income Withholder's FEIN ________________ Child(ren)'s Name(s) (Last, First, Middle) ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Child(ren)'s Birth Date(s) ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ RE: _____________________________________________ Employee/Obligor's Name (Last, First, Middle) _____________________________________________ Employee/Obligor's Social Security Number _____________________________________________ Custodial Party/Obligee's Name (Last, First, Middle) ORDER INFORMATION: This document is based on the support or withholding order from Florida. You are required by law to deduct these amounts from the employee/obligor's income until furthe
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