Texas > Local County > Hays
Request For Issuance Of Withholding Order - Texas
| Request For Issuance Of Withholding Order Form. This is a Texas form and can be used in Hays Local County . |
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REQUEST FOR ISSUANCE OF WITHHOLDING ORDER FC 158.104 NOTICE: REQUEST MUST BE COMPLETED AND DELIVERED TO THE DISTRICT CLERK TO ACTIVATE THE WITHHOLDING ORDER ALONG WITH A $15.00 FILING FEE. CAUSE NO. ___________, STYLE OF CASE: ______________________________________ VS. _______________________________________ OBLIGOR :________________________________ SOC.SEC #__________________________ ADDRESS:____________________________________________________________________ OBLIGEE:_________________________________ SOC.SEC #__________________________ ADDRESS:____________________________________________________________________ EMPLOYER'S NAME ____________________________________________________________ ADDRESS ____________________________________________________________________ ATTENTION : __________________________________________________ PAYROLL CLERK PHONE: Area Code (_____) No.__________________ FAX: Area Code (_____) No. ____________________ Email: ______________________________________ SELECT DELIVERY METHOD: _____ Mail _____ Fax _____ Email NOTE TO EMPLOYERS: MAKE CHECK PAYABLE TO OBLIGEE ONLY MAIL PAYMENTS TO: TEXAS CHILD SUPPORT DISBURSEMENT UNIT P.O. BOX 659791 SAN ANTONIO, TEXAS 78265 INFORMATION FURNISHED BY:__________________________________________________ ADDRESS:_________________________________________PHONE:(____)_______________ REQUESTED BY: Obligor / Obligee; Friend of the Court; Attorney; Friend of the Court; Title IV-D Agency (circle one) SIGNATURE: _______________________________________ DATE__________________ 20______ ORIG COPY: case file American LegalNet, Inc. www.FormsWorkFlow.com
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