Illinois > Local County > Will > Domestic Relations
Income Withholding Order For Support F-SO-001 - Illinois
| Income Withholding Order For Support Form. This is a Illinois form and can be used in Domestic Relations Will Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
STATE OF ILLINOIS COUNTY OF WILL ) )SS ) IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS _______________________________________ Plaintiff CASE NO: _______________________________ Illinois Department of Healthcare & Family Services is or has been, granted leave to intervene vs. Defendant IDHFS NO: _______________________________ INCOME WITHHOLDING ORDER FOR SUPPORT Check One: ORIGINAL INCOME WITHHOLDING ORDER FOR SUPPORT AMENDED INCOME WITHHOLDING ORDER FOR SUPPORT ONE-TIME INCOME WITHHOLDING ORDER FOR LUMP SUM PAYMENT TERMINATION ORDER FOR INCOME WITHHOLDING ORDER FOR SUPPORT This order has been prepared by: Child Support Enforcement Agency Attorney Court Private Individual/Entity PLEASE NOTE: As the employer of the below named employee/obligor, under the following circumstances this Income Withholding Order for Support (IWO) must be rejected and returned to the sender if any of the following apply: This order requires payment to any other agency other than the Illinois State Disbursement Unit (SDU) unless the date of the order is prior to January 1, 1994. This form does not contain all information necessary for compliance with this withholding. This form is altered or contains invalid information. Amount to be withheld is not a dollar amount. Date of Entry of Support Order: _________________ County & State: Will County, Illinois Case/Docket Number: ____________________________________________ (Employer/Income Withholder's Name) ____________________________________________ (Employer/Income Withholder's Address) Number) ____________________________________________ (Employer/Income Withholder's City, State, Zip Code) ____________________________________________ (Employer/Income Withholder's Phone Number) ____________________________________________ (Employer/Income Withholder's F.E.I.N) Remittance Identifier (include w/payment): 1719700 CSE Agency Case Identifier: ____________________ RE: ________________________________________________ (Employee/Obligor's Name- Last, First, Middle) RE: _________________________________________________ (Employee/Obligor's Last Four Digits of Social Security RE: __________________________________________________ (Custodial Party/Obligee's Name- Last, First, Middle) This Order shall be forwarded and complied with by any subsequent employer of the Obligor. Child(ren)'s Name(s): Date Of Birth Child(ren)'s Name(s): ______________________ Date Of Birth ____________ ____________ PAMELA J. MCGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNTY White Court Yellow Plaintiff Pink Defendant F-SO-001-A (Revised 12/12) Pg. 1 of 6 American LegalNet, Inc. www.FormsWorkFlow.com ORDER OF SUPPORT INFORMATION: This document is based on the support order from Will County, Illinois. You are required by law to deduct these amounts from the employee/obligor's income until further notice with the first payment being deducted on the next payment of income to obligor after receiving this notice. $ ____________ per ____________ $ ____________ per ____________ $ ____________ per ____________ $ ____________ per ____________ $ ____________ per ____________ $ ____________ per ____________ $ ____________ per ____________ $ ____________ per ____________ $ ____________ per ____________ Current Child Support Child Support Arrears Arrears greater than 12 weeks? Yes No Current Maintenance Support Maintenance Support Arrears Current Unallocated Support Unallocated Support Arrears Current Medical Support Medical Support Arrears Other (must specify) ________________________________________ for a TOTAL AMOUNT TO BE WITHHELD OF $ _____________ per ______________. You do not have to vary your pay cycle to be in compliance with this Order. If your pay cycle does not match the above ordered payment cycle, please withhold one of the following amounts: $ ____________ per semi-monthly pay period (twice a month) $ ________ per weekly pay period $ ____________ per monthly pay period $ ________ per bi-weekly pay period (every two weeks) $ ________ Lump Sum Payment *Important- Do not stop any existing IWO unless you receive a termination order* AMOUNTS TO WITHHOLD: REMITTANCE INFORMATION: If the employee/obligor's principal place of employment is within the State of Illinois, you must begin withholding support payments no later than the next pay period or credit of income that occurs 14 business days after the date of mailing, fax transmission, or other electronic service of this Income Withholding Order. All withheld payments must be sent within 7 business days to the Illinois State Disbursement Unit (SDU) at P.O. Box 5400, Carol Stream, IL 60197. Failure to withhold said sums or failure to pay over said sums within 7 business days may subject you to a civil action in which a penalty of $100.00 per day for each day the sum is not paid beyond the 7th business day. When submitting payments to the SDU, please be sure to include the obligor and obligee names, case number, FIPS code of 1719700, and date of payment. As the employer who's responsible for withholding income, you are entitled to deduct a fee not to exceed $5.00 per month from the obligor to defray the cost of withholding. Pursuant to the Federal Consumer Credit Protection Act, if an employee/obligor's disposable income is deficient to cover all obligations of support and fees, then you must follow the following formulas to determine the maximum allowable amount to be withheld: If an employee is less than 12 weeks in arrears and supporting a spouse or dependent child(ren), then the maximum aggregated disposable earnings which is subject to garnishment is 50%. If an employee is less than 12 weeks in arrears and not supporting a spouse or dependent child(ren), then the maximum aggregated disposable earnings which is subject to garnishment is 60%. If an employee is greater than 12 weeks in arrears and supporting a spouse or dependent child(ren), then the maximum aggregated disposable earnings which is subject to garnishment is 55%. If an employee is greater than 12 weeks in arrears and not supporting a spouse or dependent child(ren), the maximum aggregated disposable earnings which is subject to garnishment is 65%. If the employee/obligor's principal place of employment is not within the State of Illinois, please consult your private counsel for information regarding obtaining withholding limitations, time requirements, and any allowable employer fees. PAMELA J. MCGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNT
|
|||||||
