Last updated: 2/27/2014
Wage Assignment Order
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Description
IN THE CHANCERY COURT OF MADISON COUNTY, TENNESSEE AT JACKSON ___________________________ Plaintiff Vs. ___________________________ Defendant R.D._______________ Order for Wage Assignment Pursuant to the Parenting Plan in the above-entitled action: IT HEREBY ORDERED that the clerk shall issue a Wage Assignment to the current employer of:________________________________. (Payor) Last four digits of payor's ss#_________. The employers' name and address is: __________________________________ __________________________________ __________________________________ _________________________________. Current support is set at: $____________per: _ week _ bi-weekly _ month _ bi-monthly. Arrearages have also been awarded in the amount of $_____________to be paid in the amount of $________per: _ week _ bi-weekly _ month _ bi-monthly. Child support payments shall be forwarded to the Central Child Support Receipting Unit and sent from there to: ____________________________________________________ (Payee) at the following address: American LegalNet, Inc. www.FormsWorkFlow.com ____________________________________________________ ____________________________________________________ ____________________________________________________ Enter this the _____day of ______________, 2008. _______________________________________ Chancellor James F. Butler American LegalNet, Inc. www.FormsWorkFlow.com
