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Order To Withhold Income For Child Support JO-14 - Maryland
| Order To Withhold Income For Child Support Form. This is a Maryland form and can be used in Judgments And Orders Family Law Circuit Court Statewide . |
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________________________________ * IN THE Plaintiff * CIRCUIT COURT v. * F OR ________________________________ * _______________________________ Defendant * C ivil No.: * * * * * * * * * * * * * ORDER TO WITHHOLD INCOME FOR CHILD SUPPORT Original Amended Termination State of Maryland Co./City/Dist. of Tribunal/Case Number Employers/Withholders Name Employers/Withholders Address Child(ren)s Name(s): DOB Employer/Withholders Federal EIN Number (if known) RE: Employees/Obligors Name (Last, First, MI) Employees/Obligors Social Security Number Employees/Obligors Case Identifier Obligee Name (Last, First, MI) If checked, you are required to ell thnro e child(ren) identified above in any health insurance coverage available to the employees/obligors through his/her employment. ORDER INFORMATION: This Order/Notice is based on the support order from . You are required by law to deduct these amounts from the employees/obligors income until further notice. $ Per current child support Ar rears as of this date:$________________. $ Per past-due child support -Arrears 12 weeks or gr eater? yes no $ Per current medical support $ Per past-due medical support $ Per spousal support $ Per other (specify) for a total of $ per to be forwarded to the payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered payment cycle, withhold one of the following amounts: $ per weekl y pay period. $ per semimonthly pay period (twice a month). $ per biweekly pay period (every 2 weeks).$ per monthly pay period. Page 1 of 3 JO14 Revised 19 May 2003 <<<<<<<<<********>>>>>>>>>>>>> 2REMITTANCE INFORMATION: When remitting payment, provide the pay date/date of withholding and the case identifier. If the employees/obligors principal place of employment is Maryland, begin withholding no later than the first pay period occurring after the date of this order. Send payment within seven (7 ) working days of the pay date/date of withholding. The total withheld amount, including your fee, cannot exceed the limits set forth in #10 below. If the employees/obligors principal place of employment is not Maryland, for limitations on withholding, applicable time requirements, and any allowable employer fees, follow the laws and procedures of the employees/obligors principal place of employment (see#4 and #10, ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS). If remitting payment by EFT/EDI, call 1-800-332-6347 before first submission. Make check payable to : Maryland Child Support Account Send check to: PO Box 17396, Baltimore, MD 21297-1396. Include Payee name and Case Identifier orcial Security Num So ber on the check. Date:_______________________ ___________________________________________ J UDGE Recommended Order: ______________________ Master ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If checked, you are required to provide a copy of this form to your employee. If your employee works in a state that is different from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesseslocated on a reservation that chooseto withho ld in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect fore receibept of this order have priority. If there are Federal tax levies in effect, please contact the State Child Support Enrcemenfo t Agency or party listed in number 11 below. 3. Combining Payments: You can combine withheld amounts from more than one employees/obligors income in a single payment to each agency/party requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 4. Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which the amount was withheld from the employees wages. You must comply with the law of the state of employeeobligors/ s principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 5. Employee/Obligor with Multiple Support Withholdings: If there is more than on Ore der/Notice to Withhold Income for Child Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employees/obligors principal place of employment. You mst honor all Order/u Notices to the greatest extent possible. (See #10 below.) Page 2 of 3 JO14 Revised 19 May 2003 <<<<<<<<<********>>>>>>>>>>>>> 3 6. Termination Notification: You must promptly notify the Child Support Enforcement Agency or payee when the employee/obligor no longer works for yPleasou. e provide the information requested and return a complete copy of this order/notice to tChihe ld Support Enforcement Agency or payee. EMPLOYEES/OBLIGORS NAME: CASE IDENTIFIER: DATE OF SEPARATION FROM EMPLOYMENT: LAST KNOWN HOME ADDRESS: NEW EMPLOYER/ADDRESS: 7. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8. Liability: If you have any doubts about the validity of the Order/Notice, contact the agency or person listed below. If you fail to withhold incomethe as Order/Notice directs, you are liable for both the accumulated amount you should ha withheld fromve the employees/obligors income and any other penalties set by State law. 9. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a child support withholding. 10. Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. 1673(b)); or 2) the amounts allowed by the State of the employees/obligors principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income
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