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Order-Notice To Withhold Income For Child Support ODHS4047 - Ohio
| Order-Notice To Withhold Income For Child Support Form. This is a Ohio form and can be used in Child Support Enforcement Franklin County (Court Of Common Pleas) . |
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ORDER/NOTICE TO WITHHOLD INCOME FOR CHILD SUPPORT State OHIO Original Order/Notice County Franklin Date of Issuance Amended Order/Notice Order Number Terminate Order/Notice FIPS Code Case Number Employer/Withholders Federal EIN Number RE: Employer/Withholders Name Employee/Obligors Name (Last, First, MI) Employer/Withholders Address Employee/Obligors Social Security Number Workers Compensation Claim Number Employee/Obligors Date of Birth Financial Institution Account Number Custodial Parents Name (Last, First, MI) Checking Savings Child(ren)s Name(s): DOB Child(ren)s Name(s): DOB ORDER INFORMATION: This is an Order/Notice to Withhold Income for Child Spport based u upon an order for support from . By law, you are required to deduct these amounts from the above-named employees/obligors incomuntil the direce tor or designee of the county child support enforcement agency notifies you in writing to terminate or reduce the withholding even if the Order/Notice is not issued by your State. If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employees/obligors employment and to inform the child support enforcement agency of any lapses in coverage. $ per month in current support $ per i n past-due support Arrears 12 weeks or greater? yes no $ per i n medical support $ per Subtotal (for Ohio Bureau of Employment Services Withholding) $ per month in other (specify) poundage for a Total of $ per month 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 support payment cycle, use the following to determine how much to withhold: 1. If pay cycle is weekly, multiply the monthly amount by 12 and divide by 52. 2. If pay cycle is every other week, multiply monthly amount by 12 and divide by 26. 3. If pay cycle is twice monthly, multiply monthly amount by 12 and divide by 24. REMITTANCE INFORMATION: An employer must begin withholding no lr than the first pay period occate urring 14 working days after the date of this Order/Notice. Send payment immediately or within 7 working days of the payate/date of wid thholding. Ohio Law: Financial institutions are required to send the amount deducted no later than fourteen working days following the date this notice was mailed and are required to continue the deduction thereafter IMMEDIATELY, but not later than seven ODJFS 4047 (Rev. 8/2000) OMB Control No: 0970-0154 Page 1 of 4 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2(7) working days after the payment or deduction is made. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of the employee for the allowable amount. Ohio Law: A payor may deduct a fee of $2.00 or 1% of amount to be withheld, whichever is greater (including an employer paying workers compensation). A Financial institution may deduct a fee of $5.00 or a fee not to exceed the lowest rate, if any, charged for a similar debt transaction, whichever is less, of the amount specified to be withheld. The total withheld amount, including your fee, cannot exceed 65% of the employees/obligors aggregate disposable weekly earnings. For the purpose of e limth itation on withholding, the following information is needed (see #9 on back for more information). When remitting payment, provide the Paydate/Date of Withholding, Obligor Name, Social Security Number, Case Number and the Order number. When remitting for more tha one n obligor, include the amount for each person. If you choose to remit by EFT/EDI, contact Ohio Child Support Payment Central toob tain bank file format. (See Page 4 of this document) Make it payable to: Ohio Child Support Payment Central (CSPC) Send check to: P.O. Box 182394 Columbus, Ohio 43218 Authorized by: (Ohio does not require a hand written signature) ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If checked you are required to provide a copy of this form to your employee. 1. 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 before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from m than one employee/obligors incomore e in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date withholding is the of date on which amount was withheld from the employees wages. You must comply with the law of the state of employees/obligors principal place of employment with respect to the time periods within which you mst imu plement the withholding order and forward the chid support l payments. 4.* Employee/Obligor with Multiple Support Withholdings: If there is more than one Order/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 must honor all Order/Notices to the greatest extent possible. (See #9 below) Ohio Law: Payors shall prorate the amount due when two or more support orders are received for this obligor, which when combined exceed the limits of the Consumer Credit Protection Act. Multiply current support by a fraction with a numerator that represents the available amount of income and a denominator that represents the total amount designated for payment in the notices. Payors shall allocate to each notice an amount for current support equal to the amount designated in that notice as current support multiplied by a fraction in which the numerator is the amount of personal earnings, payments, pensions, annuities, allowances, benefits, other sources of income, or savings available for withholding and the denominator is the total amount designated in all of the notices as current support. If the total of the amounts designated in the notices as current support does not exceed the amount available for withholding under the Consumer Credit Protection Ac
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