Kansas > Local District Court > 7th Judicial District (Douglas County) > Trustee - Pro-Se
Motion For Modification Of Income Withholding Order - Kansas
| Motion For Modification Of Income Withholding Order Form. This is a Kansas form and can be used in Trustee - Pro-Se 7th Judicial District (Douglas County) Local District Court . |
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DISTRICT COURT TRUSTEE SEVENTH JUDICIAL DISTRICT JUDICIAL CENTER, 111 E. 11TH LAWRENCE, KANSAS 66044-2966 785-832-5315 Fax: 785-838-2408 Pro Se Motion for Modification of Income Withholding Order 1. Fill out completely using typewriter or printed in black ink: a) Motion (with specific reasons) b) Acknowledgment/certificate of mailing section (signed before a Notary Public) 2. File the original and 5 copies of the motion with the Clerk of the District Courts Office. Write Judge Pro Tem on the top of one of your copies. 3. The Clerk of the District Court will file stamp all copies, keep the original and copy marked Judge Pro Tem, and give you back the additional copies. You must send by first class mail a file-stamped copy of your Motion to the Petitioner/Respondent and his/her attorney of record, and send/bring a copy to: District Court Trustee Office Social & Rehabilitation Services Judicial Center 1901 Delaware 111 East 11th Street OR Lawrence, KS 66046 Lawrence, KS 66044 (If you have a case open (If you have a case open with the SRS office) with the Court Trustee) 4. When the Judge Pro Tem receives a copy of your motion, you will be notified by mail of your hearing date and time. 5. IT IS UP TO YOU to get the correct papers filed in order for your case to go forward on its assigned hearing date and time. PLEASE REMEMBER!! A copy of all paperwork that you have filed with the Clerk of the District Court needs to be given to the Court Trustee Office or SRS at the address indicated above if you currently have an open enforcement case w ith them. <<<<<<<<<********>>>>>>>>>>>>> 2 IN THE DISTRICT COURT OF DOUGLAS COUNTY, KANSAS In the Matter of ) ) , ) Petitioner, ) Case No. DG vs. ) Division 3 ) , ) Respondent. ) MOTION FOR MODIFICATION OF INCOME WITHHOLDING ORDER I, , the judgment debtor in the above-captioned case, request that a modified income withholding order be issued to the employer/payor listed below for the following reason: Name of Employer/Payor: Address: Income is modified to be withheld as follows: $ per month, to be applied: $ per month for current support $ per month for past due support (Your signature) Address: Phone: ACKNOWLEDGMENT State of Kansas ) ) ss. County of ) This instrument was subscribed and sworn to before me on . My term expires: Notary Public CERTIFICATE OF MAILING The above Motion for Modification of Income Withholding Order has been sent by First Class Mail to (Petitioner/Respondent), their attorney of record, and the Court Trus tee office at the following addresses: DATE: (Your signature again here)
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