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Wage Withholding Order 4A-341 - New Mexico

Wage Withholding Order Form. This is a New Mexico form and can be used in Domestic Relations Statewide .
 Fillable pdf Last Modified 10/6/2005
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DOMESTIC RELATIONS FORMS Supreme Court Approved 4A-341 November 1, 2002 4A-341 STATE OF NEW MEXICO COUNTY OF ___________________________ ____________________ JUDICIAL DISTRICT _____________________________________, Petitioner v. No. _____________ _____________________________________, Respondent 1 WAGE WITHHOLDING ORDER This matter having come before the court for entry of a wage withholding order. The parties have agreed as follows: A. Information on the paying parent: Name of parent: __________________________________ Parents address: __________________________________ __________________________________ Social security number: __________________________________ Employers name: __________________________________ Employers address: __________________________________ __________________________________ B. The total support owed is $__________ per month. C. ________________________ (name of paying party) agrees to this support being withheld from wages of the above employer. IT IS ORDERED THAT: The paying parents employer (including all future employers or income providers) sh all withhold support as follows (describe amount and purpose for which wages will be withheld ): ________________________________________________ __________________________________________________________. The employer shall mail or transfer the amount withheld within seven (7) days of the date the paying parent receives a pay check to: _______________________________________________ (name ofperson or entity and address). IT IS SO ORDERED. <<<<<<<<<********>>>>>>>>>>>>> 2DOMESTIC RELATIONS FORMS Supreme Court Approved 4A-341 November 1, 2002 ____________________ _______________________________ Date District judge APPROVED: Mothers signature: ________________________________ Address: ________________________________ ________________________________ ________________________________ Telephone: ________________________________ Fathers signature: ________________________________ Address: ________________________________ ________________________________ ________________________________ Telephone: ________________________________ USE NOTE 1. See Paragraph C of Domestic Relations Form 4A-2 05 NMRA for an explanation of the Wage Withh oldin g Order. [Approved, effective November 15, 2002.] 2
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