Michigan > Statewide > General
Order For Assignment Of Wages MC 289 - Michigan
| Order For Assignment Of Wages Form. This is a Michigan form and can be used in General Statewide . |
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Original - Court 1st copy - Employee Approved, SCAO 2nd copy - Employer STATE OF MICHIGAN CASE NO. JUDICIAL DISTRICT ORDER FOR JUDICIAL CIRCUIT ASSIGNMENT OF WAGES Court address Court telephone no.In the matter of Name of employee Social security no. or employee ID no. Date of birthAddress City State Zip Telephone no.I agree to the assignment of my wages to pay my financial obligations to the court. I understand that the court may collect on this order until my financial obligations are paid in full. Date Signature of employee ORDER IT IS ORDERED: 1. Name Address employer, shall withhold from the earnings due the person named above th e amount of $ per , effective one week after service upon the employer of a copy of this ord er. The employer shall indicate the case number on the withholding and shall forward the withholding to the court at the above address. 2. The employer shall not use this assignment as a basis, in whole or in pa rt, for the discharge of the employee or for any other disciplinary action against the employee. 3. Your compliance with this order is required by law. 4. This order shall remain in full force and effect until further order of the court or until the total of $ has been withheld, whichever comes first. Date Judge Bar no.NOTE: Voluntary wage assignment is a transfer of the right to receive w ages, ordinarily effected by means of a contract. As such, wages assignments are not within the scope of the federal wage garnishme nt law. For purposes of this order, however, wages have been defined based on the federal wage garnishment law. Wages are defined as earnings or compensation paid for personal services whether called wages, salary, commission, bonus, or otherwise, and can include periodic payments under a pension or retirement program. (Title III, Section 302, PL 90-321) CERTIFICATE OF MAILING I certify that on this date a copy of this order was served on the emplo yee and employer by ordinary mail at the addresses shown above. Date Signature MC 289 (2/04) ORDER FOR ASSIGNMENT OF WAGES American LegalNet, Inc. www.USCourtForms.com
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