Michigan > Local County > Oakland > Family Division
Income Withholding Information - Michigan
| Income Withholding Information Form. This is a Michigan form and can be used in Family Division Oakland Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
ACI INCOME WITHHOLDING INFORMATION CASE #: __________________________ PAYOR: _____________________________ S.S.# ______________________ PAYOR EMPLOYER INFO: __________________________________________ (Name) (Address) (Phone) (FEIN--Federal Employer Identification Number) Current child support plus child care amount: Court ordered payment on arrearage: (Guideline amount will be used if not court ordered) $________________ $________________ Total: $________________ Statutory fees will be added ---------------------------------------------------------------------------Please update information required by statute: Address of party: ___________________________________________________ Medical Insurance: __________________________________________________ Licenses: __________________________________________________________ Other: _____________________________________________________________ Employer information is needed for the Friend of the Court processing of an Income Withholding Notice. This information should be supplied when a support order is entered to avoid money being held in the system. Submitted by:_____________________________________________ Date:__________________________ American LegalNet, Inc. www.FormsWorkflow.com
|
|||||||
