Request For Administrative Review For Federal Tax Refund Offset Program

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .YOU MUST READ ALL PAGES IN THIS PACKET BEFORE COMPLETING THE FORM TO REQUEST THAT YOUR CASE VE REVIEWED!:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)First Judicial District of Pennsylvania COURT OF COMMON PLEAS DOMESTIC RELATIONS DIVISION 34 South 11th Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Honorable Idee Fox Supervising Judge Domestic Relations DivisionHonorable Myrna P. Field Administrative Judge Family DivisionPhiladelphia, PA 19107THE PEOPLE OF THE STATE OF NEW YORK TONOTICEGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)The attached information form and Administrative Review Request form are being provided to you in response to your inquiry regarding the submission of your support arrears for collection via the Federal Tax Refund Offset Program (TROP). In order for the Court to answer your questions and address your concerns as quickly as possible, it is extremely important that you carefully read and understand the enclosed information. If your reason(s) for contesting the intercept of your tax refund is addressed bythe TROP information form, you MUST FOLLOW ITS INSTRUCTIONS IN ORDER TO RESOLVE THESE ISSUES. If your complaint is for some reason OTHER THAN THOSE INDICATED ON THE TROP INFORMATION FORM, you must fill out the Request for Administrative Review form, provide your reasonforcontestingtheintercept,andreturnthecompletedformtotheappropriateaddress listed below with all documentation (copies of court orders, paystubs, cancelled checks, etc.) That supports your claim. Upon receipt of your request and documentation, and administrative review of your case will be conducted and you will receive written results in the mail. Your failure tothoroughlyreview andcomply with the above and attached instructions may result in a delay in processing your request!!!!!Attorney(s) forSend the required materials to:Office and P.O. AddressEnforcement Unit Room 314 34 S. 11th Street Philadelphia, PA 19107Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .First Judicial District of Pennsylvania Philadelphia Court of Common Pleas -Family Division 34 S. 11th Street, Philadelphia, PA 19107:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Federal Tax Refund Offset Program Information Form Enforcement Unit -Room 314 (215)686-4024The following qualify a case for the Federal Tax Refund Offset Program (TROP): 1.Past-Due child support or child and spousal support arrears of $150 (welfare case) or $500 (non-welfare case) 2.In a non-welfare case there must be at least one child under the age of eighteen (18) as of December 31st of the tax year to be intercepted. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .!!!!!IMPORTANT!!!!! Before requesting an administrative review, please be sure that the reason you are objecting to the intercept is NOT because of the following, as these issues must be resolved BEFORE any action can be taken to change the intercept:THE PEOPLE OF THE STATE OF NEW YORK TO1.PAYMENTS WERE MADE DIRECTLY TO THE PAYEE (Custodial Parent) -in a welfare case a petition to credit must be filed with the Intake Unit, Lobby -34 S. 11th Street -in a non-welfare case the patyee can agree to credit by either appearing in the Enforcement Unit with proper ID to sign an agreement to credit; or by sending a NOTARIZED letter to credit by the specific amount of direct payments -if a non-welfare payee does not agree to credit, the payor may file a petition to credit with the Intake Unit, Lobby 34 S. 11th StreetGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofNOTE: DIRECT PAYMENTS ARE IN VIOLATION OF THE SUPPORT ORDER! ALL FUTURE PAYMENTS SHOULD BE MADE TO: PA SCDU, PO BOX 69110, HARRISBURG, PA 17106-9110, 1-877-PAS-SCDU, (1-877-727-7238)o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room2.ARREARS ACCUMULATED WHEN PAYOR WAS UNEMPLOYED -the payor may file a petition for retroactive credit with the Intake Unit, Lobby -34 S. 11th Street (This is NOTa basis for deleting the case from TROP)Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.3.PAYOR CANNOT AFFORD THE SUPPORT ORDER -the payor may file a petition to modify the support order with the Intake Unit, Lobby -34 S. 11th Street (This isNOT a basis for deleting the case from TROP), one of the Justices of theCourt in Witness, Honorableday of, 20 County,The court is required by federal law to intercept tax refunds for qualified cases EVEN IF ARREARAGE PAYMENTS ARE CURRENTLY BEING RECEIVED !! If you are the spouse fo the payor and wish to receive your share of a joing refund, you must file an injured spouse claim (form 8379) with the IRS. Family Court cannot addrss this issue!(Attorney must sign above and type name below)************************************************************************Procedures For Requesting An Administrative ReviewAttorney(s) forCarefully review the above information; failure to follow the procedures will delay processing of your inquiry. If your objection IS NOT BASED ON ANY OF THE ABOVE REAS