Free foc5.pmd - Michigan

Approved, SCAO

Original - Court 1st copy - Friend of the court

2nd copy - Plaintiff 3rd copy - Defendant Additional copies to all sources of income

STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY
Court address

CASE NO. ORDER REGARDING INCOME WITHHOLDING
Court telephone no.

Plaintiff's name, address, and telephone no.

v
Defendant's name, address, and telephone no.

THE COURT FINDS: 1. The requirements for implementation or adjustment of income withholding have have not been met. 2. The proposed administrative adjustment of income withholding will will not produce an unjust or inappropriate result. IT IS ORDERED: 3. Income withholding is discontinued. effective. effective in an amount pursuant to the Michigan Child Support Formula to pay current support and arrears. effective as follows:

Date

Judge

Bar no.

CERTIFICATE OF MAILING I certify that on this date I served a copy of this order on the parties and sources of income by first-class mail addressed to their last-known addresses as defined in MCR 3.203.
Date FOC 5 (3/08) Signature

ORDER REGARDING INCOME WITHHOLDING

MCL 552.601 et seq.