Motion To Withhold Wages To Enforce Child Support Order {CV-616}

Court File No. STATE OF NORTH CAROLINA In The General Court Of Justice County District Court DivisionName Of Plaintiff MOTION TO WITHHOLD VERSUS WAGES TO ENFORCE Name Of Defendant CHILD SUPPORT ORDER G.S. 110-136.5Name, Mailing And Location Address Of Employer Name, Mailing And Location Address Of Obligor MOTION The Obligor is a responsible parent of each child named below for whose benefit support is due. Pursuant to an order entered by this Court for support of the child(ren) named below the Obligor is obligated to pay child support in the amount shown below. As of the date of this Motion, the Obligor is delinquent. has been erratic in making child support payments. Name Of Child(ren) Date of Birth Name Of Child(ren) Date of BirthAmount Of Support Obligation Weekly Monthly Date Of Support Order$ Bi-weekly Other (specify) Amount Of Past Due Support (Date) $ As Of The undersigned believes that the Obligor receives disposable wages from the employer named above as set out below. Amount Of Disposable Wages Weekly Monthly $ Bi-weekly Other (specify) Now, therefore, the undersigned seeks to have the following amount withheld from the Obligors wages to satisfy the Order as directed by the Court. Amount Sought To Be Withheld (NOTE: Amount withheld ordinarily may not exceed 40% of disposable wages.) $ Therefore, the undersigned requests the Court to enforce the Obligors child support obligation by entry of an order for wage withholding. Date Signature Of Person Making Motion VERIFICATION I, the undersigned being first duly sworn, say that I have read this Motion and the contents are true to my own knowledge, except as to matters stated on information and belief, and as to those, I believe them to be true. Date SWORN AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Making Motion Signature Of Person Authorized to Administer Oaths Name And Address Of Person Making Motion Deputy CSC Assistant CSC Clerk Of Superior Court Notary Date Commission Expires SEAL AOC-CV-616, Rev. 4/99 1999 Administrative Office of the (See NOTICE OF OBLIGOR On Reverse) <<<<<<<<<********>>>>>>>>>>>>> 2 NOTICE TO OBLIGOR Take Notice that the foregoing Motion asks the Court to order withholding from your wages to enforce a child support obligation, and 1. If the Court orders withholding, the Order will apply to wages from your current employer and from any future employer. 2. If wage withholding is ordered, it will continue until a. the child support order being enforced has expired or becomes invalid; or b. the party initiating this proceeding, the district court judge, and you agree to terminate withholding because there is another adequate means to collect child support or arrearages; or c. all valid arrearages owed to the State are paid in full, and the whereabouts of each child for whom support is owed and the party entitled to receive the support payments are unknown. CERTIFICATE OF SERVICE I certify that a copy of this Motion was served by depositing a copy enclosed in a postpaid properly addressed envelope in a post office or official depository under the exclusive care and custody of the U.S. Postal Service directed to: defendant. defendants attorney. plaintiff. plaintiffs attorney. delivering a copy personally to defendant. defendants attorney. plaintiff. plaintiffs attorney. leaving a copy at the office of the attorney named below, with a partner or employee: Name Of Attorney Name Of Attorney Party Represented Party Represented Person With Whom Copies Left Person With Whom Copies Left Other Date Of Service Title Of Person Serving Motion Signature Of Person Who Served Motion And Notice AOC-CV-616, Side Two, Rev. 4/99 1999 Administrative Office of the