Agreement Suspending Immediate Income Withholding {FOC 63}

Original - Court 2nd copy - Friend of the Court 3rd copy - Plaintiff Approved, SCAO 4th copy - Defendant STATE OF MICHIGAN CASE NO. JUDICIAL CIRCUIT AGREEMENT SUSPENDING COUNTY IMMEDIATE INCOME WITHHOLDING Friend of the Court address Court telephone no. Plaintiffs name and address NOTE: MCL 552.604(3); MSA 25.164(4)(3) requires that all new and modified support orders after December 31, 1990 include a provision for immediate v income withholding and that income withholding take effect immediately unless the parties enter into a written agreement that the income withholding order shall not Defendants name and address take effect immediately. We understand that by law an order of income withholding in a support order shall take effect immediately. However, we agree to the following: 1. The order of income withholding shall not take effect immediately. 2. An alternative payment arrangement shall be made as follows: 3. Both the payer and the recipient of support shall keep the friend of the court informed of the following: a. the name, address, and telephone number of his/her current source of income; b. any health care coverage that is available to him/her as a benefit of employment or that is maintained by him/her; the name of the insurance company, health care organization, or health maintenance organization; the policy, certificate or contract number; and the name(s) and birth date(s) of the person(s) for whose benefit s/he maintains health care coverage under the policy, certificate, or contract; and c. his/her current residence and mailing address. 4. We further understand that proceedings to implement income withholding shall commence if the payer of support falls one month behind in his/her support payments. 5. We recognize that the court may order withholding of income to take effect immediately for cause or at the request of the payer.Date Date Plaintiffs signature Defendants signature FOC 63 (4/01) AGREEMENT SUSPENDING IMMEDIATE INCOME WITHHOLDING MCL 552.604; MSA 25.164(4)