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Get KY AOC-152 2018-2024

4 Attach a copy of this Order AOC-152 to Form OMB 0970-0154 when serving the employer. 5 OR B. One party has demonstrated and the Court hereby finds that there is good cause not to require immediate wage/income withholding. Courts. ky. gov NW NT AOC-152 Doc Code OSUP Rev. 4-13 OSUPW Page 1 of 2 OF JUS TI UNIFORM CHILD SUPPORT ORDER AND/OR WAGE/INCOME WITHHOLDING ORDER NEW ORDER AMENDED ORDER IV-D Case No. ORDER FOR WAGE/INCOME WITHHOLDING NOTICE The Federal Income Withholding For Support Form OMB 0970-0154 must be used by private parties or their attorneys in non-IV-D eligible cases to notify an employer/income withholder of any wage/income withholding ordered herein. Plaintiff/Petitioner Name Birthdate SSN Defendant/Respondent Name Birthdate SSN In Re Child s Name Social Security No. Birthdate Child s Name If there are more than two 2 children attach separate sheet with identifying information and check here. The Court has made a finding that both parties have reached a written agreement which provides for an alternative arrangement to wage/income withholding as follows Effective June 1 2012 the Federal Income Withholding For Support Form OMB 0970-0154 must be used by private parties or their attorneys in non-IV-D eligible cases to notify an employer/income withholder of any wage/income withholding ordered herein. All child support payments made pursuant to a wage/income withholding order shall be directed to the State Disbursement Unit Requesting party must mail Form OMB 0970-0154 and a copy of this Order AOC-152 by certified mail to the employer within 2 working days. O COMM UCKY See Footnotes Additional Information lex et justitia E RT C U Case No* Court District Circuit Family County EA L TH OF KE CO Commonwealth of Kentucky Court of Justice www. Said attachment is incorporated into this Order by reference. IT IS HEREBY ORDERED AND ADJUDGED THAT The Mother Father Other 1 per month as current child support effective As determined by KY Child Support Guidelines By written agreement of parties with knowledge of the Guidelines Upon a finding that application of the Guidelines would be unjust or inappropriate because Health insurance is currently accessible and reasonable in cost. The Mother Father is ordered to provide and maintain health insurance coverage for the minor child ren. accessible and reasonable in cost but shall be provided by the Father when it becomes 5 TOTAL MONTHLY AMOUNT to be paid at 1 per week bi-weekly semi-monthly month 6 Other conditions DOMESTIC VIOLENCE PROTECTIVE ORDER ISSUED YES NO PROTECTED PARTY PETITIONER RESPONDENT Child Support Recipient s Name Address 2 - If child support is paid by wage withholding a job change may affect the frequency and amount of wages to be withheld in order to meet the monthly obligation amount. mailing address must be provided to the child support agency. Child support shall continue in full force and effect unless modified by the Court or ended by operation of law. 7 Check only box A B or C as appropriate and any applicable options therein* A. Child support ordered herein shall be subject to wage/income withholding on the effective date of this Order to begin immediately.

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