Income Withholding for Support (Order to Withhold) · Step 2 of 5

What You Are Asking For

INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) Check this box if this is a regular order to take money from someone's pay for support. AMENDED IWO Check this box if you are changing an order that was already sent. ONE-TIME ORDER/NOTICE FOR LUMP SUM PAYMENT Check this box if this order is for a single, one-time payment from a lump sum. TERMINATION OF IWO Check this box if you are stopping an order that was sent before. This document is based on the support order from Write the state or tribe where the support order was first made. Return to Sender (Completed by Employer/Income Withholder) Check this box only if you are the employer and the payment is not going to an SDU or Tribal Payee, or if this form is not filled out correctly. Checking it means you are sending the form back. This person has never worked for this employer nor received periodic income. Check this box if the worker has never worked for you and never got paid by you. This person no longer works for this employer nor receives periodic income. Check this box if the worker used to work for you but does not anymore. Termination date: Write the last date the worker was employed by you. Last known telephone number: Enter the most recent phone number you have for the worker. Last known address: Write the most recent home address you have for the worker. Final payment date to SDU/Tribal Payee: Write the date you sent the last withholding payment to the support collection office. Final payment amount: Enter the dollar amount of the last payment you sent. New employer's or income withholder's name: If you know where the worker now works, write that company or person's name. New employer's or income withholder's address: If you know it, write the address of the worker's new employer.

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