New Mexico Forms Library

4A-304. Wage withholding order (domestic relations actions).

STATE OF NEW MEXICO

COUNTY OF ___________________________

_____________________ JUDICIAL DISTRICT

______________________________________,

Petitioner,

v.                                                                                                                     No. ____________

______________________________________,

Respondent.

WAGE WITHHOLDING ORDER

(domestic relations actions)¹

            This matter, having come before the Court for entry of a wage withholding order and the parties having submitted a completed Income Withholding for Support Form,² the Court ORDERS:

            1.         The provisions of the Income Withholding for Support Form, attached as Exhibit A and signed by the Court, are incorporated by reference and adopted in full.

            2.         Wage withholding shall be implemented as stated in Exhibit A.

            3.         Exhibit A, which includes personal identifier information that is necessary to include in the record, shall be protected in accordance with Rule 1-079 NMRA if requested to be sealed by the parties.

IT IS SO ORDERED.

______________________                       _____________________________________

Date                                                                District judge

APPROVED:             ________________________________

Mother’s signature: ________________________________

Mailing address:       ________________________________

                                    ________________________________

                                    ________________________________

Telephone:                ________________________________

Father’s signature:   ________________________________

Mailing address:       ________________________________

                                    ________________________________

                                    ________________________________

Telephone:                ________________________________

USE NOTES

            1.         See Form 4A-300 NMRA for an explanation of the Wage Withholding Order.

            2.         A completed Income Withholding for Support Form (OMB 0970-0154) is required in all cases where a Wage Withholding Order is issued by the Court.  A copy of the form is available at http://www.acf.hhs.gov/sites/default/files/ocse/omb_0970_0154.pdf.  Instructions for filling out the form are available at http://www.acf.hhs.gov/sites/default/files/ocse/omb_0970_0154_instructions.pdf.  The form and instructions also may be obtained from the New Mexico Human Services Department, Child Support Enforcement Division.

[Approved by Supreme Court Order No. 13-8300-010, effective for all pleadings and papers filed on or after May 31, 2013, in all cases pending or filed on or after May 31, 2013.]