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Chapter 9

Form 9-10

NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA

See § 6 of the Introduction in volume 1 of this manual concerning protection of sensitive data in filed documents.

[Caption. See § 3 of the Introduction in volume 1 of this manual.]

Request for Issuance of Income Withholding for Support

[Voluntary Withholding]

To the Clerk of the Court:

[Name], Obligor, requests, in accordance with section 158.011 of the Texas Family Code, that you issue an Income Withholding for Support to Obligor’s employer.

Name of Employer:

Address:

[Name], Obligee, agrees to the issuance and delivery to Obligor’s employer of the attached Income Withholding for Support and to the monthly amounts of withholding set out therein. The requested Income Withholding for Support does not reduce the total amount of child support, including arrearages, owed by Obligor.

The information contained in this request is true and correct.

Name: [name of obligor]

Address:

Telephone:

   
Signature

An unsworn declaration may be used in place of a written sworn declaration. See form 8-27.

SIGNED under oath before me on ______________________________.

   
Notary Public, State of Texas

The information contained in this request is true and correct.

Name: [name of obligee]

Address:

Telephone:

   
Signature

An unsworn declaration may be used in place of a written sworn declaration. See form 8-27.

SIGNED under oath before me on ______________________________.

   
Notary Public, State of Texas