Form 9-11

NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA

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

Request for Issuance of Revised Income Withholding for Support

[Agreed]

To the Clerk of the Court:

[Name], Obligor, and [name], Obligee, request, in accordance with section 158.402 of the Texas Family Code, the issuance of a revised Income Withholding for Support to Obli­gor’s employer.

Name of Employer:

Address:

On [date] an order for child support was rendered in this cause, in which Obligor was ordered to pay child support to Obligee. Obligor and Obligee agree that the following contin­gency stated in the child support order has occurred: [the child is eighteen years of age and has graduated from high school/the child’s disabilities of minority have been removed by mar­riage, court order, or operation of law/the child has died]. Obligee and Obligor agree 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 information contained in this request is true and correct.

Name: [name of obligor]

Address:

Telephone:

   
Signature

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

SIGNED under oath before me on ______________________________.

   
Notary Public, State of Texas