Name:
Mailing Address:
Daytime Telephone:
Representing Self, Without a Lawyer
IN THE SUPERIOR COURT OF ARIZONA, YAVAPAI COUNTY
Regarding the matter of 1300DO
ATLAS #
Petitioner
ORDER STOPPING ORDER OF
and ASSIGNMENT/INCOME
WITHHOLDING ORDER
Respondent
THIS ORDER CONCERNS THE ORDER OF ASSIGNMENT/INCOME WITHHOLDING ORDER WITH
THE SAME CASE NUMBER AS THIS ORDER. THE ORDER OF ASSIGNMENT/INCOME
WITHHOLDING ORDER WAS ISSUED ON (date) .
TO: CURRENT employers or other payors of:
Name of Obligor:
You shall stop withholding monies pursuant to the Order of Assignment/Income Withholding Order:
[ ] Immediately OR
[ ] Effective OR
[ ] After you withhold and send $ to the Support Payment
Clearinghouse.
The Support Payment Clearinghouse is ordered:
[ ] To release any monies currently in its possession and future monies received:
[ ] to the obligee in total OR
[ ] to the obligee/payee in the amount of $ . The remainder and any future
payments to the obligor OR
[ ] to the obligor in total OR
[ ] Other:
Date Judicial Officer
For Clerk’s Use Only
Superior Court of Arizona in Yavapai County Page 1 of 1 DRSWA82f
June 2012