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SELF-SERVICE CENTER
INSTRUCTIONS FOR PETITION FOR INCOME WITHHOLDING
ORDER
EX PARTE (WITHOUT NOTICE)
DEFINITIONS:
“Obligee” is the person or agency entitled to receive support payments.
“Obligor” is the person ordered to make support payments.
Throughout these instructions the terms “employer,” “wages,” and “paycheck” are used. However,
this Petition for Income Withholding Order Ex Parte (without notice) may also be used in situations
where a person is asking for an assignment of the Obligor’s other monies such as lottery winnings,
worker’s compensation or other income.
COMPLETE THIS FORM TO PETITION FOR AN EX PARTE INCOME WITHHOLDING ORDER
IF:
• You are the Obligee and there is an Arizona order establishing a support obligation or
spousal support (maintenance) obligation, including past-due amounts, OR
You are the Obligor and you want to begin a voluntary Income Withholding Order.
TO COMPLETE THIS FORM AND FILE THE PETITION YOU WILL NEED:
Information from the Order(s) you want to enforce
• Attach a certified copy of the Order establishing the support obligation to the petition, if that
order was issued in an Arizona county other than the one where you will file this request.
Attach a certified copy of the most recent order requiring payment on past-
amounts to the petition, if that order was entered in an Arizona county other than the one
where you will file this request.
NOTE: These forms do not apply if your support order is not from Arizona. In that case, you may
want to contact the state child support enforcement agency where your order was entered, the
Department of Economic Security child support enforcement agency, in Arizona, or a private attorney
regarding enforcement.
© Superior Court of Arizona in Maricopa County DRWA11i- 102213
ALL RIGHTS RESERVED
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