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Get Form 4-9a Ldss-5038 (42014) - Nycourts

Pleted LDSS-5038 as follows: Part A: serve only upon the employer/income withholder. INCOME WITHHOLDING ORDER Part B: serve upon all of the following: 1. employer/income withholder; 2. employee/obligor; and 3. obligee. Court Information Family Court: County Order ID (Index/Docket Number) Supreme Court: County Employee/Obligor Information Name (Last, First, Middle) Social Security Number - - Date of Birth (MM/DD/YYYY) Obligee Informat.

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