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(d) Yo~u m~st rotify the DF.E' : OF IiFAI.'[l~ AND RIIIAAII.ITATIVI:
SF3tVICES in writir~g o~ any ch~nge in yaur address, e~loyer~ or e~loyer's
address, wi~thin seven (7) days of such cttiange.
6. All manies dec~ucted shall be paid ~o the
CIERK OF OOiIRT
st~oKr nEr~n~xr
POST OFFICE BOX 7Q0
FORT PIERC$ FLORIDA 33454 ~
- Each a t shall ~nclu r s name soc a securi rnmber and the case
n r, a t on, a statement s e c a s ng t r artna~mt `
c~icted totally or partially satisfies tt~e a~ro~mt specified herein. ~
7. Paya~nts deducted pursuamt to this Order shall contirn~e until
. further ord~er of the Ca~rt or Notice fram the DEPAR'II~1FNT OF HEALZH AND ~
RgiABILITATIVE SFdtVICE.S. ~
8, Payments received by the Clerk o£ this Court shall ~be disbursed
pursuant to the chi2d support order in force and effect in this case. ~
9. Any e~loyer which ceases to ea~loy or pay the obligor, shall notify =
the Department of Health and Rehabilitative Sezvices and shall also provide the ~
obl:tgor's last lmawn address and the ttiome and address of obligors new emQloyer, ;
if lmvwn. Failure to pravide such information may sub~ect C1~ er~loyer to the ~
civil penalties set forth in Paragraph 10 belaw. ~
10, It is umlawful for an emQl.oyer to discharge, refuse t~ anQloy, or "
take disciplinary actian against a~n emQlayee because of an Incare Deduction Order.
If such actian is taken, the emQloyer may be subject to a civil pe~ialty not to
exceed $250.00 for the first violatiori and $500.40 for each subsequ~lt violation.
AddiCionally, the employer may be car~elled by a court of car~ete~nt iurisdiction
to rehire the emQloyee and pay that e~loyee all back wages and benefits lost,
plus reasonable attorney fees and caurt costs.
11. If tY~e employer fails to deduct and pay the amrnmt ordered by this
cwrt for child su~port payu~ents, it may be liable for the a~m~.mt that shouZd l~ave
been dec~.icted and paid, plus reasonable attorney fees, cotirt costs and interest.
12. If an emQloyer receives Inoome Deduction Orders for t,wo or more -
employees requiring that payments be m~de to the Clerk of the Circuit Caurt of the
same crnmty, the emplayer may combine the payme.nts in a single check plus a proper
acco~mting of the airamts attributable to each employee. In the event m~re than
' one Incane Deduction arder is received for an CA~ligor, yau sliall cantact the caxrt
~ for further instructians.
~ - 13. The employer ugy c:ollect wer and abave the sUpport deduction, up
to $5.00 for adndnistrative costs for the first income deductian pa_yrrent for an
e~Ioyee and $1.00 for each subsequent income deductian paya~nt.
~ I4. The employer shall begin making deduction no later tham fourteen
~ (14) days after receipt of this notice. Each payment st~all be forwarded to the
~ Central Gavernrrental Deposi~ory within two (2) days of obligors payday,
~ 15. This order has priority aver all other legal processes Lmder state
~ law. Payment requixed by this order is a car~lete defense against any claisns of
~ the obligee or his/her credi.tors as to the sun paid.
~ 16. 'I4~is Income Deductian Order shall replace and suQercede any prior
wage deductian order or voluntary wage assigrm~erit.
~ ATID ORD in ~ . s. . jc1E ~mtY? Florida
~ this ~,2 day of - l~- ~ , .
,
- COTT M. K
. CIRCUIT JUDGE
Original in caurt tile
Copy delivered to Obligor
in open court
~ I, the Obligor, hereby waive my right to contest this Inoome Deduction drder as
~ provided by Florida law and agree to the ~ntry hereof. •
t
83215'7
'87 .~1N 24 All :OS
, ~ F ~i; . , ' ~
DCU~! _ ~ ~:IERK
ST. LU~.;:~~ C~:. _~N (Y. FL.
-2-
gooK 547 PAGE 939
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