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V ݌̌&9%%&9&9%%&9  !&o%%&9&%%&o    !   #&9%%& #&9%%&9 ( NOW,INTOCOURT, comes򀀀,andmovesfortheimmediatewithholdingby_____,hereinafterreferredto <  asthe _PAYOR_,anamountsufficienttosatisfythecurrentchildsupportobligationintheabovereferencedcase,allinaccordancewithapplicableLouisianalaw,including,butnotlimitedtoLSA!R.S.46:236.3andLSA!R.S.9:303:!  ݌̌&9%%&9&9%%&9  !&o%%&9&%%&o  !   #&9%%& #&9%%&9! E݌̌&9%%&9&9%%&9  !&o%%&9&%%&o  !   #&9%%&#&9%%&9 ( ITISORDERED: ! b݌   Ќ&9%%&9&9%%&9  !&o%%&9&%%&o  !Z  #&9%%&#&9%%&9!Z݌̌&9%%&9  b (uh8#b  3    32uh  1  .3  0 (   #&9%%&9#&9%%&9Thatthe_PAYOR_Ԁofanyincomeincluding,butnotlimitedtowages,salary,commission,compensationasan a independentcontractor,disability,unemploymentcompensation,workers'compensation,annuityandretirementbenefits,andanyotherpaymentsmadebyanyperson,privateentity,FederalorStategovernments,anyunitoflocalgovernment,schooldistrictoranyentitycreatedbypublicactshallwithholdfromtheincomeof_______________,hereinafterreferredtoasthe _OBLIGOR_,SocialSecurityNumber_______________,theamountof$_______________per_______________,,butnottoexceedfiftypercentofdisposableincomeasdefinedinR.S.13:3881. 3݌ (%(% Ќ    3    32uh  2  .3  0 (   #&9%%&9a#&9%%&9Thatpaymentsshallbemadepayableto[Party,Name],andshallbemaileddirectlytohim/heratthefollowing )y address:________________________. 3݌ (%(% Ќ    3    3R2uh  3  .3  0 (   #&9%%&9R#&9%%&9Thatthe_PAYOR_Ԁshallbeginwithholdingfromtheincomeofthe_OBLIGOR_Ԁtheamountforthecurrentsupport b  beginningnolaterthanthefirstpayperiodthatoccursfollowingreceiptofacertifiedcopyofthisorderandcontinuinguntilservedwithfurtherorderofthisCourt. 3R}݌ (%(% Ќ    3    32uh  4  .3  0 (   #&9%%&9#&9%%&9Thatthe_PAYOR_Ԁmay,atitsoption,deductaprocessingfeenottoexceedthreedollars($3.00)fromtheincome $ ofthe_OBLIGOR_ԀeachpayperiodduringwhichthisImmediateIncomeAssignmentOrderisineffect. 3݌A%(%(% Ќ    3    32uh  5  .3  0 (   #&9%%&9b#&9%%&9Thatwhenthe_PAYOR_Ԁreceivestwoormoreorderstowithholdincomeforsupportfromthesame_OBLIGOR_,the ' ordersshallbeprorated.Ifthereareinsufficientfundsavailabletosatisfyallorders,theordersforcurrentsupportshallbegivenpriorityonaproratedbasis. 3݌ (%(% Ќ    3    3U2uh  6  .3  0 (   #&9%%&9ڕ#&9%%&9Thatiftheincomeseizedisfromdisposableearnings,thetotalamount_PAYOR_Ԁshallwithholdforallsupportorders !c+ shallnotexceedfiftypercent(50%)ofdisposableearningsasdefinedinLSA!R.S.13:3881. 3U݌ (%(% Ќ    3    3] 2uh  7  .3  0 (   #&9%%&9#&9%%&9Thatthe_PAYOR_Ԁshallnotdischargeorotherwisepenalizeany_OBLIGOR_Ԁbecauseofthedutytowithholdincome. 3] ݌"L.(%(% Ќ    3    3"2uh  8  .3  0 (   #&9%%&9!#&9%%&9Thatthisordertowithholdincomeshallbegivenpreferencetoanyothergarnishmentproceedingasrequiredby B$0 LSA!R.S.46:236.3(H). 3">"݌ (%(% Ќ    3    3#2uh  9  .3  0 (   #&9%%&9ں"#&9%%&9Thatthetotalamountwithheldforchildsupportshallbeforwardedimmediatelytothe[Party,Name],asprovided +&{!3 hereinabove. 3##݌ (%(% Ќ    3    3E%2uh  10  .3  0 (   #&9%%&9X$#&9%%&9ThatthisOrderbeeffectuatedimmediatelyandserveduponthe_PAYOR_Ԁofanyincome. 3E%p%݌(d#6(%(% Ќ  !&o%%&9&%%&o  !&  #&9%%&%#&9%%&9!&'݌̌&9%%&9&9%%&9  !&o%%&9&%%&o  !'  #&9%%&]'#&9%%&9 ( THUSDONEANDSIGNED onthe_____dayof_______________,20_____,at__________________ Z)$8 Louisiana.!'8(݌ *P%9 Ќ&9%%&9&9%%&9  !&o%%&9&%%&o  !)  #&9%%&z(#&9%%&9!**݌̌&9%%&9  #%&9~ #X$X (     0     #XX$*#&9%!))݌̌&9%%&9   (     0      8 ______________________________________________ +9'<  (     0      8 DISTRICTJUDGE #&9%%&9:*#&9%%&9 ,'= !&o%%&9&%%&o  !-  #&9%%&-#&9%%&9!-+.݌̌&9%%&9  #&9%%&9m.# @ (APPROVEDASTOFORMANDCONTENT:________________________________________________0  ______________________________________________1Q,D%% Plaintiff0  0 %%00 % %00 %0 %0%% 8 0%%Defendant1,E%% ________________________________________________0  ______________________________________________2:.G%% Address(ifpartyisnotrepresented)     8 0  Address(ifpartyisnotrepresented)3.H%% ________________________________________________0  ______________________________________________4#0J%% Name(orCity,State,ZipCodefor_IPP_)0  08%%08%8%Name(orCity,State,ZipCodefor_IPP_)v50K%% CounselforPlaintiff0 00 % %00 %0 %0%%08%%08%8%CounselforDefendant 6i1L%% &9%%&9!&o%%&9&o%%&o&o%%&o&%%&o  !3  #&9%%&3#&9%%&9 PLEASESERVETHE_PAYOR_ԀASFOLLOWS: !3f4݌ 8R3O Ќ&9%%&9&9%%&9&9%%&9&9%%&9  !&o%%&9&o%%&o&o%%&o&%%&o  !5  #&9%%&4#&9%%&9!5[6݌̌&9%%&9&9%%&9&9%%&9&9%%&9  !&o%%&9&o%%&o&o%%&o&%%&o  !]7  #&9%%&6#&9%%&9Employer!]77݌ H94Q Ќ&9%%&9&9%%&9&9%%&9&9%%&9  !&o%%&9&o%%&o&o%%&o&%%&o  !9  #&9%%&68#&9%%&9Address!99݌ 9;5R Ќ&9%%&9&9%%&9  City,State,ZipCode#&9%%&99#&9%%&9 :5S !&o%%&9&o%%&o&o%%&o&%%&o  !:  #&9%%&:# # #%&9 ,#X$X!:;݌̌X$XXX$  #XX$<#KForm.5.0ImmediateIncomeAssignmentOrder#Kۣ<#X$X#XX$>#