Fd/foc 4124 - Motion To Address General Financial Issues (Page 4 of 4) in pdf

Fd/foc 4124 - Motion To Address General Financial Issues Page 4

CASE NO.

MOTION

STATE OF MICHIGAN

Re: GENERAL FINANCIAL ISSUES

THIRD JUDICIAL CIRCUIT

AND/OR CREDITS

WAYNE COUNTY

Please print or type information.

Plaintiff name, address, telephone no., and email address

ame, address, telephone no, and email address

Defendant n

Attorney name, address, telephone no., and email address

_____________________is incarcerated and a telephonic hearing is required. They are incarcerated at

Name

___________________________________________and their inmate number is____________________

Name of Facility

MDOC or Other Number

I, ____________________________________, am filing this motion to request (please check one):

Name

A reduction in the amount of the income withholding. I have attached my paystub(s). I am only

requesting that the amount of the income withholding order be changed, not the current child support cycle

amount. I am requesting the income withholding amount be changed to $___________ per month for the

following reason(s).

_____________________________________________________________________________________

_____________________________________________________________________________________________

A credit toward the child support due because of payments I made directly to the other party. The

amount of the credit should be $__________. I have attached documentation supporting my request.

A credit toward the child support due because of the following reason(s). I have attached the supporting

document(s).

_____________________________________________________________________________________

I declare that the above statements are true to the best of my information, knowledge and belief.

__________

________________________________________________

Date

Signature of party filing motion

FD/FOC 4124 Motion to Address General Financial Issues

Page 2

Revise 05/16/2012

Fd/foc 4124 - Motion To Address General Financial Issues Page 4