Free Order Cancelling Wage Assignment - Michigan

Approved, SCAO

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

COUNTY
Court address

ORDER CANCELLING WAGE ASSIGNMENT

CASE NO. PETITION NO.

Court telephone no.

1. In the matter of
(name(s), alias(es))

THE COURT FINDS: 2. On
Date

this court entered an order directing from the wages of
Amount and terms

Name of employer

to withhold $

to reimburse
Name of person responsible for the care of the minor

the court for costs assessed in the above matter. 3. The person responsible for the care of the minor has fulfilled all reimbursement requirements and the court has received full payment. IT IS ORDERED: 4. Assignment of wages of
Name of person responsible for the care of the minor

is cancelled.

Date

Judge

Do not write below this line - For court use only

JC 58 (6/03)

ORDER CANCELLING WAGE ASSIGNMENT

MCL 712A.18b