Form CR-7 
IN THE ___________________________________ COURT OF __________________________________, ALABAMA  
 
 

(Name of Municipality or County) 

(Circuit, District, or Municipal) 

Rev.2/95 

 

 

 

 
Case Number

WITHHOLDING ORDER-COSTS, FINES, 
ASSESSMENTS AND RESTITUTION 

State of Alabama 
Unified Judicial System 

orm CR-7     Rev. 2/95 

  F

    STATE OF ALABAMA 
     MUNICIPALITY OF __________________________________ v.  _______________________________________ 
 
_________________________________________________ 
Defendant’s Employer 

Defendant 

 

 

 

 

 

 

 

 

 

________________________________________________ 

Defendant’s Employer’s Address 
 
 
_________________________________________________ 
City 

Zip Code 

State 

 
 

 
 

 
 

 
 

 
 

 
 

 

 

 
 

________________________________________________ 

Defendant’s Employer’s Telephone Number 

_________________________________________ 
Defendant’s Social Security Number 

his Withholding Order is entered pursuant to the provisions of Section 15-18-143, Ala. Code 1975, and Rule 26.11, Alabama 

4.     This Order shall become binding after service upon the employer and shall remain in effect until the sum of 

3.     When the restitution payments are ordered paid directly to the Clerk of this Court, there shall be paid an additional $1.00 

It is therefore ORDERED by the Court as follows: 
1.     The defendant is ORDERED to pay the total sum of $____________________ for court-ordered monies. 
2.     The defendant’s present employer or any successive employer is herby ORDERED to withhold from employment 

5.     The employer’s copy of this Order shall be: 
               served immediately upon the defendant’s employer; OR 
               remain in the court file until the defendant finds employment as required by this Court; OR
               remain in the court file until a determination is made by the Court that the defendant has failed to comply with the 

Rules of Criminal Procedure, as a means of enforcing or collecting monies ordered paid pursuant to a criminal proceeding. 
 
 
 
income due or to become due to the defendant $____________________ per __________________________. The employer shall 
remit the total amount deducted MONTHLY to the Clerk of the above-named Court at (address) _____________________  
____________________________________________________________ to be distributed pursuant to the Court’s sentencing order. 
 
administrative fee provided in Section 12-19-26, Ala. Code 1975, with each periodic payment of restitution. 
 
$__________________ has been remitted to the Clerk of the Court to satisfy the court-ordered employment income withholding 
obligation unless the Order has been sooner modified or terminated by the Court. When the total amount ordered by the Court has been 
remitted to the Clerk of the Court, the employer released from his obligation to remit further payments.              
This Order is effective as to any current or future employer of the defendant. 
 
 
 
 
              Court’s Order. 
 
 
thereof. Any employer who violates the Order may be deemed in contempt of court and may be compelled by the Court to reinstate 
such employee. 
 
as a result of any layoff, suspension, discharge, or resignation of such defendant, or of any change in the defendant’s employment 
including the name and address, if known, of any new or successive employer. 
 
directing such person to withhold, deliver or pay over any employment income may be deemed in contempt of court and may be held 
liable to the victim for any restitution lost.  
 
Ala. Code 1975, shall not be held liable to the defendant or other person claiming any rights derived from the defendant for wrongful 
withholding or wrongful conversion of any assets or income. 
 
Restitution within 14 days of service of this Order. 
 
11.   Other: _____________________________________________________________________________________ 
______________________________________________________________________________________________________ 

        When the Order is served, service shall be by           personal service           certified mail. 
6.     The employer shall not discharge the defendant solely because of the Order or any other process issued as a result 

8.     Any person who willfully refuses to comply with any court order issued pursuant to Section 15-18-143, Ala. Code 1975, 

7.     The defendant and the employer shall promptly notify this Court or the Clerk of the Court if payments are discontinued 

9.     Any person who complies with the Order for Withholding restitution issued pursuant to Section 15-18-140, et seq.,  

10.   You are hereby ordered to return the enclosed Answer to Order of Withholding for Costs, Fines, Assessments, and 

  T

 

one this ____________ day of _________________________, ______________     _________________________________ 

 

 

 

 

 

 

 

 

        Judge  

   

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