Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

AGREEMENT SUSPENDING
IMMEDIATE INCOME WITHHOLDING

Original - Court
2nd copy - Friend of the court
3rd copy - Plaintiff
4th copy - Defendant

CASE NO.

Court  address

Court  telephone  no.

Plaintiff's name, address, and telephone no.

v

Defendant's name, address, and telephone no.

NOTE:        MCL 552.604(3) requires that all new and
modified  support  orders  after  December  31,  1990.
include  a  provision  for  immediate  income  withholding
and  that  income  withholding  take  effect  immediately
unless the parties enter into a written agreement that
the  income  withholding  order  shall  not  take  effect
immediately.

We understand that by law an order of income withholding in a support order shall take effect immediately.  However, we
agree to the following.

1. The order of income withholding shall not take effect immediately.

2. An alternative payment arrangement shall be made as follows:

3. Both the payer and the recipient of support will notify the friend of the court, in writing, within 21 days of any change in

a. the names, addresses, and telephone numbers of their current sources of income;
b. any health-care coverage that is available to them as a benefit of employment or that is maintained by them; the names
of the insurance companies, health-care organizations, or health-maintenance organizations; the policy, certificate, or
contract numbers; and the names and birth dates of the persons for whose benefit they maintain health-care coverage under
the policies, certificates, or contracts; and

c. their current residences, mailing addresses, and telephone numbers.

4. We further understand that proceedings to implement income withholding shall commence if the payer of support falls one

month behind in his/her support payments.

5. We recognize that the court may order withholding of income to take effect immediately for cause or at the request of the payer.

Date

Plaintiff's signature

Date

Defendant's signature

FOC 63   (3/08)   AGREEMENT SUSPENDING IMMEDIATE INCOME WITHHOLDING

MCL 552.604