ELECTRONICALLY FILED
`Pulaski County Circuit Court
`Larry Crane, Circuit/County Clerk
`2018-Nov-29 07:45:42
`60DR-06-103
`C06D17 : 4 Pages
`
`IN THE CIRCUIT COURT OF PULASKI COUNTY, ARKANSAS
`DOMESTIC RELATIONS DIVISION
`
`STATE OF ARKANSAS
`OFFICE OF CHILD SUPPORT ENFORCEMENT
`CASE NUMBER: 707069608
`
`VS.
`
`BRANDON R. WHITE
`
`NO. 60DR-06-103-17
`
`PLAINTIFF
`
`DEFENDANT
`
`UNIFORM COVER PAGE
`
`TITLE OF PLEADING OR DOCUMENT BEING FILED: ORDER/NTC CS WAGE WITHHOLDING
`
`OCSE -
`FINCV 10/2018
`Case Number(s):
`707069608
`
`Member Number:
`
`48550155
`
`

`

`INCOME WITHHOLDING FOR SUPPORT
`
`X
`
`INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO)
`AMENDED IWO
`ONE-TIME ORDER/NOTICE FOR LUMP SUM PAYMENT
`TERMINATION OF IWO
`
`Date:
`
`11/28/2018
`
`Court
`Child Support Enforcement (CSE) Agency
`Private Individual/Entity (Check One)
`Attorney
`OTE: This IWO must be regular on its face. Under certain circumstances you must reject this IWO and return it to the
`sender (see IWO instructions www.acf.hhs.gov/css/resource/income-withholding-for-support-instructions). If you receive this
`document from someone other than a state or tribal CSE agency or a court, a copy of the underlying support order must be
`attached.
`
`X N
`
`State/Tribe/Territory
`ARKANSAS
`City/County/Dist./Tribe PULASKI CO OCSE
`Private Individual/Entity
`
`RCN ENTERPRISE INC
`Employer/Income Withholder's Name
`11000 BURKHALTER HAAS DR
`Employer/Income Withholder's Address
`MAUMELLE, AR 72113-6724
`
`Remittance ID (include w/payment)
`Order ID 60DR-06-103-17
`Case ID
`707069608
`
`707069608
`
`RE:
`
`WHITE, BRANDON, R
`Employee/Obligor's Name (Last, First, Middle)
`INFORMATION REDACTED
`Employee/Obligor's Social Security Number
`08/05/1982
`Employee/Obligor's Date of Birth
`ANDREWS, CARMEN, C
`Custodial Party/Obligee's Name (Last, First, Middle)
`
`Employer/Income Withholder's FEIN
`
`770537013
`
`Child(ren)'s Name(s) (Last, First, MI)
`W, B
`
`Child(ren)'s Birth Date(s)
`XX/XX/2003
`
`ORDER INFORMATION: This document is based on the support order from ARKANSAS (State/Tribe). You are required by law
`to deduct these amounts from the employee/obligor's income until further notice.
`$
`Per
`current child support
`36.00
`WEEK
`$
`Per
`Arrears greater than 12 weeks?
`7.20
`WEEK
`past-due child support -
`$
`Per
`current cash medical support
`$
`Per
`past-due cash medical support
`$
`Per
`current spousal support
`$
`Per
`past-due spousal support
`$
`Per
`other (must specify)
`for a Total Amount to Withhold of $
`per
`43.20
`
`X
`
`Yes
`
`No
`
`WEEK
`
`.
`
`AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle to be in compliance with the Order Information. If your pay
`cycle does not match the ordered payment cycle, withhold one of the following amounts:
`$
`$
`per weekly pay period
`per semimonthly pay period (twice a month)
`43.20
`93.60
`$
`$
`per biweekly pay period (every two weeks)
`per monthly pay period
`86.40
`187.20
`$
`Lump Sum Payment:
`Do not stop any existing IWO unless you receive a termination order.
`
`Document Tracking ID _______________________________________
`
`Employer's Name:
`RCN ENTERPRISE INC
`OCSE -
`FEN31 08/2018
`Case Number(s):
`707069608
`
`Page 8 of 10
`(3) COURT FILE
`
`Employer FEIN: 770537013
`Member Number:
`48550155
`OMB 0970-0154 EXP Date: 08/31/2020
`
`

`

`Employer's Name:
`RCN ENTERPRISE INC
`Employee/Obligor's Name:
`WHITE, BRANDON, R
`Case Identifier:
`707069608
`
`Employer FEIN: 770537013
`SSN: INFORMATION REDACTED
`Order Identifier:
`60DR-06-103-17
`
`REMITTANCE INFORMATION: If the employee/obligor's principal place of employment is ARKANSAS (State/Tribe), you must
`begin withholding no later than the first pay period that occurs 14 days after the date of 11/28/2018. Send payment within 1
`business days of the pay date. If you cannot withhold the full amount of support for any or all orders for this employee/obligor,
`withhold 55% of disposable income for all orders. If the obligor is a non-employee, obtain withholding limits from Supplemental
`Information.
`If
`the employee/obligor's principal place of employment
`is not ARKANSAS (State/Tribe), obtain withholding
`limitations, time requirements, and any allowable employer fees from the jurisdiction of the employee/obligor's principal place of
`employment.
`State-specific
`withholding
`limit
`information
`is
`available
`at
`www.acf.hhs.gov/css/resource/state-income-withholding-contacts-and-program-requirements.
`For
`tribe-specific
`contacts,
`payment
`addresses,
`and
`withholding
`limitations,
`please
`contact
`the
`tribe
`at
`or
`www.acf.hhs.gov/sites/default/files/programs/css/tribal_agency_contacts_printable_pdf.pdf
`https://www.bia.gov/tribalmap/DataDotGovSamples/tld_map.html.
`
`requirements and centralized payment collection and disbursement
`For electronic payment
`Disbursement Unit (SDU)], see www.acf.hhs.gov/css/employers/employer-responsibilities/payments.
`
`facility information [State
`
`Include the Remittance ID with the payment and if necessary this locator code: 0500000
`
`Remit Payment to Office of Child Support Enforcement (SDU/Tribal Order Payee)
`at AR OCSE Clearinghouse, P.O. Box 8125, Little Rock, AR 72203 (SDU/Tribal Payee Address)
`
`Return to Sender (Completed by Employer/Income Withholder). Payment must be directed to an SDU in accordance
`with sections 466(b)(5) and (6) of the Social Security Act or Tribal Payee (see Payments to SDU below). If payment is not
`directed to an SDU/Tribal Payee or this IWO is not regular on its face, you must check this box and return the IWO to the
`sender.
`If Required by State or Tribal Law:
`Signature of Judge/Issuing Official: ___________________________________________________________________
`Print Name of Judge/Issuing Official: LATRINA CROFTON
`Title of Judge/Issuing Official: CS SPECIALIST I
`Date of Signature: ________________________________________________________________________________
`
`If the employee/obligor works in a state or for a tribe that is different from the state or tribe that issued this order, a copy of this
`IWO must be provided to the employee/obligor.
`If checked, the employer/income withholder must provide a copy of this form to the employee/obligor.
`
`ADDITIONAL INFORMATION FOR EMPLOYERS/INCOME WITHHOLDERS
`State-specific contact and withholding information can be found on the Federal Employer Services website located at
`www.acf.hhs.gov/css/resource/state-income-withholding-contacts-and-program-requirements.
`
`Employers/income withholders may use OCSE's Child Support Portal (https://ocsp.acf.hhs.gov/csp/) to provide information
`about employees who are eligible to receive a lump sum payment, have terminated employment, and to provide contacts,
`addresses, and other information about their company.
`Priority: Withholding for support has priority over any other legal process under State law against the same income (section
`466(b)(7) of the Social Security Act). If a federal tax levy is in effect, please notify the sender.
`Combining Payments: When remitting payments to an SDU or tribal CSE agency, you may combine withheld amounts from
`more than one employee/obligor's income in a single payment. You must, however, separately identify each employee/obligor's
`portion of the payment.
`Payments To SDU: You must send child support payments payable by income withholding to the appropriate SDU or to a tribal
`CSE agency. If this IWO instructs you to send a payment to an entity other than an SDU (e.g., payable to the custodial party,
`court, or attorney), you must check the box above and return this notice to the sender. Exception: If this IWO was sent by a
`court, attorney, or private individual/entity and the initial order was entered before January 1, 1994 or the order was issued by a
`tribal CSE agency, you must follow the “Remit payment to” instructions on this form.
`
`Employer's Name:
`RCN ENTERPRISE INC
`OCSE -
`FEN31 08/2018
`Case Number(s):
`707069608
`
`Page 9 of 10
`(3) COURT FILE
`
`Employer FEIN: 770537013
`Member Number:
`48550155
`OMB 0970-0154 EXP Date: 08/31/2020
`
`

`

`Employer's Name:
`RCN ENTERPRISE INC
`Employee/Obligor's Name:
`WHITE, BRANDON, R
`Case Identifier:
`707069608
`
`Employer FEIN: 770537013
`SSN: INFORMATION REDACTED
`Order Identifier:
`60DR-06-103-17
`
`Reporting the Pay Date: You must report the pay date when sending the payment. The pay date is the date on which the
`amount was withheld from the employee/obligor's wages. You must comply with the law of the state (or tribal law if applicable) of
`the employee/obligor's principal place of employment regarding time periods within which you must implement the withholding
`and forward the support payments.
`
`Multiple IWOs: If there is more than one IWO against this employee/obligor and you are unable to fully honor all IWOs due to
`federal, state, or tribal withholding limits, you must honor all IWOs to the greatest extent possible, giving priority to current
`support before payment of any past-due support. Follow the state or tribal law/procedure of the employee/obligor's principal
`place of employment to determine the appropriate allocation method.
`
`Lump Sum Payments: You may be required to notify a state or tribal CSE agency of upcoming lump sum payments to this
`employee/obligor such as bonuses, commissions, or severance pay. Contact the sender to determine if you are required to
`report and/or withhold lump sum payments.
`
`Liability: If you have any doubts about the validity of this IWO, contact the sender. If you fail to withhold income from the
`employee/obligor's income as the IWO directs, you are liable for both the accumulated amount you should have withheld
`and any penalties set by state or tribal law/procedure.
`
`Anti-discrimination: You are subject to a fine determined under state or tribal law for discharging an employee/obligor from
`employment, refusing to employ, or taking disciplinary action against an employee/obligor because of this IWO.
`
`Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
`Protection Act (CCPA) [15 USC §1673 (b)]; or 2) the amounts allowed by the law of the state of the employee/obligor's principal
`place of employment, if the place of employment is in a state; or the tribal law of the employee/obligor's principal place of
`employment if the place of employment is under tribal
`jurisdiction. Disposable income is the net income after mandatory
`deductions such as: state, federal, local taxes; Social Security taxes; statutory pension contributions; and Medicare taxes. The
`federal limit is 50% of the disposable income if the obligor is supporting another family and 60% of the disposable income if the
`obligor is not supporting another family. However, those limits increase 5% --to 55% and 65% --if the arrears are greater than 12
`weeks. If permitted by the state or tribe, you may deduct a fee for administrative costs. The combined support amount and fee
`may not exceed the limit indicated in this section.
`
`Depending upon applicable state or tribal law, you may need to consider amounts paid for health care premiums in determining
`disposable income and applying appropriate withholding limits.
`
`Arrears greater than 12 weeks? If the Order Information section does not indicate that the arrears are greater than 12
`weeks, then the employer should calculate the CCPA limit using the lower percentage.
`
`Supplemental Information:
`
`Arkansas law requires 50% of Lump Sum payments not to exceed the arrears amount, call 1-800-216-0224 for instruction.
`
`OCSE -
`FEN31 08/2018
`Case Number(s):
`707069608
`
`Page 10 of 10
`(3) COURT FILE
`
`Member Number:
`48550155
`OMB 0970-0154 EXP Date: 08/31/2020
`
`