Full Name of Party Filing Document

Mailing Address (Street or Post Office Box)

City, State and Zip Code

Telephone

Email Address (if any)

IN THE DISTRICT COURT FOR THE 		 JUDICIAL DISTRICT
FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF 				

					,
		Petitioner,
	vs.

					,
		Respondent.
	
Case No. 					

NOTICE OF HEARING ON MOTION TO TERMINATE INCOME WITHHOLDING ORDER FOR CHILD SUPPORT

	A Motion and Affidavit to Terminate Income Withholding has been filed by (name) 								.  
	Such Motion will be heard at 		 o’clock  	.m. on (date)			 in courtroom number 		 at the (county) 				 County Courthouse, (address) 											.  

Date: 				

CLERK OF THE DISTRICT COURT
	 
						By: 						
Typed/printed name					Deputy Clerk

CLERK’S CERTIFICATE OF SERVICE

I certify that a copy of this Notice was served: 

(Name)

(Street or Post Office Address)

(City, State, and Zip Code)
	
•	By United States mail
•	By personal delivery
•	By fax (number) 			

							
(Name)

(Street or Post Office Address)

(City, State, and Zip Code)
	
•	By United States mail
•	By personal delivery 
•	By fax (number) 			

Date:						

						
Deputy Clerk