REQUEST FOR TRUSTEE TO SEND PRE-CONFIRMATION

INCOME WITHHOLDING ORDER

INSTRUCTIONS: Send request via e-mail to: 13trustee@ch13mdal.com

DO NOT FILE THIS REQUEST WITH THE COURT.

Debtor’s name for which the income order should issue:

Debtor’s SSN:

Chapter 13 case number:

Name and address of Employer to which the income order should issue: 

Debtor’s plan payment amount and frequency of payment: 

I hereby request Curtis C. Reding, chapter 13 trustee for the Middle District of Alabama, to cause an income withholding order to be issued to the employer for the above referenced chapter 13 debtor.  The debtor’s payments pursuant to the plan, and the amount of the income order are:

$    Per   Week  Bi-weekly  Monthly (check one)

Attorney for Debtor(s)