Your Name - the Clark County Courts in Las Vegas

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15. Wage Withholding Order. ( check one)
The Plaintiff asks that the court order a wage withholding against the obligor parent
(parent who owes child/spousal support) to secure payment of child support and
spousal support, if any.
Good cause exists to postpone the withholding of income from the obligor parent to
pay child support and spousal support, if any.
16. Child Support Arrears. ( check one)
The Plaintiff is not asking for back child support and waives his/her right to child
support arrears.
The Plaintiff is the noncustodial parent and therefore is not entitled to back child
support.
The Plaintiff asks the court to award the Plaintiff back child support from (date)
__________________ to (date) ______________________ (max. 4 years) and
certifies that during that time period, the Defendant gave the Plaintiff a total of
$______________ for child support.
The Plaintiff asks the court to award the Defendant back child support from (date)
________________ to (date) ____________________ (max. 4 years) and certifies
that during that time period, the Plaintiff gave the Defendant a total of
$___________ for child support.
©Clark County Family Law Self-Help Center
Rev. 4/1/11
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Packet 67, 68 & 69 2010.doc
ALL RIGHTS RESERVED