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LDSS-5038 (5/15) - New York State Unified Court System

LDSS-5038 (5/15) - New York State Unified Court System-2026

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The document outlines the procedures and requirements for issuing a Spousal Support Only Income Withholding Order (IWO) in New York State. It specifies how to serve the order, the necessary information about the employee/obligor and obligee, and details on withholding amounts for child support and spousal support. The document also includes instructions for employers regarding compliance, payment remittance, and legal obligations related to income withholding.

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Click ‘Get Form’ to open the LDSS-5038 in the editor.
Begin with Part A, where you will enter the court information. Specify whether it is Family Court or Supreme Court and include the corresponding county.
Fill in the Employee/Obligor Information section with the name, Social Security Number, and date of birth.
In the Obligee Information section, provide the name and mailing address of the obligee.
Proceed to Part B for Income Withholding Order details. Select the appropriate type of order and complete all relevant fields including amounts to withhold for child support and spousal support.
Ensure all information is accurate before saving your changes. Utilize our platform’s features to sign and distribute the completed form as needed.

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