Payable Coupon PDF Details

The task of managing child support payments is facilitated by the use of a Payable Coupon form, an essential document for employers who are required to withhold child support from an employee's or obligor's wages. This form functions as a meticulous record, ensuring that each payment is correctly accounted for by designating specific pay dates and the amount of money withheld. Employers have the flexibility to consolidate payments for multiple employees into a single check, provided that a unique coupon accompanies each employee's payment for every pay date. Detailed instructions mandate the inclusion of the obligor's Social Security Number, the case identifier, and the obligee's information, alongside the employer's details and Federal Employer Identification Number (EIN), thereby streamlining the process for child support processing centers. The form underscores the importance of accuracy in these financial transactions, explicitly advising against folding, stapling, or mutilating the coupon to preserve its integrity. Additionally, it sets a clear expectation for the timely remittance of payments, adhering to a seven-business-day window from the employee's pay date, thus underscoring the critical nature of punctuality in supporting the financial well-being of children. The designated mailing address to the New York State Child Support Processing Center and the explicit instruction to avoid sending cash payments further highlight the structured approach required for these sensitive financial transactions. This methodical process not only ensures compliance with legal obligations but also supports the efficient and accurate transfer of funds to benefit the parties involved.

QuestionAnswer
Form NamePayable Coupon
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesremitted coupon, nys child support payment coupon, coupon child nys, child support payment coupon

Form Preview Example

Please use a separate

coupon for each

pay date for which

you withhold support from

an employee/obligor and provide

only the date the payment

was withheld from the

employee's/obligor’s wages.

You may send a single check for all employees/obligors or individual checks as long as one

coupon per employee/obligor is

included for

each pay date.

Please indicate the

pay date and the

dollar amount withheld on

each coupon.

Please use a separate

coupon for each

pay date for which

you withhold support from

an employee/obligor and provide

only the date the payment

was withheld from the

employee's/obligor’s wages.

You may send a single check for all employees/obligors or individual checks as long as one

coupon per employee/obligor is

included for

each pay date.

Please indicate the

pay date and the

dollar amount withheld on

each coupon.

Please use a separate

coupon for each

pay date for which

you withhold support from

an employee/obligor and provide

only the date the payment

was withheld from the

employee's/obligor’s wages.

You may send a single check for all employees/obligors or individual checks as long as one

coupon per employee/obligor is

included for

each pay date.

Please indicate the

pay date and the

dollar amount withheld on

each coupon.

Income

Withholder

Name and

Address:

Your Federal Employer ID Number (EIN)

Obligor:

Obligor SSN: XXX-XX-

NY Case Identifier:

Obligee:

You must return this coupon with your payment to

the address on the coupon.

PLEASE DO NOT FOLD,

STAPLE OR MUTILATE.

Income

Withholder

Name and

Address:

Your Federal Employer ID Number (EIN)

Obligor:

Obligor SSN: XXX-XX-

NY Case Identifier:

Obligee:

You must return this coupon with your payment to

the address on the coupon.

PLEASE DO NOT FOLD,

STAPLE OR MUTILATE.

Income

Withholder

Name and

Address:

Your Federal Employer ID Number (EIN)

Obligor:

Obligor SSN: XXX-XX-

NY Case Identifier:

Obligee:

You must return this coupon with your payment to

the address on the coupon.

PLEASE DO NOT FOLD,

STAPLE OR MUTILATE.

MAIL PAYMENTS TO:

NYS CHILD SUPPORT PROCESSING CENTER

PO BOX 15363

ALBANY NY 12212-5363

Make your check or money order payable to:

NYS CHILD SUPPORT PROCESSING CENTER

PLEASE DO NOT SEND CASH

Payments must be remitted within seven business days

of the date the respondent is paid.

AMOUNT ENCLOSED: $

,

.

PAY DATE

/

/

(MM/DD/YY):

MAIL PAYMENTS TO:

NYS CHILD SUPPORT PROCESSING CENTER

PO BOX 15363

ALBANY NY 12212-5363

Make your check or money order payable to:

NYS CHILD SUPPORT PROCESSING CENTER

PLEASE DO NOT SEND CASH

Payments must be remitted within seven business days

of the date the respondent is paid.

AMOUNT ENCLOSED: $

,

.

PAY DATE

/

/

 

 

(MM/DD/YY):

 

 

MAIL PAYMENTS TO:

NYS CHILD SUPPORT PROCESSING CENTER

PO BOX 15363

ALBANY NY 12212-5363

Make your check or money order payable to:

NYS CHILD SUPPORT PROCESSING CENTER

PLEASE DO NOT SEND CASH

Payments must be remitted within seven business days

of the date the respondent is paid.

AMOUNT ENCLOSED: $

,

.

PAY DATE

(MM/DD/YY): / /

W 12-2011

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