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Home My WebLink About235531 7 /31/2014 CITY OF CARMEL, INDIANA VENDOR: L2370 �/ °�,• ONE CIVIC SQUARE I N S C C U-ASFE CHECK AMOUNT: $*******330.00* =a CARMEL, INDIANA 46032 PO BOX 6271 CHECK NUMBER: 235531 y;�TON�°. INDIANAPOLIS IN 46206-6221 CHECK DATE: 07/31/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 330.00 CHILD SUPPORT FEES Order to Withhold Income for the 2014 Indiana Annual Support Fee Indiana Department of Child Services State Child Support Bureau Per Indiana Statutes IC-33-37-5-6 and IC-31-16-15 $ ASFEIWO CITY OF CARMEL July 19,2014 ONE CIVIC SQUARE ATTN KAREN HUFFMAN CARMEL IN 46032 � This is an Order to Withhold Income for the 2014 Annual Support Fee. This fee is charged to non-custodial parents pursuant to Indiana statute. You are required by law'IC=33=37-5=6 and IC 3-1=16 f 5—to deduct tliese amounts-from--tfie em`ployee's income. The deduction should be made from the next payroll,or as soon thereafter as practical. You may remii either in check form,which should be forwarded to the Indiana State Central Collection Unit(INSCCU),or electronically(please see instructions below). This deduction is in addition to any other child support or support-related payments you may be deducting. • General information: $ • This is a once.a year fee deduction that should be made AFTER all other child support payments are deducted. If the child support obligation deducted each pay period always exceeds the CCPA limits,you cannot withhold the fee. The child support obligation,your fee,plus the ASFE combined,cannot exceed the CCPA limits. • Even if you are not currently withholding child support for the employee(e.g.the non-custodial parent is paying directly), the ASFE fee still needs to be withheld. Employees with questions should contact the Kidsline at 317-233-5437 or 800- 840-8757. s • A separate payment is required for this fee; do not combine the fee with regular child support payments. • You may retain a two dollar($2.00)fee from the employee's income for this withholding. • Even.if the child support obligation ceased within the current year,the fee is neither waived nor prorated. • Paving via Check: • Please complete the list on the reverse of this letter and send it with the payment to the address listed on the reverse. A copy of this list MUST accompany the payment,unless payments are sent electronically. • Please note that the P.O.Box for the fee payments is different than for regular child support payments. • If possible,please combine the Annual Support Fees withheld from all employees listed in a single check. • Paving Electronically: • The fee can be paid by using the Chi 1'd_Support Bureau's FREE Employer Online Payment System. If you're not currently using the site:-to process y our reDslar chipd support pa} nerts,,.wP_cau sPt-you-up to process_the..fees.only. .For more information concerningthis prdce -,§g please cail-317-232=0327 ur-'1=80}^0=292=0403,—optiari i — — - • The fee CAN NOW also be sent electronically(ACH)but you must follow these instructions. Set up the fee as a separate child support deduction and add ASFE to the beginning of the ISETS case number as shown on the reverse of this document. ADP clients must use the P O Box 6219 as the payee address and add ASFE to the beginning of the ISETS case number,as only payments with this address will go electronically to Indiana. Ceridian clients must assign the garnishment INSDUI for the payments to go electronically. Consumer Credit Protection Act(COPA): Federal law requires states to limit the amount which can be collected by income withholding to 60%of disposable earnings per pay period,or 50%of disposable earnings if your employee is supporting another spouse or dependent child(current family). If earnings are not sufficient to make the full payment(which may include the$2.00 fee),partial deductions should be made up to the CCPA limit. If you have any questions,please contact the Child Support Bureau,EMPLOYER MAINTENANCE UNIT(EMU)at 317-232-0327 or 1-800-292-0403 or EMUADCS.IN.g_ov.. SIGNATURE Cynthia Longest Deputy Director Department of Child Services 1 of 2 Child Support Bureau THE EMPLOYEES LISTED BELOW OWE THE 2014 INDIANA ANNUAL SUPPORT FEE. • The remittance for the Annual Support Fee must be mailed separately to the special ASFE P O Box address listed below. • You are not obligated to make a payment for employees/income payees listed if he/she is no longer employed by your company. If there is an outstanding paycheck, send the amount requested from the list below while not exceeding the CCPA limits. If an employee/income payee is not employed by your company,please complete column 3 of the list and fax to(317)232-0290. Please retain a copy of the completed list for your records.If additional or multiple payments are needed,a copy of this list is to be sent with your payments. Employer Name: CITY OF CARMEL Make'Check Payable able to:Y FEIN: 356000972 INSCCU-ASFE P O Box 6271 Indianapolis IN 46206-6271 Emplo'yee's Name ::Employee's' Date ofLast Day iISETS Case# Amount Amount SSN ` Worked or Due Paying . Never Empidyed ,per.c per ase - CARTER,MARCUS L. $55.00 2 of 2 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee //V 5"f C &� — Purchase Order No. Aq�f 6,271 Terms SIV V6,26�—�� Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) a-" 61 T Total v�3D,U,D I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in-'accordance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ 04�o 7/ $ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or Zo/ � .5 3YYo SS,oa gnat,v�e Cost distribution ledger classification if Title claim paid motor vehicle highway fund