Employee Name

Total arrears owed

To obtain the total arrears owed, please email nysdulumpsum@otda.ny.gov or call the Child Support Helpline at 1-888-208-4485 (TTY: 1-866-875-9975).

Arrears total

Lump sum payment

Amount of payment

Deductions required by New York State law

Lump sum payments may be subject to deductions for federal, state, and/or other income taxes. The New York State Department of Taxation and Finance provides rules and guidance on withholding for supplemental wages, which may differ from regular income withholding. Additionally, some lump-sum payments may be considered payments for personal services subject to the Consumer Credit Protection Act (CCPA), but not considered wages subject to withholding under New York State law.

For general withholding guidance, see the Employer's Guide to Unemployment Insurance, Wage Reporting, and Withholding Tax, NYS-50.

Federal income tax

Social Security tax

Medicare tax

State income tax

City/Local income tax

Involuntary retirement or pension plan payments

Total deductions required by law

New payment amount

Determine payment type: Personal/non-personal services

Compensation paid or payable for personal services includes but is not limited to wages, salaries, commissions, bonuses, and periodic payments from a pension or retirement program. Payments from an employment-based disability plan are also considered payments for personal services.

A lump sum payment unrelated to personal services rendered may include an interest payment or dividend.

Payment is for personal services Select Yes No

Calculate Withholding

Allocated Withholding

Amounts to Withhold and Remit

Total Amount to Withhold

Total Amount to Remit

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