Washington > Statewide > Domestic Relations > Divorce
Order Of Child Support DR 01.0500 - Washington
| Order Of Child Support Form. This is a Washington form and can be used in Divorce Domestic Relations Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Superior Court of Washington County of [ ] In re the Marriage of: [ ] In re the Domestic Partnership of: No. Order of Child Support Petitioner, and [ ] Temporary (TMORS) [ ] Final Order (ORS) Clerk's Action Required Respondent. I. Judgment Summary 1.1 Judgment Summary for Non-Medical Expenses [] [] A. B. C. D. E. F. G. H. I. J. K. L. Does not apply. Applies as follows: Judgment creditor Judgment debtor Principal judgment amount (back child support/other obligations) $ from (date) ______________ through (date) ______________ Interest to date of judgment $ Attorney fees $ Costs $ Other recovery amount $ Principal judgment shall bear interest at __________ % per annum Attorney fees, costs and other recovery amounts shall bear interest at _______% per annum Attorney for judgment creditor Attorney for judgment debtor Other: 1.2 Judgment Summary for Medical Support [] [] Does not apply. Applies as follows: Order of Child Support (TMORS, ORS) - Page 1 of 16 WPF DR 01.0500 Mandatory (6/2010) - RCW 26.09.175; 26.26.132 American LegalNet, Inc. www.FormsWorkFlow.com A. B. C. D. E. F. G. H. I. J. K. Judgment creditor Judgment debtor Judgment for medical support $ from (date) ______________ through (date) ______________ Interest to date of judgment $ Attorney fees $ Costs $ Principal judgment shall bear interest at __________ % per annum Attorney fees, costs and other recovery amounts shall bear interest at ______ % per annum Attorney for judgment creditor Attorney for judgment debtor Other II. Basis 2.1 Type of Proceeding This order is entered under a petition for dissolution of marriage or domestic partnership, legal separation, or declaration concerning validity: [] [] [] [] [] [] decree of dissolution, legal separation or a declaration concerning validity. order for modification of child support. hearing for temporary child support. order of adjustment. order for modification of a custody decree or parenting plan. other: 2.2 Child Support Worksheet The child support worksheet which has been approved by the court is attached to this order and is incorporated by reference or has been initialed and filed separately and is incorporated by reference. 2.3 Other III. Findings and Order It Is Ordered: 3.1 Child(ren) for Whom Support is Required Name (first/last) Age 3.2 Person Paying Support (Obligor) Order of Child Support (TMORS, ORS) - Page 2 of 16 WPF DR 01.0500 Mandatory (6/2010) - RCW 26.09.175; 26.26.132 American LegalNet, Inc. www.FormsWorkFlow.com Name (first/last): Birth date: Service Address: (You may list an address that is not your residential address where you agree to accept legal documents.) The Obligor Parent Must Immediately File With the Court and the Washington State Child Support Registry, and Update as Necessary, the Confidential Information Form Required by RCW 26.23.050. The Obligor Parent Shall Update the Information Required by Paragraph 3.2 Promptly After any Change in the Information. The Duty to Update the Information Continues as long as any Support Debt Remains due Under This Order. For purposes of this Order of Child Support, the support obligation is based upon the following income: A. [] Actual Monthly Net Income: $ _______________. OR B. [] Monthly net income after exclusion requiring findings: Actual monthly gross income $ _______________ from which the court excludes $ _______________ because the court finds that the obligor earned that income from overtime or from second jobs beyond 40 hours per week averaged over a 12-month period to: [] provide for a current family's needs; or [] retire past relationship debts; or [] retire child support debt; and that the income will cease when the obligor has paid off his or her debts. Monthly net income after allowed exclusion: $_________________. OR C. [] The net income of the obligor is imputed at $ _______________ because: [] [] [] the obligor's income is unknown. the obligor is voluntarily unemployed. the obligor is voluntarily underemployed. The amount of imputed income is based on the following information in order of priority. The court has used the first option for which there is information: [] [] [] current rate of pay. reliable historical rate of pay information. Past earnings when there is incomplete or sporadic information of the parent's past earnings. Order of Child Support (TMORS, ORS) - Page 3 of 16 WPF DR 01.0500 Mandatory (6/2010) - RCW 26.09.175; 26.26.132 American LegalNet, Inc. www.FormsWorkFlow.com [] minimum wage in the jurisdiction where the parent lives at full-time earnings because the parent: [] [] [] [] has a recent history of minimum wage jobs, recently came off public assistance, general assistanceunemployable, supplemental security income, or disability was recently released from incarceration, or is a high school student. [] [] Other: Median Net Monthly Income Table. 3.3 Person Receiving Support (Obligee) Name (first/last): Birth date: Service Address: (You may list an address that is not your residential address where you agree to accept legal documents.) The Obligee Must Immediately File With the Court and the Washington State Child Support Registry and Update as Necessary the Confidential Information Form Required by RCW 26.23.050. The Obligee Shall Update the Information Required by Paragraph 3.3 Promptly After any Change in the Information. The Duty to Update the Information Continues as Long as any Monthly Support Remains Due or any Unpaid Support Debt Remains Due Under This Order. For purposes of this Order of Child Support, the support obligation is based upon the following income: A. [] Actual monthly Net Income: $ _______________. OR B. [] Monthly net income after exclusion requiring findings: Actual monthly gross income $ _______________ from which the court excludes $ _______________ because the court finds that the obligee earned that income from overtime or from second jobs beyond 40 hours per week averaged over a 12-month period to: [] provide for a current family's needs; or [] retire past relationship debts; or [] retire child support debt; and that the income will cease when the obligee has paid off his or her debts. Order of Child Support (TMORS, ORS) - Page 4 of 16 WPF DR 01.0500 Mandatory (6/2010) - RCW 26.09.175; 26.26.132 American LegalNet, Inc. www.FormsWorkFlow.com Monthly net income after allowed exclusion: $_________________. OR C. [] The net income of the obligee is imputed at $ _______________ because: [] [] [] the obligee's income is unknown. the oblige
|
|||||||
