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Order To Provide Statement Of Income Assets Debts And Living Expenses JD-1717 - Wisconsin
| Order To Provide Statement Of Income Assets Debts And Living Expenses Form. This is a Wisconsin form and can be used in Juvenile Circuit Court Statewide . |
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FORM SUMMARY Name of Form: Order to Provide Statement of Income, Assets, Debts and Living Expenses JD-1717 Chapters 48 and 938. JV 6, 8, & 11 An order by the court to parents to provide a statement of income, assets, debts and living expenses. This form is always required when it appears that a child/juvenile may be placed outside of his or her home in a court proceeding but can also be used whenever it is appropriate to have a determination of a parent's financial status. Juvenile court clerk Original to court file, copies to parents The statement of income, assets, debts and living expenses (JD1718) accompanies this form. Please remember that JD-1717 is either a two-page form or printed back-to-back. The second or back page contains the notice to parents of percentage support standards and child support standards and factors. New Form/Modification: Modifications: Modification, last update 10/96. Added a file/date stamp to upper right corner. Added a statement on the bottom indicating that the form shall not be modified. When it appears that a child/juvenile may be placed outside his or her home as a result of a court order, the court must order the parents to provide a statement of income, assets, debts and living expenses. The clerk of court is also required to provide without charge a notice of the percentage guidelines and the factors that a court can consider in setting support. In a predispositional phase (after plea hearing or fact finding), this will require the exercise of discretion by the court as to whether or not the child/juvenile may ultimately be placed outside the home. In a postdispositional phase (changes of placements and revisions), the petition for change or revision will indicate if an out-of-home placement is anticipated. Date: 05/31/00 American LegalNet, Inc. www.FormsWorkflow.com Form Number: Statutory Reference: Benchbook Reference: Purpose of Form: Who Completes It: Distribution of Form: Accompanying Forms: Comments: The statute does not specifically require any particular format for the statement of income, assets, debts and living expenses or even that the clerk or court provide the form. RMC determined, however, that the parents should immediately be provided with the statement at the time this Order is given the parents. RMC also decided a standard proposed statement of income, assets, debts and living expenses should be created to assist the courts in this respect. Ethical questions have been raised by some judges about making a predispositional determination concerning a possible out-of-home placement. Since section 48.275(2)(a) and 938.275(2)(a), Wis. Stats., require the court to order financial information from parents when the child/juvenile is represented by a state or county paid attorney, the court could order that information at this earlier stage. Doing so under that statute satisfies both needs without creating any ethical dilemma. About this form: This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court's Office and a mandate of the Wisconsin Judicial Conference. If you have additional information that does not change the meaning of the form, attach it on a separate page. The form itself shall not be altered. Date: 05/31/00 American LegalNet, Inc. www.FormsWorkflow.com ¡ For Official Use STATE OF WISCONSIN, CIRCUIT COURT, IN THE INTEREST OF COUNTY Order to Provide Statement of Income, Assets, Debts and Living Expenses Name Case No. Date of Birth It appears to the court that this case may include placement outside the home. IT IS ORDERED: The parent(s) shall complete the attached statement of income, assets, debts and living expenses, and shall provide the original statement to the juvenile court clerk: at least five days before the date set for the dispositional hearing. by . A copy shall also be provided to the agency primarily responsible for implementing the dispositional order: The parent(s) are further informed that information concerning the percentage standards and the factors the court may consider in establishing the level of support is either attached or on the reverse side. BY THE COURT: Signature of Circuit Court Judge/Court Commissioner Name Printed or Typed Date JD-1717, 05/00 Order to Provide Statement of Income, Assets, Debts and Living Expenses Page 1 of 2 Chapters 48 and 938, Wisconsin Statutes. American LegalNet, Inc. www.FormsWorkflow.com This form shall not be modified. It may be supplemented with additional material. Order to Provide Statement of Income, Assets, Debts and Assets, Debts and Living Expenses Page 2 of 2 Case No. The parents are informed that the court may order a child support payment for children placed outside the home. The percentage standards established by the Department of Workforce Development: One child Two children Three children Four children Five children 17% of gross income 25% of gross income 29% of gross income 31% of gross income 34% of gross income The factors that the court may consider in determining the level of support are: · · · · · · · · · · The needs of the child. The physical, mental and emotional health needs of the child, including any costs for the child's health insurance provided by a parent. The standard of living and circumstances of the parents, including the needs of each parent to support himself or herself at a level equal to or greater than that established under 42 USC 9902(2) (poverty guidelines). The financial resources of the parent. The earning capacity of each parent, based on each parent's education, training and work experience and based on the availability of work in or near the parent's community. The need and capacity of the child for education, including higher education. The age of the child. The financial resources and the earning ability of the child. The needs of any person, including dependent children other than the child, whom either parent is legally obligated to support. The best interests of the child, including, but not limited to, the impact on the child of expenditures by the family for improvement of any conditions in the home that would facilitate the reunification of the child with the child's family, if appropriate, and the importance of a placement that is the least restrictive of the rights of the child and the parents and the most appropriate for meeting the needs of the child and the family. Any other factors that the court in each case determines are relevant. · JD-1717
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