Washington > Statewide > Domestic Relations > Parentage
Judgment And Order On Petition For Establishment Of Parentage And Granting Other Relief PS 16.0500 - Washington
| Judgment And Order On Petition For Establishment Of Parentage And Granting Other Relief Form. This is a Washington form and can be used in Parentage Domestic Relations Statewide . |
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Superior Court of Washington County of In re the matter of: No. Petitioner, and Respondent, and [ ] Acknowledged Father, if applicable, Respondent, Judgment and Order on Petition for Establishment of Parentage Pursuant to RCW 26.26.540(2) and Granting Other Relief (JDOEP) Clerk's Action Required, ¶ 1.2, 3.5, 3.9 Law Enforcement Notification, ¶ 3.9 [ ] Adjudicated Parent, if applicable, and Respondent, Child(ren) over the age of 2. I. Judgment/Order Summaries 1.1 Restraining Order Summary [ ] Does not apply. [ ] Restraining Order Summary is set forth below: . Name of person(s) . See Name of person(s) restrained: protected: Paragraph 3.9. Violation of a Restraining Order in Paragraph 3.9 below with actual knowledge of its terms is a criminal offense under Chapter 26.50 RCW and will subject the violator to arrest. RCW 26.26.590 1.2 Money Judgment Summary [] A. B. C. D. Does not apply. [] Judgment Summary is set forth below: Judgment creditor Judgment debtor Principal judgment amount Interest to date of judgment $ $ Judgment/Ord (Pt Establ Parentage) (JDOEP) - Page 1 of 6 WPF PS 16.0500 Mandatory (07/2011) - RCW 26.26.540(2) American LegalNet, Inc. www.FormsWorkFlow.com E. F. G. H. I. J. K. L. 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: II. Basis This matter has come before the court on (name) _________________________________'s Petition for Establishment of Parentage Pursuant to RCW 26.26.540(2). The court considered the case record and has previously entered its Findings of Fact and Conclusions of Law. This action affects the parentage of: (name of child) _____________________________ (age on the date of this order) ____________. (name of child) _____________________________ (age on the date of this order) ____________. III. Order It is Ordered: 3.1 Petition for Establishment of Parentage [] [] [] This proceeding for establishment of parentage was not timely begun and is dismissed. The Petition for Establishment of Parentage is granted. The Petition for Establishment of Parentage is denied. 3.2 Determination of Parentage [] [] Does not apply. (Name) ________________________________ is the parent of the child and any acknowledged father or adjudicated parent named in the proceeding is not the parent. 3.3 Obligation for Child Support [] [] (Name) _______________________ shall pay child support as set forth in the Order of Child Support which [ ] is attached [ ] is filed separately. Effective as of (date) _______________________, (name) ______________________ [ ] is [ ] is not relieved from any obligation to pay child support under the child support order entered on (date) _____________________. 3.4 Judgment (Note - do not repeat this judgment in the Order of Child Support WPF PS 01.0500.) [] [] Does not apply. (Name) _______________________________ shall have judgment against (name) ______________________ in the total amount of $_______________ as follows: [] [] $_______________ for genetic testing costs. $_______________ for guardian ad litem fees. Judgment/Ord (Pt Establ Parentage) (JDOEP) - Page 2 of 6 WPF PS 16.0500 Mandatory (07/2011) - RCW 26.26.540(2) American LegalNet, Inc. www.FormsWorkFlow.com [] [] [] [] [] $_______________ for attorney fees. $_______________ costs. $_______________ for other fees and expenses. Other: (Name) __________________________________ shall have judgment against (name) _________________________________ for _________________________ in the amount of $_______________. 3.5 Judgment for Back Child Support (Note - do not repeat this judgment in the Order of Child Support WPF PS 01.0500.) [] [] Does not apply. (Name) _________________________________ is awarded a judgment against (name) ________________________ in the amount of $__________________, for back child support for the period from (date) _______________ to (date) ________________. The unpaid child support due to (name) _________________________________ by (name) ______________________________ is waived and will not be collected by (name) ____________________________. This does not waive any child support owing to the state as a result of payment of public assistance. All child support due under temporary court orders has been paid. Unpaid support due under a court or administrative order is preserved for collection and is not merged in or extinguished by this order. Other: Collection Limitation Against Wages: The back child support provision above shall be paid at a rate of at least $__________ per month beginning (date) _______________________. So long as the payments for current support, back support and the judgment are timely, collection against the judgment debtor's wages, excluding bonuses and other lump sum payments, shall be limited to $_______________ per month (for current support, back support and judgment). This limitation terminates if a single payment is past due. This provision does not limit or bar the state of Washington from using other collection remedies available to it by law, including, but not limited to, certification for collection to the Internal Revenue Service. Payment shall be made to: [] [] [] [] [] [] Wage Withholding Action: [] Withholding action may be taken against wages, earnings, assets, or benefits, and liens enforced against real and personal property under the child support statutes of this or any other state, without further notice to the judgment debtor any time after entry of an order by the court, except as limited by the Collection Limitation Against Wages paragraph above. Wage withholding, by notice of payroll deduction or other income withholding action under Chapter 26.18 RCW or Chapter 74.20 RCW, without further notice [] Judgment/Ord (Pt Establ Parentage) (JDOEP) - Page 3 of 6 WPF PS 16.0500 Mandatory (07/2011) - RCW 26.26.540(2) American LegalNet, Inc. www.FormsWorkFlow.com to the judgment debtor, is delayed until a payment is past due, because: [] [] there is good cause not to require immediate income withholding. the parties have reached a written agreement which the court approves that provides for an alternative arrangement. (See below:) [] Judgment and Back Support Payments Shall Be Made to: [] [] Washington State Support Registry P.O. Box 45868 Olympia, Washington 98504 Phone: 1-800-922-4306 1-800-442-5437 Ea
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