Washington > Statewide > Domestic Relations > Parentage
Judgment And Order Establishing Residential Schedule Parenting Plan Or Child Support (Out Of State) PS 15A.0500 - Washington
| Judgment And Order Establishing Residential Schedule Parenting Plan Or Child Support (Out Of State) Form. This is a Washington form and can be used in Parentage Domestic Relations Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Superior Court of Washington County of In re the Parenting and Support of: No. Judgment and Order Establishing [ ] Residential Schedule/ Parenting Plan [ ] Child Support (Out-of-State Paternity Acknowledgment or Judgment Establishing Parentage) (JDORS) Clerk's action required 3.8 [ ] Law Enforcement Notification, ¶ 3.8 Child(ren), Petitioner, and Respondent. 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 3.8. Violation of a Restraining Order in paragraph 3.8 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 Total judgment amount Principal judgment amount (back support) From ___________________ to ___________________ E. Interest to date of judgment F. Attorney fees G. Costs $ $ $ $ $ Judgment/Ord Parenting Plan/Child Support (JDORS) - Page 1 of 6 WPF PS 15A.0500 Mandatory (07/2011) - RCW 26.26.350, 26.27.201, 42 U.S.C. 666(a)(11) American LegalNet, Inc. www.FormsWorkFlow.com H. I. J. K. L. 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 II. Basis This matter has come before this court, the court considered the case record and has previously entered its findings of fact and conclusions of law. III. Order It is ordered: 3.1 Jurisdiction Over the Child The court has jurisdiction over the child(ren) as set forth in the findings of fact and conclusions of law. 3.2 Order of Child Support [] [] Does not apply. (Name) _______________________________________ shall pay child support as set forth in the Order of Child Support which was signed by the court on this date or dated _________________________________ and is filed separately. 3.3 Residential Placement [] [] [] [] [] The primary residence of the child shall be with (name) __________________________, who is designated custodian solely for the purpose of other state and federal statutes. The residential plan/parenting plan signed by the court on this date or dated ________________________________, is adopted and incorporated by reference. (Name) ______________________________ shall be designated the custodian of the child, and the child shall reside with (name) __________________________ at all times. (Name) ________________________________ shall have no residential time with the child. Other: 3.4 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 support due to (name) ______________________________________ by (name) _________________________________ is waived and will not be collected by [] Judgment/Ord Parenting Plan/Child Support (JDORS) - Page 2 of 6 WPF PS 15A.0500 Mandatory (07/2011) - RCW 26.26.350, 26.27.201, 42 U.S.C. 666(a)(11) American LegalNet, Inc. www.FormsWorkFlow.com [] [] [] [] (name) __________________________________. This does not waive any support owing to the state as a result of payment of public assistance. All 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 at 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 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 [] 3.5 Judgment (Note do not repeat this judgment in the order of child support WPF PS 01.0500.) Judgment/Ord Parenting Plan/Child Support (JDORS) - Page 3 of 6 WPF PS 15A.0500 Mandatory (07/2011) - RCW 26.26.350, 26.27.201, 42 U.S.C. 666(a)(11) American LegalNet, Inc. www.FormsWorkFlow.com [] [] Does not apply. (Name)_______________________________________ is awarded a judgment against (name) _______________________________ in the amount of $_________, as follows: [ ] $__________ for guardian ad litem fees. [ ] $__________ for attorney fees. [ ] $__________ costs. [ ] $__________ for other fees and expenses. [ ] $__________ other: [] (Name) ____________________________________ shall have judgment against (name) _______________________________ for _______________________________ in the amount of $_______
|
|||||||
