Alaska > Statewide > Domestic Relations
Order For Modification Of Child Support DR-301 - Alaska
| Order For Modification Of Child Support Form. This is a Alaska form and can be used in Domestic Relations Statewide . |
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Person Submitting Proposed Order: Name: Address: Attorney for Telephone No. Pro Se (not represented by an attorney) IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT ) ) ) ) ) ) ) ) ) ) 1. CASE NO. ORDER MODIFYING CHILD SUPPORT Children. Custody and support are ordered for the following minor child(ren): Full Names of Children Birth Dates 2. Father Full Name: Mailing Address: Residence Address (if different): Most Recent Employer: Employer's Address: Mother Full Name: Mailing Address: Residence Address (if different): Most Recent Employer: Employer's Address: Custodian (if not a parent) Full Name: Mailing Address: Residence Address (if different): DOB: DOB: DOB: Page 1 of 9 DR-301 (4/09) (cs) ORDER MODIFYING CHILD SUPPORT AS 25.27.020, .062, .080 Civil Rule 90.3 American LegalNet, Inc. www.FormsWorkFlow.com 3. Physical Custody. The court finds that the current physical custody arrangement is: Primary Shared Divided Hybrid (For divided custody, fill in both a and b. For hybrid custody, fill in a, b, and c.) Primary Custody (child lives with this parent more than 70% of the year) a. b. Mother, following child(ren): Father, following child(ren): , has primary physical custody of the , has primary physical custody of the Shared Custody (child lives with each parent at least 30% of the year) c. The parents share physical custody of the following child(ren): The child(ren) reside with during the following periods: which equals following periods: which equals % of the year, and with during the % of the year. Failure to take physical custody of the child(ren) at least 30% of the year is grounds for modification of this support order. However, denial of visitation by the custodial parent is not cause to increase child support. Civil Rule 90.3(b)(1)(E) 4. Support Modification. It is hereby ordered that the support order dated is modified as follows: The obligor, , shall pay child support as follows: (Put the current number of children on the first line. Subtract one number on each subsequent line and do the calculations for each line.) Number of Children Basic Monthly Amount Owed Health Insurance Adjustment (ΒΆ 8) Total Monthly Amount Owed Except as provided below, as each child reaches the age of 18, is otherwise legally emancipated or dies, the amount of support will change to the next lower amount. Support must continue while each child is 18 years old if the child is (1) unmarried, (2) actively pursuing a high school diploma or equivalent level of technical or vocational training, and (3) living as a dependent with the obligee parent or guardian or a designee of the parent or guardian, unless the following box is checked: Child support will end when each child reaches age 18. The first payment is due no later than payments are due no later than the Page 2 of 9 DR-301 (4/09) (cs) ORDER MODIFYING CHILD SUPPORT 1st . Subsequent day of each month thereafter. AS 25.27.020, .062, .080 Civil Rule 90.3 American LegalNet, Inc. www.FormsWorkFlow.com 5. Extended Visitation Credit (available only in primary custody situations). Primary physical custody of the children listed in paragraph 3.a or 3.b has been given to the non-obligor parent. However, the obligor parent will have physical custody of these child(ren) for the following periods of over 27 consecutive days: If this visitation is exercised, child support is reduced for the above period(s) as follows: (This reduction may not exceed 75% of the amount owed for the period.) If this visitation is not exercised, child support is not reduced. [Civil Rule 90.3(a)(3)] 6. Seasonal Income. The court finds that obligor's income is seasonal, and obligee agrees that, as long as the total annual amount remains the same, the obligor can make higher payments during high income months and lower payments during low income months as set forth below, and the burden of budgeting for periods of unequal income should be placed on the obligee rather than the obligor. The annual support amount is: $ The average monthly support amount is: $ Therefore, it is ordered that the monthly support amount in paragraph 4 will be varied as follows: High Income Months. Obligor must pay $ per month in the following months: Low Income Months. Obligor must pay $ per month in the following months: If this support order takes effect in a low income month, the obligor must pay the "average monthly amount" each month until a high income month is reached, at which time the unequal monthly payment schedule will begin. This order varying the monthly support amount applies only to the support amount for the number of children listed on the first line in paragraph 4. When support is no longer owed for the first child, the seasonal variation in monthly support amounts must be recalculated. will be as follows Page 3 of 9 DR-301 (4/09) (cs) ORDER MODIFYING CHILD SUPPORT AS 25.27.020, .062, .080 Civil Rule 90.3 American LegalNet, Inc. www.FormsWorkFlow.com 7. Application of Civil Rule 90.3 Formula. a. b. The child support amounts in paragraph 4 were calculated using the formula in Civil Rule 90.3(a) or (b). Yes No If not, the reason for the variation is: Obligor's income is over $105,000, so the (c)(2) limit was used. Calculated support amount is less than $600 per year, so $600 minimum was ordered pursuant to (c)(3). Obligor's income is low because obligor is: incarcerated. unable to work because other: The following unusual circumstances exist that make application of Civil Rule 90.3(a) or (b) unjust: The amount of support which would have been required by the formula is: $ for children per month to be paid by the Mother Father. . Estimated value of any property conveyed instead of monetary support: $ 8. Medical Support Order. AS 25.27.060(c) and Civil Rule 90.3(d)(1). This order concerns health insurance for the child(ren) covered by this child support order. It does not concern health insurance for any other children or for the parents. a. Current Coverage. The obligor obligee must purchase health insurance for the child(ren) because such insurance is available at reasonable cost through his/her employer, union or otherwise. Name and address of employer/union through which insurance will be purchased: per month) will be divided The insurance cost (currently $ between the parties equally unless a different division of the cost is ordered. The child support calculation in paragraph 4 includes: a credit of $ per month (50% of the cost to the obligor) for health insurance purchased for the
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