Order Establishing Child Support {CV-642}

STATE OF NORTH CAROLINA County Court File No. Scan No. In The General Court Of Justice District Court Division Name Of Plaintiff Name Of Defendant VERSUS ORDER ESTABLISHING CHILD SUPPORT G.S. 50-13.4; 110-136.3 Name And Address Of Custodial Parent (include P.O. Box and street address) PARTY INFORMATION Name And Address Of Obligor (include P.O. Box and street address) Name And Address Of Children (NOTE: Complete only if the address for the child(ren) named on the attached child support worksheet is different from the address of the custodial parent. There is no requirement that the child support order contain the address of the child(ren) if there is an existing order prohibiting disclosure or the court has determined that notice is inappropriate because the obligor has committed acts of domestic violence pursuant to Chapter 50B.) Name And Address Of Obligor's Employer FINDINGS OF FACT AND CONCLUSIONS OF LAW A hearing was held on (date) . All parties were present, represented, or received proper notice of the hearing. After hearing the evidence and argument, the Court finds the following facts and makes the following conclusions of law. 1. The Court has personal jurisdiction over the parties and subject matter jurisdiction over this case. 2. The above-named obligor is the parent of the minor child(ren) named on the attached child support worksheet and has a duty to support his/her minor child(ren). The income and expenses of the parties are as indicated on the attached child support worksheet, which is incorporated by reference. Under the presumptive child support guidelines, the obligor owes a duty of support for his/her minor child(ren) in the amount of $ per month. 3. The Court finds that it is appropriate to deviate from the presumptive child support guidelines for the following reasons: . 4. The Court finds and concludes that child support in the amount of $ per month is reasonable and that the obligor has the ability to pay child support in that amount. 5. Immediate income withholding is: required. not required because: the parties have agreed in writing to an alternative arrangement for payment of child support. one of the parties has demonstrated that there is a reasonable and workable plan for consistent and timely payment of child support by some means other than income withholding or that there is other good cause not to require immediate income withholding. NOTE: Complete and attach Child Support Worksheet (AOC-CV-627, 628, or 629), as applicable, and Cover Sheet For Child Support Cases (Non-IV-D Only) AOC-CV-640. (Over) AOC-CV-642, Rev. 5/15 © 2015 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com 6. The Court finds that health insurance for the benefit of the minor child(ren) is available to the through employment or other group insurance. Name And Address Of Insurance Carrier Employer/Group Name obligor Policy No. custodial parent 7. Other Findings And Conclusions Of Law: (include additional findings relating to amount of child support ordered, medical support, health insurance, prior maintenance of child, domestic violence, attorney's fees, etc.) ORDER It is ORDERED that: 1. The obligor pay support for the minor child(ren) named on the attached child support worksheet as shown below. Amount Of Child Support Per Month Date First Payment Due (first day of month) $ Unless otherwise ordered by the Court, child support payments for the minor child(ren) shall continue beyond the child(ren)'s eighteenth birthday if the child(ren) is unemancipated and is still in primary or secondary school when the child(ren) reaches age 18. Child support payments beyond the child(ren)'s eighteenth birthday shall continue until the child graduates, otherwise ceases to attend school on a regular basis, fails to make satisfactory academic progress toward graduation, or reaches age 20, whichever comes first. 2. The obligor's child support payments be made through immediate income withholding. (Attach Order To Withhold Wages To Enforce 3. All child support payments under this Order shall be paid to the: North Carolina Centralized Collection Office at the address shown. Address Of North Carolina Centralized Collection Office Child Support, AOC-CV-618.) custodial parent named on Side One. obligee at the address shown. Address Of Obligee 4. Medical Support Health insurance for the benefit of the minor child(ren) be provided by the obligor. custodial parent. The obligor shall be responsible for % of unreimbursed medical expenses. 5. The obligor shall keep the Clerk of Superior Court informed of his/her current residence, mailing address, and place of employment. The parties shall cooperate fully with each other with respect to changes in employment, the verification of any substantial change and effective date of change in his/her income. The custodial parent is is not required to keep the obligor informed of the current residence and mailing address of the custodial parent or minor child(ren). (NOTE: There is no requirement that the child support order contain the address of the custodial parent or the child if there is an existing order prohibiting disclosure or the court has determined that notice is inappropriate because the obligor has committed acts of domestic violence pursuant to Chapter 50B. If notice is not required, state findings concerning existing order prohibiting disclosure or domestice violence in Paragraph 7 of Findings of Fact and Conclusions of Law.) Date Name Of District Court Judge (type or print) Signature Of District Court Judge NOTE: Complete and attach Child Support Worksheet (AOC-CV-627, 628, or 629), as applicable, and Cover Sheet For Child Support Cases (Non-IV-D Only) AOC-CV-640. AOC-CV-642, Side Two, Rev. 5/15 © 2015 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com