IN THE CIRCUIT COURT OF THE THIRTEENTH JUDICIAL CIRCUIT LASALLE COUNTY, ILLINOIS UNIFORM ORDER FOR SUPPORT ( ) Initial Order ( ) Modification _____________________________________ ) Petitioner/Plaintiff ) ) vs. ) ) _____________________________________________ ) Respondent/Defendant ) Court Case No. ___________________ Illinois Dept. of Public Aid is, or has been, granted leave to intervene. IDPA No. ______________________________ Definitions: Obligor - An individual who owes a duty to make support payments pursuant to an order for support. Obligee - An individual to whom a duty of support is owed or the individual's legal representative. Payor - Any payor of income to an obligor. Unallocated Support - A total amount for maintenance and child support and not a specific amount for either. The Court finds: X a) The net income of the obligor on the date of this order is $ ________ per __________. b) The amount of arrearage on the date of this order is $ _______ for child support and $ ________for maintenance or unallocated support. c) The amount of child support cannot be expressed exclusively as a dollar amount because all or a portion of the obligor's net income is uncertain as to source, time of payment, or amount. It is ordered that _______________________________, Obligor, is to provide: ( )MAINTENANCE Payment Amount: or ( ) UNALLOCATED SUPPORT Payment Frequency: ( ) every week Current Maintenance or ( ) every other week Unallocated Support Payment: $ _________ ( ) monthly ( ) twice each month on ____ & ____ (date) Arrearage Payment: $ _________ ( ) every year ( ) other ____________________________ Payments Begin: _________________(date) ( X ) CHILD SUPPORT Payment Amount: (Do not complete this section if unallocated Support is ordered.) Payment Frequency: ( ) every week Current Child Support Payment: $ _________ ( ) every other week ( ) monthly Arrearage Payment: $ _________ ( ) twice each month on _____ & _____ (date) ( ) every year Payments Begin: __________________ (date) ( ) other _____________________________ Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com Case No. ______________________ ( ) PERCENTAGE AMOUNT OF CHILD SUPPORT finding (Complete this section only if c is checked above). In addition to the specific dollar amount of support ordered above, current child support shall be paid in the amount of ______ % of obligor's _______________________________________________________________________ payable __________________________________________________________. The obligor is further ordered to provide income records sufficient to determine and enforce the percentage amount of child support, within 7 days of receipt of income subject to this percentage assessment, to the ( X ) obligee and ( ) Clerk of the Court. ( X ) PAYMENT ARRANGEMENTS (Payments must be sent to the STATE DISBURSEMENT UNIT if this box is checked.) A Notice to Withhold Income shall issue immediately and shall be served on the employer at the address listed in this Order. Payments shall be made payable to the State Disbursement Unit and sent to the State Disbursement Unit at P.O. Box 5400, CArol Stream, IL 60197-5400. Payments must include CASE NUMBER, COUNTY if the Court issuing this Order, and obligor's name and social security number. Any subsequent employer may be served with a Notice to Withhold Income without further order of Court. The parties have entered into a written agreement providing for an alternative arrangement for the payment of support that is approved by the Court and attached to this Order, meeting all require ments of, and consistent with, applicable law. An income withholding notice is to be prepared and served only if the obligor becomes delinquent in paying the order for support. Payments shall be made in accordance with the written agreement of the parties attached hereto. In the event the income withholding notice is served, payments shall be made to the State Disbursement Unit as set forth above. Check Only One X (X) In addition to and separate from amounts ordered to be paid as maintenance or child support, the obligor shall pay a $36 per year Separate Maintenance and Child Support Collection Fee. This sum shall be paid directly to the Clerk of the Circuit Court of LaSalle County at 119 W. Madison St., Ottawa, Illinois 61350 and not to the State Disbursement Unit. DELINQUENCY If the obligor becomes delinquent in the payment of support after the entry of this Order For Support, the obligor must pay, in addition to the current support obligation, the sum of (a) $ _________________ for child support per the payment frequency ordered above for child support, and (b) $ ______________ for maintenance or unallocated support per the payment frequency ordered above for maintenance or unallocated support, until the delinquency is paid in full. (This additional amount, the total of (a) and (b), shall not be less than 20 percent of the total of the current support amount and the amount to be paid periodically for payment of any arrearage stated in the order for support.) A support obligation, or any portion of a support obligation which becomes due and remains unpaid for 30 days or more shall accrue interest at the rate of _______, as set forth in Section 12-109 of the Code of Civil Procedure or as otherwise provided by law. Any portion of a support obligation that remains unpaid at the end of a month, excluding the support that became due for that month, shall accrue interest as provided in Section 12-209 of the Code of Civil Procedure. American LegalNet, Inc. www.FormsWorkFlow.com Case No.___________________ (X) TERMINATION This obligation to pay child support terminates on _____-____-______ unless modified by written order of the Court. (Insert a date no earlier than the date that the youngest child reaches the age of 18 or is expected to graduate from high school, whichever comes later.) This termination date does not apply to any arrearage that may remain unpaid on that date. The child(ren) covered by this order is/are : ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ( ) INSURANCE The ( ) obligor, ( ) obligee, ( ) obligor and obligee, shall provide health insurance for the child(ren) either by ( ) enrolling them in any health insurance coverage available through the ( ) obligor's, ( ) obligee's, ( ) obligor's and oblig
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