Order Regarding Child Support {2F-P-521}

Petitioner/Plaintiff Respondent/Defendant Attorney for Petitioner/Plaintiff Respondent/Defendant IN THE FAMILY COURT OF THE SECOND CIRCUIT STATE OF HAWAI`I CHILD SUPPORT ENFORCEMENT AGENCY, STATE OF HAWAI`I, and ] MOTHER] FATHER Petitioner(s)/Plaintiff(s), vs. MOTHER FATHER CARETAKER MOTHER FATHER CARETAKER and CHILD SUPPORT ENFORCEMENT AGENCY, STATE OF HAWAI`I, Respondent(s)/Defendant(s). FC- [ ] [ ] [ ] [ ] [ ] [ ] ) ) ) ) ) ) ) ) ) ) ) ) )002 )002 )002 )002 )002 )002 )002 )002 NO. ORDER REGARDING CHILD SUPPORT [ [ MOTION FILED ON: PRESIDING JUDGE: 002[ ] [ ] [ ]DATE OF HEARING: 002 [ ] [ ] [ ] [ ] ORDER REGARDING CHILD SUPPORT [ ] The parties, without a hearing, STIPULATE/AGREE to the following: [ ] The case came on for hearing, and the following parties were present at hearing: [ ] Mother [ ] Attorney for Mother: [ ] Father [ ] Attorney for Father: [ ] Attorney for CSEA: American LegalNet, Inc. www.FormsWorkFlow.com Although duly notified, failed to appear and the hearing proceeded by default. CHILD(REN): This order applies to the following child(ren): Child(ren)222s Initials Sex [ ] 1. 2. 3. 4. Year of Birth Based up on the r epresentation of the parties and the l egal record, IT IS HEREBY ORDERED that the Motion be : [ ] granted [ ] denied [ ] granted/denied in part. 1.003 CURRENT CHILD SUPPORT: [ ] Father [ ] Mother shall pay child support in the amount of $ per child, per month, for a total of $ starting from and continuing until the subject child(ren) becomes 18 years old or until age 23, so long as said child(ren) is/are still in high school or enrolled full-time in an accredited educational or vocational institution, or until further order of the Court. The parent making the payments is called the 223Payor Parent224. 2.003 [ ] Father222s [ ] Mother222s current child support obligation for (write child(ren)222s initials (s)): shall be SUSPENDED as of . 3.003 [ ] Father222s [ ] Mother222s current child support obligation for (write child(ren)222s initials (s)): shall be TERMINATED as of . 4.003 The issue regarding child support obligation (write child(ren)222s initials (s)): shall be RESERVED as of . 5.003 [ ]This child support order is TEMPORARY until further order of the Court. American LegalNet, Inc. www.FormsWorkFlow.com 6. PAST CHILD SUPPORT:002 6a. 003OWING TO THE MOTHER/FATHER: Judgment shall enter against Father Mother for the sum of $for past child support owing toFatherMother for the period(s) through [ ][ ] [ ] [ ] [ ] . [ ] Father [ ] Mother shall pay the sum of $ each and every month commencing until the judgment is fully paid. [ ]6b. 003OWED TO THE DEPARTMENT OF HUMAN SERVICES (DHS): [ ] Judgment shall enter against Father for the sum of $ for past child support owing to the Department of Human Services (hereinafter 223DHS224) for the period(s) through . In addition to any current child support ordered, Father shall pay the sum of $ each and every month commencing until said judgment is fully paid. [ ] Judgment shall enter against Mother for the sum of $ for past child support owing to the Department of Human Services (hereinafter 223DHS224) for the period(s) through . In addition to any current child supportordered, Mather shall pay the sum of $ each and every month commencing until said judgment is fully paid. [ ]6c. 003 The issue regarding past child support owed by one parent to the other is RESERVED. 7. MEDICAL INSURANCE:[ 003]7a. [ ] Father [ ] Mother shall provide medical health insurance coverage for the subject child(ren) and shall provide the other parent with proof of coverage within thirty (30) days of the date of this hearing, if not already provided.[ ]7b. [ ] Father [ ] Mother does not have the present financial capacity of providing medical health insurance coverage for the subject child(ren) and is hereby ordered to provide such coverage for said child(ren) when it becomes available through the parent222s employer or union. [ ]7c. 003 The issue regarding medical insurance coverage is RESERVED. American LegalNet, Inc. www.FormsWorkFlow.com 8.003 FURTHER ORDERS: Child Support Guidelines Worksheet [ ] filed on is incorporated. [ ] is attached. [ ] See Continuation Sheet 9.003 PAYMENTS: All payments are deemed as child support in accordance with the laws of the State of Hawai`i. All payments ordered herein shall be made payable to and mailed to: CHILD SUPPORT ENFORCEMENT AGENCY, Lock Box, P.O. Box 1860, Honolulu, Hawai`i 96805-1860. 10.003 METHOD OF PAYMENT: All payments for child support shall be made by way of an Order/Notice to Withhold Income of Child Support which shall be served on Payor Parent222s current employer as well as any successor employer. 11.003 DIRECT PAYMENT: Payor Parent shall make support payments, as ordered, directly to the Child Support Enforcement Agency (CSEA) until the Order to Withhold Income for Child Support commences. If for any reason, the withholding order stops, the Payor Parent must resume payments to the CSEA as long as there is a continuing child support obligation. All payments made to the CSEA by the Payor Parent, shall be made with a money order, cashier222s check or certified check payable to 223Child Support Enforcement Agency224 and mailed to the address reflected in paragraph 9 above. 12.003 COLLECTION OF SUPPORT, ARREARS OR DEBTS: In addition to any payment plan to liquidate the amounts owed as ordered in the above-entitled action or related administrative proceeding, CSEA is authorized to collect current support and/or the full amount of any support arrears or support debt through State and Federal tax refund interception, seizure of property, withholding of income, unemployment insurance benefits, worker222s compensation and retirement benefits, or any other lawful means of collection. CSEA222s collection efforts will continue until the support, arrears or debt is paid in full. Information American LegalNet, Inc. www.FormsWorkFlow.com relating to the support, arrears or debt may be disclosed to consumer credit reporting agencies. 13.003 NOTIFICATION TO CSEA: Parties shall notify CSEA, in writing at the address reflected in Paragraph 9 above, of any change in employment and/or residence address or telephone number, within ten (10) days of such change. DATED: Wailuku, Maui, Hawai`i, JUDGE222S SIGNATURE Mother222s Signature Mother222s Name Printed Mother222s Address City, State, Zip Code Mother222s Social Security Number Mother222s Employer222s Name Mother222s Employer222s Address City, State, Zip Code Mother222s Attorney Signature002 Name of Attorney for Mother (Printed)002 Signature of CSEA Attorney Father222s Signature002 Father222s Name Printed 002 Father222s AddressCity, State, Zip Code 002Father222s Social Security Number 002Father222s Employer222s Name Father222s Employer222s Address City, State, Zip Code Father222s Attorney Signature002 002 002Name of Attorney for Father (Printed)002 Signature of CSEA Attorney American LegalNet, Inc. www.FormsWorkFlow.com