General Testimony (Page 19 of 30) in pdf

When listing the father's race, select from the following: 1) White (non-hispanic), 2) Black (non-

hispanic), 3) Hispanic, 4) American Indian - Alaskan Native, or 5) Asian - Pacific Islander.

Part C: Present Marital Status of Child(ren)'s Father

Items 1 - 7: Check the appropriate box(es) which describe the father's present marital status. This

information may be considered in determining the obligor's ability to pay or the obligee's need for

support when a support order is established or modified.

Part D: Information about Current Spouse or Partner of Child(ren)'s Father. Complete part D only if

the father currently has a spouse or non-marital partner. Otherwise, enter "Not Applicable".

Item 1: Enter the name of the father's current spouse or non-marital partner.

Item 2: Check the appropriate box to indicate whether the father's current spouse/partner is

employed.

Item 3: If the answer to item 2 was "Yes", enter the name and address of the spouse's/partner's

employer.

Item 4: Enter the spouse's/partner's estimated gross monthly earnings.

Part E: Check the appropriate box to indicate whether the father is responsible for dependents other

than the child(ren) in this action (listed in Section V). If the answer is "yes", provide information about

each dependent under items 1 through 3. If there are more than three dependents, provide

information about the other dependents in Section X: Other Pertinent Information.

Item a: Enter the full name of the dependent (First, Middle, Last).

Item b: Enter the dependent's date of birth.

Item c: Enter the dependent's relation to the child(ren)'s father.

Item d: Indicate who the dependent is living with.

Item e: Enter the dependent's source of support or income.

Item f: Enter the monthly amount (both gross and net) of that support or income.

SECTION III, PERSONAL INFORMATION ABOUT CARETAKER OTHER THAN PARENT: Complete this

section only if the child(ren)'s caretaker or custodian is not the child(ren)'s mother or father.

Item 1: Indicate the caretaker's relation to the child(ren). If the caretaker is a relative, indicate

whether he/she is a maternal (mother's side of the family) or paternal (father's side of the family)

relative. Examples include: "maternal grandmother" or "paternal cousin".

Item 2: Check this box if a nondisclosure finding pursuant to the Uniform Interstate Family Support

Act (UIFSA) or an existing protective order excuses disclosure of the caretaker's address or other

identifying information. Attach a copy of any nondisclosure finding. If a nondisclosure finding exists,

do not enter the caretaker's address/identifying information on the form; you may enter a substitute

address.

Item 3: Enter the caretaker's full name (First, Middle, Last), including nickname or alias.

Instructions for General Testimony--Page 6

General Testimony Page 19