Uniform Order For Support Form - Lake County, Illinois
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4IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT
LAKE COUNTY, ILLINOIS
)
)
)
Petitioner/Plaintiff
)
Case No.
vs.
)
Illinois Dept. of Healthcare & Family Services is,
)
)
or has been, granted leave to intervene
)
Respondent/Defendant )
HFS No. ________________________
UNIFORM ORDER FOR SUPPORT
Initial Order
Modification
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:
a) The net income of the obligor as of the date of this order is $______________ per _______________.
b) The amount of arrearage as of 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 OR
UNALLOCATED SUPPORT
Payment Amount:
Payment Frequency:
every week
Current Maintenance or
every other week
Support Payment:
$_______________
monthly
Arrearage Payment:
$_______________
twice each month on ___________ & ___________ (date)
other __________________________________________
Payments Begin: _______________________
(mmddyyyy)
CHILD SUPPORT (Do not complete this section if Unallocated Support is ordered.)
Payment Amount:
Payment Frequency:
every week
Current Child Support
every other week
Payment:
$_______________
monthly
Arrearage Payment:
$_______________
twice each month on ___________ & ___________ (date)
every year
other __________________________________________
Payments Begin: _______________________
(mmddyyyy)
171 – 195 (Rev 06/13)
Form approved by Conference of Chief Circuit Judges
Page 1 of 4
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