Form Fa-4150v - Marital Settlement Agreement - Wisconsin Circuit Court Page 7
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11Marital Settlement Agreement With Minor Children
Page 7 of 10
Case No.
_____________
4. Arrearages for Child Support: The amount of the child support arrears owed to a party
shall be paid and earn interest at the statutory interest rate. Payments shall be made as
follows:
a.
No child support was previously ordered. There is no amount due.
b.
The party has paid all child support as ordered. There is no amount due.
Check a, b, c or d.
c.
If there are any arrearages for child support now or at the time of the final hearing,
If d, check 1or 2. If 1,
those arrearages are forgiven and the court financial record shall be set to zero.
enter arrearage amount.
d.
The parties agree that the amount of the arrears:
If 2, check A or B. If A,
1.
shall be set as follows: $
enter the date. If B, enter
2.
shall be determined by the court at the time of the final hearing and shall be
the amount of the
paid as:
monthly payment and the
A.
a one-time payment to the WI SCTF made by
.
(date)
month and year the
B.
through monthly income withholding by the WI SCTF in the amount of
payments shall begin.
$
beginning on the first day of the month of
, 20
until the arrearages are paid in full.
5. Variable costs (required only in cases of shared physical placement), which are
In 5, Enter the percentage
those reasonable costs above basic support costs for a minor child, including but not
each parent shall pay.
limited to child care costs, tuition, a child’s special needs, and other activities that involve
The total amount must
substantial cost:
equal 100 %.
a. We agree to consult with each other before incurring any variable costs requiring
Enter the number of
days for each deadline.
reimbursement.
b. Shall be paid as follows (payments must be paid directly to the parent and cannot be
Note: Variable Costs are
made through WI SCTF):
defined in DCF
1. The wife to pay
% of the variable costs.
150.02(29). Variable
2. The husband to pay
% of the variable costs.
cost orders are
c. The request for reimbursement for variable costs shall be made in writing within
mandatory only for
days from the day the cost was incurred. Each party shall pay the required
shared placement
situations.
percentage within
days from the date of the request.
6. Deductions for Children as dependents and exemptions for income tax purposes:
Mother
Mother to claim in
Father to claim in
to claim
Father to
even tax years;
even tax years;
Name of Child
in all
claim in all
Father to claim in
Mother to claim in
tax
tax years
odd tax years
odd tax years
years
Enter the name of each
child and then check the
box to indicate how the
deduction will be
distributed.
7. Any party ordered to pay child support may only claim the minor children as exemptions for
federal and state income tax purposes if he or she is current in payment of child support as
of December 31 of the year in which he or she intends to claim the exemption, pursuant to
DCF 150.02(12)
8. Each party agrees to cooperate in signing IRS Form 8332, or other appropriate state or
federal tax forms, as necessary, in order to carry out the options selected above.
FA-4150V, 01/09 Marital Settlement Agreement With Minor Children
§767.34, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
Page 7 of 10
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal