Findings Of Fact And Conclusions Of Law - Supreme Court Of The State Of New York Page 7

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obligation attributable to both parents is _____________ per year on income to $141,000
and
per year on income over $141,000. The Plaintiff’s pro rata share
of the combined parental income is
% and the Defendant’s pro rata share of the
combined parental income is
%. The non-custodial parent’s pro rata share of the
child support obligation on combined income to $141,000 is
per year or
 per week  bi-weekly  per month. The non-custodial parent’s pro
rata share of the child support obligation on combined income over $141,000 is
 per week  bi-weekly  per month. The non-
per year or
custodial parent’s pro rata share of future health care expenses not covered by insurance,
child care expenses, educational or other extraordinary expenses is
%.
OR
The parties entered into a stipulation/agreement on __________________wherein the 
(3)
Plaintiff OR  Defendant agrees to pay ___________  per week OR 
bi-weekly OR  per month child support  directly OR  through the Support
Collection Unit to  Plaintiff OR  Defendant OR  Third Party, namely
. The parties agree to  waive OR  apply the
Child Support Standards Act to combined income over $141,000. The parties have agreed
that health care expenses not covered by insurance shall be paid by  Plaintiff OR 
 per week OR  bi-weekly OR  per
Defendant in the amount of
month OR 
% of the uncovered expenses. The parties have agreed
that child care expenses shall be paid by  Plaintiff OR  Defendant to 
OR  Defendant in the amount of
 per week OR  bi-
Plaintiff
weekly OR  per month OR 
% of said child care expenses. The parties
have agreed that educational and extraordinary expenses shall be paid by  Plaintiff OR
 Defendant to  Plaintiff OR  Defendant in the amount of
 per week OR  bi-weekly OR  per month OR 
% of said
educational and extraordinary expenses. Said agreement reciting in compliance with DRL
§2401-b(h): The parties have been advised of the Child Support Standards Act. The
basic child support obligation presumptively results in the correct amount of child support.
The unrepresented party, if any, has received a copy of the Child Support Standards Chart
promulgated by Commissioner of Social Services pursuant to Social Services Law Section
111-I. The presumptive amount of child support attributable to the non-custodial parent
 per week OR  bi-weekly OR  per month. The amount
is
 conforms with the non-custodial parent’s basic child
of child support agreed to
support obligation OR  deviates from the non-custodial parent’s basic child support
obligation for the following reasons:
22
FOURTEENTH: The Plaintiff’s address is
,
22
and social security number is
. The Defendant’s address is
, and social security number is
.
(UD-10 Rev. 1/31/14)

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