Form 4-11a - Support-Order Extending, Modifying Or Terminating Order Of Support Made By Family Court Or Another Court
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11F.C.A. §§ 413, 440, 442-447,
Form 4-11a
449, 451, 461, 466, 467
(Support- Order Extending, Modifying
or Terminating Order of Support Made by
Family Court or Another Court)
5/2015
At a term of the Family Court of the
State of New York, held in and for
the County of
,
at
, New York
on
,
.
P R E S E N T:
Hon.
Judge/Support Magistrate
................................................................................
In the Matter of a Proceeding for
Docket No.
Support under Article 4 of the Family
(Commissioner of Social Services, Assignee,
ORDER ON PETITION TO
G EXTEND
on behalf of
, Assignor)
G MODIFY
G TERMINATE AN
Petitioner,
ORDER OF SUPPORT
MADE BY
G FAMILY COURT
S.S. #: xxxx-xx-
G ANOTHER COURT
-against-
Respondent
S.S.#: xxxx-xx-
................................................................................
NOTICE:
YOUR WILLFUL FAILURE TO OBEY THIS ORDER MAY
RESULT IN COMMITMENT TO JAIL FOR A TERM NOT TO
EXCEED SIX MONTHS FOR CONTEMPT OF COURT OR
PROSECUTION FOR CRIMINAL NON-SUPPORT. YOUR
FAILURE TO OBEY THIS ORDER MAY RESULT IN
SUSPENSION OF YOUR DRIVER’S LICENSE, STATE-ISSUED
PROFESSIONAL, TRADE, BUSINESS AND OCCUPATIONAL
LICENSES AND RECREATIONAL AND SPORTING LICENSES
AND PERMITS; AND IMPOSITION OF REAL OR PERSONAL
PROPERTY LIENS.
IF THIS ORDER WAS ENTERED BY A JUDGE, THE ORDER
MAY BE APPEALED PURSUANT TO SECTION 1113 OF THE
FAMILY COURT ACT. THAT SECTION PROVIDES THAT AN
APPEAL FROM THAT ORDER MUST BE TAKEN WITHIN 30
DAYS AFTER RECEIPT OF THE ORDER BY THE APPELLANT
IN COURT, 30 DAYS AFTER SERVICE BY A PARTY OR THE
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