Form 4-19b - Order Determining Objections To Adjusted Order Page 2

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Form 4-19b Page 2
PERSONAL SERVICE, OR IF THE ORDER WAS RECEIVED BY MAIL, WITHIN 35
DAYS OF THE MAILING OF THE ORDER.
An adjusted order dated _______________, based upon a cost of living adjustment
having been timely submitted to the Court and timely objections to the proposed adjusted order
having been filed with the Court, and this Court having held a hearing on those objections,
NOW, after examination and inquiry into the facts and circumstances of the case (and
after hearing the proofs and testimony offered in relation thereto), the Court finds that:
1. G The basic child support obligation in this case is $__________ G weekly G every
two weeks G monthly Gtwice per month G quarterly for support of the following child(ren):
NAME
DATE OF BIRTH
LAST 4 DIGITS OF SOC. SEC. #
2. The mother is the Gcustodial Gnon-custodial parent, whose pro rata share of the basic
child support obligation is $__________ G weekly G every two weeks G monthly Gtwice per
month G quarterly.
3. The father is the Gcustodial Gnon-custodial parent, whose pro rata share of the basic
child support obligation is $__________ G weekly G every two weeks G monthly Gtwice per
month G quarterly.
4. And the Court finds further that [check applicable box]:
a. G The non-custodial parent's pro rata share of the basic child support obligation is
1
neither unjust nor inappropriate;
OR
G Upon consideration of the following factors specified in Family Court Act §
413(1)(f)[specify factors]:
,
the non-custodial parent's pro rata share of the basic child support obligation is G unjust
G inappropriate for the following reasons [specify]:
2
b. G The parties have voluntarily stipulated to child support for the child(ren) [names]:
payable by [specify]:___________________________ in the amount of $__________ G weekly
G every two weeks G monthly Gtwice per month G quarterly.
G This stipulation has been entered into on the record and recites, in compliance with
1
This paragraph is to be used if the basic child support obligation is applied without
deviation.
2
This paragraph is to be used if the court's order deviates from the basic child support
obligation, pursuant to F.C.A. § 413(1)(g).

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