Form 4-19b - Order Determining Objections To Adjusted Order Page 4
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10Form 4-19b Page 4
amount of $ ___________ already paid;
and that the Respondent pay the sum of
$________________as follows: $_________, immediately, and $__________ G weekly G every
two weeks G monthly Gtwice per month G quarterly ; and it is further
GORDERED that commencing on _________________the above-named Respondent,
upon notice of this Order, pay or cause the above amount(s) to be paid to [check applicable box]:
G Petitioner by cash, check or money order
G Non-IV-D cases: Payable to the Petitioner by check or money order and mailed to the
NYS Child Support Processing Center, P.O. Box 15365, Albany, NY 12212-5365.
The county name for the matter must be included with the payment for identification
purposes.
G IV-D cases: Payable by check or money order made payable to and mailed to the
NYS Child Support Processing Center, PO Box 15363, Albany, NY 12212-5363.
The county name and New York Case Identifier number for the matter must be included
with the payment for identification purposes; and it is further
GORDERED that, for the following reasons(s)
constituting good cause pursuant to §440(1)(b) of the Family Court Act, the Support Collection Unit
3
shall NOT issue an immediate income execution; however, in the event of default
, this order shall
be enforceable pursuant to Section 5241 or 5242 of the Civil Practice Law and Rules, or in any other
manner provided by law; and it is further
[IV-D cases only]: G ORDERED that the Respondent, custodial parent and any other
individual parties immediately notify the Support Collection Unit of any changes in the following
information: residential and mailing addresses, social security number, telephone number, driver’s
license number; and name, address and telephone numbers of the parties’ employers and any change
in health insurance benefits, including any termination of benefits, change in the health insurance
benefit carrier or premium, or extent and availability of existing or new benefits; and it is further
ORDERED that ____________________ pay to_________________, the attorney for the
other party, the sum of $ _____________ as and for counsel fees in this proceeding, which payment
may be made in the amount of $__________ G weekly G every two weeks G monthly Gtwice per
month G quarterly commencing on _______________, until the entire sum is paid;
And the Court having determined that [check applicable box]:
G The child(ren) are currently covered by the following health insurance plan [specify]:
which is maintained by [specify party]:
?
3
Default”, as defined in CPLR 5241, means the failure to remit three payments on the date due in the full
amount directed in this order, or the accumulation of arrears, including amounts arising from retroactive support, that
are equal to or greater than the amount directed to be paid for one month, whichever occurs first.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal