Family Court Of The State Of New York County Of

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F.C.A.§§ 413, 416, 439(e)
Form 4-SM.-3
(Support – Findings of Fact)
9/2009
FAMILY COURT OF THE STATE OF NEW YORK
COUNTY OF
.........................................................................................
In the Matter of a Proceeding for Support
Docket No.
under Article 4 of the Family Court Act
FINDINGS OF FACT
(Commissioner of Social Services, Assignee)
Petitioner,
- against -
Respondent.
.........................................................................................
, being the Support Magistrate to whom the issues of
support in the above-entitled proceeding were referred for determination, makes the following findings
of fact [check applicable boxes]:
1. Petitioner and Respondent were:
G married on [specify date]:
, and
G are still husband and wife
G were divorced on [specify date]:
G never married to each other.
2. G The following children were born of this marriage [specify]:
G There are no children born of this marriage.
3. G a. Respondent is liable for the support of the following child(ren): [specify]:
Name of Child
Child’s Date of Birth
Child’s Soc. Sec. (Last 4 Digits)
b. The basis of, or reason for, Respondent’s liability is [specify]:
G Respondent is not liable for the support of the children.
4. a. The following child(ren) [state name(s)]:
reside with Petitioner.
b. The following child(ren) [state name(s)]:
reside with Respondent.
5. a. Petitioner: G filed a net worth statement or financial disclosure affidavit.

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