Family Court Of The State Of New York County Of Page 4

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Form 4-SM-3 page 4
b. The unrepresented party, if any, has received a copy of the child support standards chart
promulgated by the Commissioner of the New York State Office of Temporary and Disability
Assistance pursuant to Section 111-i of the Social Services Law;
c. The basic child support obligation as defined in Family Court Act Section 413(l)
presumptively results in the correct amount of child support to be awarded; and
d. The parties' reason(s) for agreeing to child support in an amount different from the basic
child support obligation (is) (are)[ specify]:
14. [Applicable to determinations of petitions for wilful violation under F.C.A.§454]:
a. G Respondent willfully failed to obey the order of this Court as follows [specify]:
OR
G Respondent did not willfully fail to obey the order of this Court.
b. G Respondent showed the following good cause for failing to make application for relief
from the judgment or order directing payment of support prior to the accrual of the alleged arrears: [set
forth facts and circumstances constituting good cause; see F.C.A. §451]:
G Respondent did not show good cause for failing to make application for relief from the
judgment or order directing payment of support prior to the accrual of the alleged arrears.
c. G The request for the following relief [specify]:
is denied for the following reasons(s) [specify; see F.C.A. §454]:
15. [Applicable in petitions for modification]:
G The following facts constitute a
[specify]:
change of circumstances
G No change in circumstances has been found.
16. The following appendices are attached and made a part of these Findings of Fact:
G Appendix A
G Appendix B G Other [specify]:
1
17. The following are additional findings of fact:
Dated:
Support Magistrate
1
These may include, among others: potential for support; other child support obligations;
support payments previously made; efforts to supplement income; efforts to find employment; and
findings regarding child care, educational expenses and accident and life insurance.

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