Family Court Article 4 Part 7 Undertaking Support

Undertaking for Support - Cash Deposit

FAMILY COURT OF THE STATE OF NEW YORK

COUNTY OF

In the Matter of a Proceeding for Support

WHEREAS an order was entered in the Family Court of the State of New York,

, , County on the day of , directing the

Respondent to post a (cash deposit) to be deposited with the (Support Collection Unit) in the amount of

for a period of to secure compliance by the Respondent with an Order of

Support

dated which order required the Respondent to

NOW THEREFORE, we

, Respondent, and

residing at ,

as surety and residing at

as surety, are held and firmly bound into the Petitioner herein named, in the sum of lawful

money of the United States to be paid to said Petitioner, for which payment well and truly to be made

or done we bind ourselves, our heirs, executors and administrators, jointly and severally, firmly by

these presents.

NOW THEREFORE, the condition of this (cash deposit) is such

that the Respondent shall make the support payments to the Petitioner as ordered by the Court in the

amount of for the period of then this

obligation to be void, and in the event of a failure to make said payments to the Petitioner, said

(cash deposit) will be used to indemnify the said Petitioner.

AND we, the undersigned Respondent and Surety, do hereby STIPULATE, AGREE and

CONSENT, that in case the aforesaid Recognizance shall be forfeited, a copy of the order of the Court

forfeiting the same, together with this Recognizance, be filed in the office of the Clerk or County Clerk

of the County of and that judgment may be entered for the sum set forth in said Recognizance, and that

execution issue thereon according to law.

Taken and acknowledged before me the day and year first above written, by whom the sureties

and penalties are approved.

APPROVAL OF UNDERTAKING

The within undertaking is hereby approved both as to form and sufficiency of sureties.

Dated:

On this day of , , before me personally came

and to me known and known to me

¹When cash is posted as surety, the person(s) posting such cash shall, at the
expiration of the period for which such security shall have been ordered, be entitled to the
return of such cash less any amount which shall have been paid therefrom to the
Petitioner by reason of any default(s) in payments on the part of the Respondent.

to be the individuals described in and who executed the foregoing undertaking, and they severally

acknowledged that they executed the same.

the within named surety, being duly sworn, says that (s)he is a

holder in the said County and is worth dollars over and above all his/she debts

and liabilities which (s)he owes or has incurred, and exclusive of property exempt by law from levy

and sale under an execution, and that his/her property is in said County of

and consists of and that the title to the property

above specified is now on record in deponent's own name, in the office of the County Clerk of the

County of and that the same is of the value of not less than dollar,

and is assessed for dollars, and is subject to no lien or encumbrances, except ,

and that there are no unsatisfied judgments or executions against

his/her , and that (s)he is under no other recognizance, except

Sworn to before the Court this

day of