Fill and Sign the Findings and Recommendation of Commissioner Governmental California Form

A T TORNE Y OR P A RTY W I THOUT ATT O RN E Y ( N am e , S ta t e B a r n um b er , a n d a d d r e ss ) : FOR COUR T US E ONLY TE LE PHON E NO . : E -M A IL ADDR E S S (O pt io n al) : ATTORNEY FO R (N a me): SUPERIOR COUR T OF CA L I F ORNIA, COUNTY OF S TRE E T A DDRE S S: OTHER PAREN T : FINDING S AND RECOMMEND A TION OF COMM I S SIONER Nam e (specify) : ob j ecte d t o Commissio n e r (name): heari ng this m a tte r as a temporary judg e . THIS MATTER PROCEEDE D AS FOLLOWS a . By court h earing , appe a r a nces a s f o llows: L ocal c h ild suppor t a genc y a ttorne y ( F amily C ode, § § 1 7 400, 1 7406 ) b y (name): b . (Name of parent): (N a m e o f p a r e nt): are the parent s o f th e chil d r e n l iste d b e low. c . Obl i gor mus t p ay cur r ent chi l d su p por t a s fo l lows:––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– – ––––– ––––– ––––– – – ––––– – – ––––– – – ––––– ––––– – ––––– – – – – – ––––– ––––– ––––– – – ––––– – – ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– – ––––– ––––– ––––– – ––––– ––––– ––––– – – F L- 665 F A X N O . (O pt io n al ): MAI L ING ADDR E S S : CIT Y A ND ZI P COD E : B RAN C H N A ME : PE TI TIONER/PLAIN TI FF : RESPONDEN T /DE F ENDANT : C A S E NU M B E R: 1 . 2 . ( 1 ) ( 2 ) ( 3 ) ( 4 ) Date : Dept.: P e titio n er/pl a intiff present R e s p onde n t/defenda n t present Oth e r pare n t present Judic i al officer: Attorney presen t (na m e): Attorney presen t (na m e): Attorney presen t (na m e):( 5 ) b . ( 6) Othe r (sp e c i fy ) : T he obl i go r (the parent orde r ed to pay support ) is t h e p e tition e r/pl a intif f r e s p onde n t/defenda nt other parent. 3 . 4 . Attache d is a c o mp u ter printou t sh o w i n g t h e p arents ’ i n c o m e an d perce n tag e o f time each parent s p ends wit h the child(ren). T he p r i nt o ut, which s h ow s the calculatio n of c h il d suppor t p ayable, will become th e court’ s fin d ings. T h is recommende d orde r is ba sed on th e attached document s (specify): 5 . TH E COMMISSIONER RECOMMENDS THE FOLLOWING a . All order s p r e v i ously ma de in this act i o n rem a i n i n ful l forc e a n d e ffec t except as modifie d be l ow. moth er moth er fath er fath er Nam e Date of birt h Monthly su p por t amount (1 ) Othe r ( s pecify): ( 2 ) F or a t o ta l o f: $ be g inn i n g (date): paya b le on th e: da y of e a c h month (3 ) T h e l ow-income adjustm e nt ap p lies. T h e l ow-income adjustm e nt do e s not apply becaus e (specify reasons): NOTICE : A n y pa r t y re q uire d t o p ay c hil d s u p p or t mus t pa y intere st o n o ver d u e am o u n t s a t t he le g al r a t e, w h ic h is c u rre nt ly 10 p e rce n t p er y ear. For m A d o p t e d f o r A l t er n a t iv e M a n d a t o ry Use in st e a d o f Fo rm F L -6 9 2 Ju d icia l C o u n c i l of C a lifor n ia FL -6 6 5 [R ev . July 1 , 2 0 0 5 ] FI N DINGS AN D RECOMMENDATIO N O F COMMISSIO N ER (Gove r nme n t a l) P a ge 1 of 3 Fa m ily C o d e , § 4 2 5 1elec troni c form ã 2005 WWW.LawCA.co m L a w P u b l i s h e r s P E TI TI ONER/P L A INTI F F : C A S E NUM BE R: RESPONDEN T / D EFENDANT: O TH E R PARENT:5 . c. d . Any sup p or t ordere d wil l contin u e u nt i l furt h er ord er of co u r t , un l ess term i nat e d by op e r a ti o n of law. Ob l igo r must p ay ch i ld s u ppor t for p a s t periods and in th e a m o unts set forth be l ow: N a m e D a te o f birt h Peri o d o f suppor t Amount (1 ) Othe r (sp e c i fy ) : (3 ) Interest accrue s on the entire princip al b alance o wi ng a nd not on each install m ent a s it become s d u e. Oblig o r owes suppor t a r re a r s a s fol l ows, a s of (dat e ) : (2 ) Interest i s not i n c l ude d an d i s not w a ived. P a y a ble: $ b egin n in g (dat e ) : (4 ) Int e r e st accru es on the entir e p r in cipal ba l ance owing an d n o t on eac h installment as it b e com es du e . No provisi on of th i s ju d gm e nt/order m a y op e r a te t o l i m i t an y ri g ht t o co l lect the p r incipa l (tot a l a m o u n t of u n pai d supp o rt) o r to charg e a n d co l lec t interest a n d p enaltie s as a llowe d b y law. Al l p a yments o r d ere d are su b jec t to mod i ficatio n . All payment s mus t be made t o (name and ad d r e ss o f a g ency): O b ligor m u st pa y cost s o f ( s p ec if y) : t o ( s p e c i fy ) : T he c o urt f u rther recommen ds (specify): ––––– ––––– ––––– ––––– – ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– – ––––– ––––– – ––––– ––––– ––––– – – ––––– – – ––––– – ––––– – – ––––– ––––– ––––– – ––––– ––––– ––––– – – – ––––– ––––– – ––––– ––––– – ––––– ––––– ––––– ––––– ––––– –( 4 ) ( 2 ) For a to t al o f : $ p a y a ble: $ o n the: beg i nnin g (date): d ay of e a ch month e . ( 1 ) C h ild support: $ Spo u s a l su p port : $ F amily su p port : $ ( 3 ) o n the: d a y of each mo n th f . g . h . An Order/Notice to Withhol d I n come for Child S u p p or t (form FL-1 9 5 ) m u st issu e . i . Ob l igo r Obli g ee must ( 1) p r o vide and m a intain hea l th insura n c e coverag e fo r the chil d r en i f i t is avail a ble j . k . l . thro u gh em p loyment or a g r o up plan, o r otherwise avai l able a t n o o r reasona b l e c o st, a n d must kee p th e loca l child support a g ency i nforme d of th e avail a bility of t h e covera g e ; (2 ) if health insurance is no t ava i labl e , provide coverage when it becomes avail a ble ; (3) within 20 day s o f th e l o c al ch i ld s u pport a g ency req u est, compl e t e an d retur n a h e alth i nsurance form; (4 ) p r o v i de to th e l ocal child supp o rt agency all inform a t i on a n d form s nec e s sary to obtain he a lt h - care service s for th e chi l dren ; (5) presen t a n y claim to secure paym e nt or r e i m b urs e m e n t t o the ot h e r p a r e nt or c a r e taker who incur s costs for hea l th-care serv i ce s fo r the childre n ; (6 ) assig n a n y right s to reimbursem e nt t o the othe r pa ren t or caretak e r who incurs costs for health car e services f o r t he ch i ldren . I f the “Obl i gor ” box is c h eck e d, a hea l th insuranc e coverag e assig n me n t m u s t i s s u e. T he p a r e nts m u st notify t he l ocal c h ild suppor t a genc y in writi ng withi n 1 0 d a y s of a ny chan ge i n resi d enc e or empl o y ment. T h e Not i c e o f Rights a n d R e s p onsibi l it i e s a n d Inform a ti on Sh e et on Cha n ging a Chil d Sup p ort Orde r (form F L-192 ) is attached. Th e foll o wing person (th e other parent ) is add ed a s a party t o this acti on u nder Family Code sect i on 1740 4 (name): m . n . D a t e: 6. N u mb e r o f p ages attached: COMMIS S ION E R SI GN AT UR E F O L L O W S L A ST ATT ACH M EN T F L - 6 65 [R ev. Ju ly 1, 2 0 0 5 ] FINDI N G S AND RECOMMENDAT I O N OF COMMISSIONER (G o ver n mental) P a ge 2 of 3elec troni c form ã 2005 WWW.LawCA.co m L a w P u b l i s h e r s Date : Clerk, b y , Depu t y ––––– ––––– ––––– ––––– – – – – – ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– PETITION E R/PLAINTIFF: CA S E NUM B ER: RESP O NDENT/ DEFENDANT: OTHER PAREN T : CLE R K’S CERTIFI C ATE OF MAILING OR SERVICE I certif y that I a m n o t a p arty to thi s ca u s e a nd that 1 . Pers o nal service . A t r ue cop y of this Fin d ings and Recomm e ndation o f C o mmissione r was h ande d t o the petition e r/pl a intif f r espon d ent/d e fe n dant at th e he a r i ng of t h is mat t er before the comm i s si o ner. other parent 2 . Mail . A true copy of t h i s F ind i ngs a nd R ecommen d at i o n o f Comm i s s i one r w a s mail ed first class, postage fully prepai d , in a seal e d e nvelop e a d dress e d as show n b e low, a n d that th e requ e st wa s mail e d a t (place): o n (date): Cal i forn i a, FL -6 6 5 [R ev . July 1 , 2 0 0 5 ] FIN D INGS AN D RECOMMENDATION O F COMMISSIONER (Governmenta l) P a ge 3 of 3el ectr onic form ã 2005 WWW.LawCA.co m L a w P u b l i s h e r s