Fill and Sign the Florida Modifying Support Form

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA Case No.: Division: , Petitioner, and , Respondent. SUPPLEMENTAL FINAL JUDGMENT MODIFYING CHILD SUPPORT This cause came before this Court on a Supplemental Petition for Modifcation of Child Support. The Court, having heard the testimony and reviewed the fle and fnancial afdavits of the parties and being otherwise fully advised, maies these fndings of fact and reaches these conclusions of law: SECTION I. FINDINGS 1. The Court has jurisdiction over the subject matter and the parties. 2. The parties’ dependent or minor child(ren) is (are): Name Birth date 3. The last order awarding or modifying child support was entered on {date} __________________ 4. There has been a substantial change in circumstances of the parties since the entry of the last order, specifcally: _________________________________________________________________ . 5. It is in the best interests of the minor child(ren) that the current child support Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/15) order be changed because: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ . SECTION II. CHILD SUPPORT 1. The Court fnds that there is a need for modifcation of child support and that the _____ Mother _____ Father (hereinafter Obligor) has the present ability to pay child support. The amounts in the Child Support Guidelines Worisheet, Florida Family Law Rules of Procedure Form 12.902(e), fled by the _____ Mother _____ Father are correct OR the Court maies the following fndings: The Mother’s net monthly income is $ __ , (Child Support Guidelines _ ___ %). The Father’s net monthly income is $ ____ , (Child Support Guidelines _____%). Monthly child care costs are $ ________ . Monthly health/dental insurance costs are $ . 2. Amount. Child support established at the rate of $__________ per month for the _______children {total number of parties’ minor or dependent children} shall be paid commencing________________ {month, day, year} and terminating_____________________________ {month, day, year}. Child support shall be paid in the amount of $______________ per ______________ {week, month, other} consistent with the Obligor’s current payroll cycle. Upon the termination of the obligation of child support for one of the parties’ children, child support in the amount of $_____________for the remaining ______ children {total number of remaining children} shall be paid commencing__________________ {month, day, year} and terminating _________________ month, day, year}. This child support shall be paid in the amount of $____________ per ____________ {week, month, other} consistent with the Obligor’s current payroll cycle. {Insert schedule for the child support obligation, including the amount, and commencement and termination dates, for the remaining minor or dependent children, which shall be payable as the obligation for each child ceases. Please indicate whether the schedule ______ appears below or _____ is attached as part of this form.} ________________________________________________________________________ Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/15) ________________________________________________________________________ _________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ _________________________________________________________________________. The Obligor shall pay child support until all of the minor or dependent children: reach the age of 18; become emancipated, marry, join the armed services, die, or become self-supporting; or until further order of the court or agreement of the parties. The child support obligation shall continue beyond the age of 18 and until high school graduation for any child who is dependent in fact, between the ages of 18 and 19, and is still in high school, performing in good faith with a reasonable expectation of graduation before the age of 19. If the child support ordered deviates from the guidelines by more than 5%, the factual fndings which support that deviation are: . 3. Arrearage/Retroactive Child Support. a. ____There is no child support arrearage at the time of this Supplemental Final Judgment. OR b. _____ Mother _____ Father shall pay to the other party the child support arrearage of: $ __ for retroactive child support, as of {date} ___________ . $ __ for previously ordered unpaid child support, as of {date} ___________________. The total of $ _ in child support arrearage shall be repaid in the amount of $ ______ , per month payable _____ in accordance with his or her employer’s payroll cycle, and in any event at least once a month _____ other {explain} ____________________________________ beginning {date} ________ , until paid in full including statutory interest. 4. Insurance. {Indicate all that apply} a. ______ Health/Dental Insurance. _____ Mother _____ Father shall be required to maintain ______ health _____dental insurance for the parties’ minor child(ren), so long as it is reasonable in cost and accessible to the child(ren). The party providing insurance shall be required to convey insurance cards demonstrating said coverage to the other party OR _____Health _____ Dental insurance is not reasonable in cost or Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/15) accessible to the child(ren) at this time. b. _____Reasonable and necessary uninsured medical/dental/prescription costs for the minor child(ren) shall be assessed as follows: ______ Shared equally by both parents. ______ Prorated according to the child support guideline percentages. ______ Other {explain} : _______________________________________________________ As to these uninsured medical/dental/prescription expenses, the party who incurs the expense shall submit a request for reimbursement to the other party within 30 days, and the other party, within 30 days of receipt, shall submit the applicable reimbursement for that expense, according to the schedule of reimbursement set out in this paragraph. 5. _____ Life Insurance (to secure payment of support). To secure the child support obligations in this judgment, _____ Mother _____ Father _____ Each party shall maintain life insurance coverage, in an amount of at least $ __________ , on _____ his life _____ her life _____ his/her life naming the _____ minor child(ren) as the benefciary(ies) OR naming the _____Mother _____ Father _____ other { name} ____________________________________ as Trustee for the minor child(ren), so long as reasonably available. The obligation to maintain the life insurance coverage shall continue until the youngest child turns 18, becomes emancipated, marries, joins the armed services, dies or otherwise becomes self-supporting . 6. IRS Income Tax Exemption(s). The assignment of any tax exemption(s) for the child(ren) shall be as follows: ________________________________________________________________ . Further, each party shall execute any and all IRS forms necessary to effectuate the provisions of this paragraph. 7. Other provisions relating to child support: ________________________________________ ___________________________________________________________________________ . SECTION III. METHOD OF PAYMENT 1. Place of Payment. a. _____Obligor shall pay court-ordered support directly to either the State Disbursement Unit or the central depository, as required by statute, along Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/15) with any fee required by statute. b. _____ Both parties have requested and the court fnds that it is in the best interests of the child(ren) that support payments need not be directed through either the State Disbursement Unit or the central depository at this time; however, either party may subsequently apply, pursuant to section 61.13(1)(d)3, Florida Statutes, to require payments through either the State Disbursement Unit or the central depository. 2. Income Deduction. a. _____ Immediate. Obligor shall pay through income deduction, pursuant to a separate Income Deduction Order which shall be effective immediately. Obligor is individually responsible for paying this support obligation until all of said support is deducted from Obligor ’ s income. Until support payments are deducted from Obligor ’ s paycheci, Obligor is responsible for maiing timely payments directly to the State Disbursement Unit or the Obligee, as previously set forth in this order. b. _____ Deferred. Income deduction is ordered this day, but it shall not be effective until a delinquency of $ ____ , or, if not specifed, an amount equal to one month’s obligation occurs. Income deduction is not being implemented immediately based on the following fndings: Income deduction is not in the best interests of the child(ren) because: {explain} _____ , AND There is proof of timely payment of a previously ordered obligation without an Income Deduction Order, AND _____ There is an agreement by the Obligor to advise the Title IV-D agency, the cleri of court, and the Obligee of any change in Payor and/or health insurance OR _____ there is a signed written agreement providing an alternative arrangement between the Obligor and the Obligee and, at the option of the IV-D agency, by the IV-D agency in IV-D cases in which there is an assignment of support rights to the state, reviewed and entered in the record by the court. 3. Bonus/one-time payments. _____ All ____ % _____ No income paid in the form of a bonus or other similar one-time payment, up to the amount of any arrearage or the remaining balance thereof owed pursuant to this order, shall be forwarded to the Obligee pursuant to the payment method prescribed above. Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/15) 4. Other provisions relating to method of payment _ _____________________________________ . SECTION IV. ATTORNEY’S FEES, COSTS, AND SUIT MONEY 1. _____ Mother’s _____ Father’s request(s) for attorney’s fees, costs, and suit money is (are) denied because ________________________________________________________________ . 2. _____ The Court fnds there is a need for and an ability to pay attorney’s fees, costs, and suit money. _____ Mother _____ Father is hereby ordered to pay to the other party $ ______ in attorney’s fees, and $ ______ in costs. The Court further fnds that the attorney’s fees awarded are based on the reasonable rate of $ __ per hour and _________reasonable hours. Other provisions relating to attorney’s fees, costs, and suit money are as follows: . SECTION V. OTHER 1. Other Provisions. . 2. The Court reserves jurisdiction to modify and enforce this Supplemental Final Judgment. 3. Unless specifcally modifed by this Supplemental Final Judgment, the provisions of all fnal judgments or orders in effect remain the same. DONE AND ORDERED at ____________________________, Florida, on . CIRCUIT JUDGE Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/15) I certify that a copy of the { name of document(s)} ___________________________________________ was ( ) mailed ( ) faxed and mailed ( ) e-mailed ( ) hand-delivered to the parties and any entities listed below on { date }_____________________. by _____________________________________ {Clerk of court or designee} ______Petitioner (or his or her attorney) ______Respondent (or his or her attorney) ______Central Depository ______State Disbursement Unit ______Other: _______________________ Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/15)