Legal Proposed Support Decision Document

LEGAL PROPOSED SUPPORT DECISION DOCUMENT

Case Number:    Petitioner Name:    Respondent Name:

Hearing Date:    Proposed Decision Date:    Effective Date:

RECITALS

WHEREAS, the parties identified above are before the hearing authority in connection with matters relating to support obligations and the tribunal has jurisdiction to make administrative determinations in the instant matter; and

WHEREAS, the parties presented evidence and testimony on the hearing date and each party had reasonable opportunity to present financial documentation, including income, expenses, and health insurance availability; and

WHEREAS, the hearing officer has reviewed the statutory factors relevant to support determinations, including but not limited to the parties' income, the needs of any dependent children, the custodial arrangement, and any special medical or educational needs.

NOW, THEREFORE

The parties hereby record the terms of the Proposed Support Decision as follows. This document constitutes the written proposed determination for support obligations subject to the parties' rights to accept, contest, or seek review in accordance with applicable procedures.

1. FINDINGS OF FACT

1.1 Number of dependent children for whom support is established: . The hearing officer finds the following details material to the calculation:

2. DETERMINATION OF SUPPORT

2.1 Based upon documented income and applicable support guidelines, the proposed ongoing support obligation is:

2.2 The support computation reflects the parties' net income, standard deductions, and the allocation of childcare and extraordinary medical expenses as set forth below.

3. RETROACTIVE SUPPORT AND ARREARAGES

3.1 Retroactive support is calculated from: to .

4. HEALTH INSURANCE AND MEDICAL SUPPORT

4.1 The party responsible for maintaining health insurance for the dependents is: . Coverage is to be provided effective: .

5. TAX DEPENDENCY

5.1 Allocation of dependency exemptions and tax credits is determined as follows:

6. PAYMENT METHOD, COLLECTION, AND ENFORCEMENT

The following collection and enforcement mechanisms are authorized as permitted by law:

Order wage withholding

Authorize tax refund intercept / offset

Permit liens against property/accounts as permitted by law

Other:

7. REVIEW, MODIFICATION, AND NOTICE OF CHANGE

7.1 This proposed determination may be reviewed or modified upon a material change in circumstances as defined by applicable law. A party seeking modification must submit a written request accompanied by supporting documentation.

8. NOTICES

All notices required or permitted under this Proposed Support Decision shall be in writing and delivered to the addresses below by personal delivery, certified mail, or other delivery method providing proof of receipt.

9. MISCELLANEOUS PROVISIONS

Amendments: Any amendment to this Proposed Support Decision must be in writing and signed by both parties or issued by the tribunal. Waiver of any provision in a single instance shall not constitute a waiver of that provision in any other instance.

Governing Law: This Proposed Support Decision shall be governed by and construed in accordance with the laws applicable to child and spousal support matters within the tribunal's jurisdiction.

Entire Agreement: This document contains the proposed decision and terms agreed for the support determination and supersedes all prior written or oral agreements between the parties relating to the subject matter herein.

Severability: If any provision of this Proposed Support Decision is held unenforceable, such provision shall be modified to the minimum extent necessary to make it enforceable, and the remaining provisions shall remain in full force and effect.

Counterparts: This Proposed Support Decision may be executed in counterparts, each of which shall be deemed an original but all of which together constitute one and the same instrument.

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