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F.C.A. §454(5)Form 4-22-a (Child Support- Determination of Objections to Support Collection Unit Review of Driver’s License Suspension) 10/2012 At a term of Family Court of the State of New York, held in and for the County of , at New York, on , . PRESENT: Hon. Support Magistrate/Family Court Judge _________________________________ In the Matter of a Proceeding for Support Docket No. under Article (4)(5-B) of the Family Court Act 1 ORDER (Commission of Social Services, Assignee, on behalf of , As signor) (Determination of Petitioner Objections to S.S.#: xxxx-xx- (Assignor) Support Collection Unit Review of Driver's -against- License Suspension) Respondent S.S.#: xxxx-xx- _________________________________ IF THIS ORDER IS ENTERED BY A JUDGE, PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY THE APPELLANT IN CO URT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UP ON THE APPELLANT, OR 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF THE COURT, WHICHEVER IS EARLIEST. IF THIS ORDER IS ENTERED BY A SUPPORT MAGISTRATE, SPECIFIC WRITTEN OBJECTIONS TO THIS ORDER MAY BE FILED WITH THIS COU RT WITHIN 30 DAYS OF THE DATE THE ORDER WAS RECEIVED IN COURT OR BY PERS ONAL SERVICE, OR IF THE ORDER WAS RECEIVED BY MAIL, WITHIN 35 DAYS OF T HE MAILING OF THE ORDER. An order in the above-entitled proceeding, dated , , having been made, and a determination having been made by the Support Colle ction Unit that the above-named support obligor is in default pursuant to F.C.A . § 458-a on such o rder and that the driving privileges of the support obligor should therefore be suspended, and A further determination having been made by the Sup port Collection Unit denying the support obligor's challenge to the notification by the Supp ort Collection Unit to the New York State Department of Motor Vehicles to suspend such drivin g privileges, 1Use caption of original petition. Form 4-22b Page 2 And timely objections to that determination having been filed by the support obligor with this Court (and rebuttal thereto having been filed by the Supp ort Collection Unit with this Court); and this Court having reviewed the objections (and timely rebuttal ) filed herein; NOW, therefore, it is hereby [Check applicable box]: ” ORDERED that the determination of the Support Coll ection Unit is affirmed, the objections are denied and the matter is remanded to the Support Co llection Unit for further actions. OR ” ORDERED that the determination of the Support Coll ection Unit is reversed as clearly erroneous, the objections are sustained and the Sup port Collection Unit is hereby directed not to notify the Department of Motor Vehicles to suspend the sup port obligor's driving privileges. ENTER _ _________________________________________ ” Support Magistrate ” Judge of the Family Court Dated: , . Check applicable box: ” Order mailed on [specify date(s) and to whom maile d ]:___________________________ ” Order received in court on [specify date(s) and to whom given]:_____________________