Fill and Sign the New York Order Entry Money Judgment Form

F.C.A. § 439,460, Art.5-B Form 4-14(Order-Entry of Money Judgment)8/2010 At a term of the Family Court of the State of New York, held in and for the County of at New Yorkon , . PRESENT: Hon. Judge/Support Magistrate ...................................................................... In the Matter of a Proceeding for Docket No. Support under Article (4)(5-B) of the Family Court Act ORDER (Entry of Money (Commissioner of Social Services, Assignee, Judgment) on behalf of Assignor) Petitioner, -against- Respondent ...................................................................... NOTICE: YOUR WILLFUL FAILURE TO OBEY THIS ORDER MAY RESULT IN INCARCERATION FOR CRIMINAL NON-SUPPORT OR CONTEMPT. YOUR FAILURE TO OBEY THIS ORDER MAY RESULT IN SUSPENSION OF YOUR DRIVER'S LICENSE, STATE-ISSUED PROFESSIONAL, TRADE, BUSINESS AND OCCUPATIONAL LICENSES AND RECREATIONAL AND SPORTING LICENSES AND PERMITS; AND IMPOSITION OF REAL OR PERSONAL PROPERTY LIENS. IF THIS ORDER WAS ENTERED BY A JUDGE, THE ORDER MAY BE APPEALED PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT. THAT SECTION PROVIDES THAT AN APPEAL FROM THAT ORDER MUST BE TAKEN WITHIN 30 DAYS AFTER RECEIPT OF THE ORDER BY APPELLANT IN COURT, 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON 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 WAS ENTERED BY A SUPPORT MAGISTRATE, SPECIFIC WRITTEN OBJECTIONS TO THIS ORDER MAY BE FILED WITH Form 4-14 page 2 THIS COURT WITHIN 30 DAYS OF THE DATE THE ORDER WAS RECEIVED IN COURT OR BY PERSONAL SERVICE, OR IF THE ORDER WAS RECEIVED BY MAIL, WITHIN 35 DAYS OF THE MAILING OF THEORDER. An application having been made by Petitioner for an order directing the entry of judgment in the sum of $ , that being the amount of arrears having accrued because of non-payment by Respondent of sums directed to be paid by an order, dated , , of the Family Court, County of [specify]: , together with costs and disbursements; And the Respondent having the following last known address [specify]: And the matter having duly come on to be heard before this court; NOW, after examination and inquiry into the facts and circumstances of the case, and after hearing the proof and testimony offered in relation thereto; and the defaulting party not having shown good cause for failure to make application for relief from the judgment or order directing such payment prior to the accrual of such arrears; it is therefore ADJUDGED that the Respondent failed to obey the Order of this Court in that Respondent failed to pay the sum of $ , which amount the Court finds to be the arrears due and owing under the Order, and that such failure Q was Q was not willful; and it is further ADJUDGED that the Respondent knowingly, consciously and voluntarily disregarded the obligation under a lawful court order; and it is ORDERED that judgment be entered in favor of the Petitioner against the Respondent in the amount of , [delete if inapplicable: plus interest (C.P.L.R 5004) from [specify date]: , , in the amount of $ ], together with costs and disbursements in the amount of $ , for a total sum of $ ; and it is further ORDERED that Respondent pay counsel fees in the amount of $ to [specify]: , attorney for the QPetitioner Q child(ren) (and it is further) ORDERED that a certified copy of the judgment may be filed in the county clerk's office in accordance with Section 460 of the Family Court Act. Dated: ENTER Judge of the Family Court/ Support Magistrate Check applicable box: G Order mailed on [specify date(s) and to whom mailed]: G Order received in court on [specify date(s) and to whom given]: