Fill and Sign the Nj Child Support Form

      (Name of Plaintiff)       (Address)       (Phone) ) ) ) ) ) ) ) ) ) ) SUPERIOR COURT OF NEW JERSEY       , CHANCERY DIVISION Plaintiff FAMILY PART,       COUNTY vs. CASE NO.             , NOTICE OF APPLICATION FOR EQUITABLE DISTRIBUTION, ALIMONY, CHILD SUPPORT AND OTHER RELIEF PURSUANT TO RULE 5:5-10Defendant. COMES,       , Plaintiff, and files this Notice of Application for Equitable Distribution, Alimony, Child Support and Other Relief (“Notice”), with the Case Information Sheet attached, and would state in support thereof the following: 1. The proposed trial date is       at       am/pm. 2. Plaintiff desires to have the following assets distributed (include value of each asset): a)       ______________________________________________________ b)       ______________________________________________________ c)       ______________________________________________________ d)       ______________________________________________________ e)       ______________________________________________________ f)       ______________________________________________________ g)       ______________________________________________________ h)       ______________________________________________________ 3. The Plaintiff will retain the following assets in equitable distribution: a)       ______________________________________________________ - 1 - b)       ______________________________________________________ c)       ______________________________________________________ d)       ______________________________________________________ e)       ______________________________________________________ f)       ______________________________________________________ g)       ______________________________________________________ h)       ______________________________________________________ 4. Defendant will retain the following assets in equitable distribution: a)       ______________________________________________________ b)       ______________________________________________________ c)       ______________________________________________________ d)       ______________________________________________________ e)       ______________________________________________________ f)       ______________________________________________________ g)       ______________________________________________________ h)       ______________________________________________________ 5. Plaintiff and Defendant will retain any and all assets in their present possession and there will be no further equitable distribution of assets. 6. Plaintiff desires to have the following debts distributed (include amount of each debt): a)       ______________________________________________________ b)       ______________________________________________________ c)       ______________________________________________________ - 2 - d)       ______________________________________________________ e)       ______________________________________________________ f)       ______________________________________________________ g)       ______________________________________________________ h)       ______________________________________________________ 7. The Plaintiff will retain the following debts in equitable distribution: a)       ______________________________________________________ b)       ______________________________________________________ c)       ______________________________________________________ d)       ______________________________________________________ e)       ______________________________________________________ f)       ______________________________________________________ g)       ______________________________________________________ h)       ______________________________________________________ 8. The Defendant will retain the following debts in equitable distribution: a)       ______________________________________________________ b)       ______________________________________________________ c)       ______________________________________________________ d)       ______________________________________________________ e)       ______________________________________________________ f)       ______________________________________________________ g)       ______________________________________________________ h)       ______________________________________________________ - 3 - 9. Plaintiff is/ is not seeking alimony. If Plaintiff is seeking alimony, Plaintiff or Defendant must pay Plaintiff or Defendant $       ___ every week other week month, beginning       ___ (date) continuing until       _____________________ (date or event) in       ______________ (type of alimony, such as temporary, permanent, rehabilitative and/or lump sum) . 10. Plaintiff is/ is not seeking child support. If Plaintiff is seeking child support, Plaintiff or Defendant must pay Plaintiff or Defendant $       every week other week month per child of the marriage beginning       (date) and continuing until modified by court order, or the minor children(s) become an adult, emancipated, marries, dies, or otherwise becomes self-supporting. Other provisions regarding child support such as any reduction for time spent with the party obligated to pay child support, contributions of each party to the cost of work-related daycare for the children, provisions relating to child support arrearage and payment of college costs include :       _________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _______________________________________________________________________ . 11. Plaintiff or Defendant shall provide medical insurance for the children through his/her employer. In the event that the party providing medical insurance is no longer eligible for health benefit through his/her employer, or is required to pay for the same, the other party shall obtain medical benefits for the children through his/her employer. If the other party is not eligible for the same, or is required to pay for the same, the Plaintiff and Defendant shall find - 4 - a medical benefit plan that is best for the children (either through employment or private policy) and each shall contribute       (%) Plaintiff and       (%) Defendant to the cost of the same. 12. Plaintiff or Defendant shall maintain life insurance for the benefit of the children in the face amount of $       until the youngest child becomes and adult, becomes emancipated, marries, dies or otherwise becomes self-supporting. 13. Plaintiff or Defendant shall pay to the other party       (%) of the unreimbursed medical expenses for the children. 14. Plaintiff seeks the following other relief:       _______________________________________________________________________       _______________________________________________________________________       _______________________________________________________________________ . 15. This Notice has been filed with the County Clerk and can be examined by Defendant at the Clerk’s office during normal business hours. The address of the County Clerk’s office is:       _______________________________________________________________________ . Respectfully submitted, Signature of Plaintiff Print Name:       - 5 - CERTIFICATE OF MAILING I certify that I have mailed by U.S. Mail, postage prepaid, return receipt requested a true and correct copy of the above and aforegoing Notice of Application for Equitable Distribution, Alimony, Child Support and Other Relief to Defendant at the address indicated below on the       day of       , 20       . Defendant Name:       Defendant Address:       Signature of Plaintiff - 6 -