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IN THE CHANCERY COURT OF COUNTY, MISSISSIPPI PLAINTIFF VS. CIVIL ACTION NO. DEFENDANT ALTERNATIVE CHILD SUPPORT PAYMENT AGREEMENT WHEREAS, the undersigned are the parties to the divorce proceeding in the above-styled and numbered action; and, WHEREAS, shall be termed and identified as the "custodial parent" and shall be termed and identified as the "noncustodial parent", as those labels and te rms are defined, set out and used in M.C.A. (Supp. 1994) § 93-11-103; and, WHEREAS, the undersigned have elected, as provided in M.C.A. (Supp. 1994) § 93-11- 103, to select an alternative arrangement for the payment of child support by the non-custodi al parent to the custodial parent, rather than the entry of an immediate Withhol ding Order upon the entry of a Judgment of Divorce between the parties. NOW, THEREFORE, IN CONSIDERATION of the promises and covenants contained in the Marital Dissolution Agreement between these parties dated the day of , which the parties contemplate will be attached to and incorporated in their Judgment of Divorce, and their mutual election to provide an alternative arrangement for the payment of c hild support from the non-custodial parent to the custodial parent, the undesigned agree to the method of child support payments as follows: 1. These parties have minor child(ren). The non-custodial parent shall pay to the custodial parent the sum of $ per month as and for the maintenance and support of said child. The said payments shall be payable one-half on the ( ) and one-half on the ( ) day of each month, beginning the day of , . The installment payments shall recur and be paid monthly as provided herein until the sa id minor shall reach her majority, marry or until further Order of this Court. 2. Said child support payments shall be transmitted to the custodial parent by U.S. Mail, postmarked no later than the due date of each installment addressed to the custodial parent at , Mississippi, , or such other address(es) as the custodial parent may, from time to time, provide the non-custodial parent in writing; or, non-custodial parent may make said payments to custodial parent by hand-delivery no later than the date each installment is due. 3. Said child support payments shall be in the form of cash, personal check, bank check, or money order. If paid by any form of check and said check is returned and not paid for any reason, non-custodial parent shall pay custodial parent any costs, losses, charges or expenses, including, but not limited to, reasonable attorney's fees, incurred by custodial parent as a result of the return of any such check. 4. In the event that non-custodial parent shall not strictly adhere to the terms of thi s agreement, and she shall become thirty days delinquent in the payment of any insta llment of child support as contemplated herein, then custodial parent shall have the right to se ek the entry of an immediate Withholding Order as contemplated and provided in M.C.A. (Supp. 1994) §93- 11-103, or any other statute or provision of law. 5. The term "non-custodial parent" shall also mean "obligor" and the term "custodial parent" shall also mean "obligee" as contemplated, defined and used in M.C.A. (Supp. 1994) §93-11-103. DATED this the day of , . ____________________________________ CUSTODIAL PARENT DATED this the day of , . ____________________________________ NON-CUSTODIAL PARENT STATE OF MISSISSIPPI COUNTY OF PERSONALLY appeared before me, the undersigned authority, in and for the above jurisdiction, the within named who upon her oath stated that all of the things, matters and facts in the above and foregoing, ALTERNATIVE CHILD SUPPORT AGREEMENT are true and correct tot he best of her belief, knowledge and information. ____________________________________ SWORN TO AND SUBSCRIBED BEFORE ME, this the day of , . ____________________________________ NOTARY PUBLIC MY COMMISSION EXPIRES: ______________________________ STATE OF MISSISSIPPI COUNTY OF PERSONALLY appeared before me, the undersigned authority, in and for the above jurisdiction, the within named who upon her oath stated that all of the things, matters and facts in the above and foregoing, ALTERNATIVE CHILD SUPPORT AGREEMENT are true and correct to the best of his belief, knowledge and information. ____________________________________ SWORN TO AND SUBSCRIBED BEFORE ME, this the day of , . ____________________________________ NOTARY PUBLIC MY COMMISSION EXPIRES: ______________________________ PREPARED BY: