Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child
Support (03/15) IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA Case No.: Division: ,Petitioner,and ,Respondent. SUPPLEMENTAL FINAL JUDGMENT MODIFYING CHILD SUPPORT This cause came before this Court on a Supplemental Petition for Modification of Child Support. The
Court, having heard the testimony and reviewed the file and financial affidavits of the parties and being
otherwise fully advised, makes these findings of fact and reaches these conclusions of law:SECTION I. FINDINGS1. The Court has jurisdiction over the subject matter and the parties.2. The parties’ dependent or minor child(ren) is (are):Name Birth date3.The last order awarding or modifying child support was entered on {date} __________________4.There has been a substantial change in circumstances of the parties since the entry of the last
order, specifically: _________________________________________________________________ . 5.It is in the best interests of the minor child(ren) that the current child support order be changed
because: ______________________________________________________________________________
Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child
Support (03/15)____________________________________________________________________________________________________________________________________________________________.SECTION II. CHILD SUPPORT1.The Court finds that there is a need for modification of child support and that the _____ Mother
_____ Father (hereinafter Obligor) has the present ability to pay child support. The amounts in
the Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e),
filed by the _____ Mother _____ Father are correct OR the Court makes the following findings: The Mother’s net monthly income is $ __, (Child Support Guidelines _ ___%). The Father’s net monthly income is $ ____, (Child Support Guidelines _____%).
Monthly child care costs are $ ________.
Monthly health/dental insurance costs are $ . 2.Amount. Child support established at the rate of $__________ per month for the _______children {total
number of parties’ minor or dependent children} shall be paid commencing________________
{month, day, year} and terminating_____________________________ {month, day, year}. Child
support shall be paid in the amount of $______________ per ______________ {week, month,
other} consistent with the Obligor’s current payroll cycle.Upon the termination of the obligation of child support for one of the parties’ children, child
support in the amount of $_____________for the remaining ______ children {total number of
remaining children} shall be paid commencing__________________ {month, day, year} and
terminating _________________month, day, year}. This child support shall be paid in the
amount of $____________ per ____________ {week, month, other} consistent with the
Obligor’s current payroll cycle.{Insert schedule for the child support obligation, including the amount, and commencement
and termination dates, for the remaining minor or dependent children, which shall be payable
as the obligation for each child ceases. Please indicate whether the schedule ______ appears
below or _____ is attached as part of this form.} __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.
Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child
Support (03/15)The Obligor shall pay child support until all of the minor or dependent children: reach the age of
18; become emancipated, marry, join the armed services, die, or become self-supporting; or
until further order of the court or agreement of the parties. The child support obligation shall
continue beyond the age of 18 and until high school graduation for any child who is dependent
in fact, between the ages of 18 and 19, and is still in high school, performing in good faith with a
reasonable expectation of graduation before the age of 19.If the child support ordered deviates from the guidelines by more than 5%, the factual findings
which support that deviation are: . 3.Arrearage/Retroactive Child Support. a. ____There is no child support arrearage at the time of this Supplemental Final Judgment. OR b. _____ Mother _____ Father shall pay to the other party the child support arrearage of:
$ __ for retroactive child support, as of {date} ___________. $ __ for previously ordered unpaid child support, as of {date} ___________________.The total of $ _ in child support arrearage shall be repaid in the amount of $ ______,
per month payable _____ in accordance with his or her employer’s payroll cycle, and in any
event at least once a month _____ other {explain} ____________________________________
beginning {date} ________, until paid in full including statutory interest. 4. Insurance. {Indicate all that apply}a.______Health/Dental Insurance. _____ Mother _____ Father shall be required to maintain
______ health _____dental insurance for the parties’ minor child(ren), so long as it is
reasonable in cost and accessible to the child(ren). The party providing insurance shall be
required to convey insurance cards demonstrating said coverage to the other party OR
_____Health _____ Dental insurance is not reasonable in cost or accessible to the child(ren)
at this time.b._____Reasonable and necessary uninsured medical/dental/prescription costs for the minor
child(ren) shall be assessed as follows:______ Shared equally by both parents.______ Prorated according to the child support guideline percentages.______ Other {explain}: _______________________________________________________As to these uninsured medical/dental/prescription expenses, the party who incurs the
expense shall submit a request for reimbursement to the other party within 30 days, and
the other party, within 30 days of receipt, shall submit the applicable reimbursement for
that expense, according to the schedule of reimbursement set out in this paragraph.
Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child
Support (03/15)5._____ Life Insurance (to secure payment of support). To secure the child support obligations
in this judgment, _____ Mother _____ Father _____ Each party shall maintain life insurance
coverage, in an amount of at least $ __________, on _____ his life _____ her life
_____ his/her life naming the _____ minor child(ren) as the beneficiary(ies) OR naming the
_____Mother _____ Father _____ other {name} ____________________________________
as Trustee for the minor child(ren), so long as reasonably available. The obligation to maintain
the life insurance coverage shall continue until the youngest child turns 18, becomes
emancipated, marries, joins the armed services, dies or otherwise becomes self-supporting .
6.IRS Income Tax Exemption(s). The assignment of any tax exemption(s) for the child(ren) shall
be as follows: ________________________________________________________________ . Further, each party shall execute any and all IRS forms necessary to effectuate the
provisions of this paragraph.7.Other provisions relating to child support: ___________________________________________________________________________________________________________________.SECTION III. METHOD OF PAYMENT1. Place of Payment. a. _____Obligor shall pay court-ordered support directly to either the State Disbursement Unit
or the central depository, as required by statute, along with any fee required by statute.b. _____ Both parties have requested and the court finds that it is in the best interests of the
child(ren) that support payments need not be directed through either the State
Disbursement Unit or the central depository at this time; however, either party may
subsequently apply, pursuant to section 61.13(1)(d)3, Florida Statutes, to require payments
through either the State Disbursement Unit or the central depository.
2.Income Deduction. a._____ Immediate. Obligor shall pay through income deduction, pursuant to a separate
Income Deduction Order which shall be effective immediately. Obligor is individually
responsible for paying this support obligation until all of said support is deducted from
Obligor’s income. Until support payments are deducted from Obligor’s paycheck, Obligor is
responsible for making timely payments directly to the State Disbursement Unit or the
Obligee, as previously set forth in this order.b._____ Deferred. Income deduction is ordered this day, but it shall not be effective until a
delinquency of $ ____, or, if not specified, an amount equal to one month’s
obligation occurs. Income deduction is not being implemented immediately based on the
following findings:
Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child
Support (03/15) Income deduction is not in the best interests of the child(ren) because: {explain} _____ , AND There is proof of timely payment of a previously ordered obligation without an Income
Deduction Order, AND _____ There is an agreement by the Obligor to advise the Title IV-D agency, the clerk of
court, and the Obligee of any change in Payor and/or health insurance OR _____ there is a signed written agreement providing an alternative arrangement between
the Obligor and the Obligee and, at the option of the IV-D agency, by the IV-D agency in IV-D
cases in which there is an assignment of support rights to the state, reviewed and entered in
the record by the court.3. Bonus/one-time payments. _____ All ____% _____ No income paid in the form of a bonus or
other similar one-time payment, up to the amount of any arrearage or the remaining balance
thereof owed pursuant to this order, shall be forwarded to the Obligee pursuant to the payment
method prescribed above.
4.Other provisions relating to method of payment ______________________________________ . SECTION IV. ATTORNEY’S FEES, COSTS, AND SUIT MONEY1._____ Mother’s _____ Father’s request(s) for attorney’s fees, costs, and suit money is (are)
denied because ________________________________________________________________ . 2._____ The Court finds there is a need for and an ability to pay attorney’s fees, costs, and suit
money. _____ Mother _____ Father is hereby ordered to pay to the other party $ ______
in attorney’s fees, and $ ______ in costs. The Court further finds that the attorney’s fees
awarded are based on the reasonable rate of $ __ per hour and _________reasonable
hours. Other provisions relating to attorney’s fees, costs, and suit money are as follows:
. SECTION V. OTHER1. Other Provisions. .
Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child
Support (03/15)2. The Court reserves jurisdiction to modify and enforce this Supplemental Final Judgment.3. Unless specifically modified by this Supplemental Final Judgment, the provisions of all final
judgments or orders in effect remain the same.DONE AND ORDERED at ____________________________, Florida, on .CIRCUIT JUDGEI certify that a copy of the {name of document(s)} ___________________________________________
was ( ) mailed ( ) faxed and mailed ( ) e-mailed ( ) hand-delivered to the parties and any
entities listed below on {date }_____________________. by _____________________________________ {Clerk of court or designee} ______Petitioner (or his or her attorney)______Respondent (or his or her attorney)______Central Depository______State Disbursement Unit______Other: _______________________
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