State of Alabama Unified Judicial System FINDINGS / RECOMMENDATIONS / DEFAULT JUDGMENT SETTING AMOUNT OF SUPPORT CS-5AR Rev. 3/2009 Page 1 of 2 Court Case Number IN THE ______________ COURT OF ___________________ COUNTY, ALABAMA STATE OF ALABAMA, ex rel. Plaintiff v. Defendant ____________________ Address _____________________ _____________________ ______________________ Address ______________________ ______________________ FINDINGS: This case having been heard on the ____ day of ________,____________ , this Referee finds that the Court has jurisdiction over the parties and the subject matter. This Referee further finds that the Defendant was properly served with a summons and petition by: personal service; certified mail. The following persons were present: Plaintiff: Pro se Plaintiff’s Attorney______________________________________ State’s Attorney _________________ Other ______________________________________________ on the affidavit of the Plaintiff or otherwise for a default judgment pursuant to Rule 55(b)(2) of This case has been presented the Alabama Rules of Civil Procedure and the Defendant is not an infant or unrepresented incompetent person and has failed to plead or otherwise defend. With the Defendant’s default having been duly entered and having considered the evidence presented, the Referee finds that the Defendant is obligated to pay support for the minor child(ren) named as follows: ___________________. This Referee finds that health insurance is unavailable at reasonable cost or is not accessible. (If applicable): The Defendant is also obligated to pay support for ____________________, spouse/former spouse. IT IS THEREFORE RECOMMENDED BY THE REFEREE AS FOLLOWS: 1. per The Defendant shall pay the sum of $ maintenance of the minor child(ren) named above. commencing on ____________ for the support and That the award of child support made herein was determined by application of the Child Support Guidelines established by Rule 32, Alabama Rules of Judicial Administration. The Child Support Guidelines (CS-42) and the Child Support Obligation Income Statement/Affidavit (CS-41) forms have been filed herein and are made a part of the record in this case. The Referee finds that deviation is appropriate based on the Child Support Guidelines established by Rule 32, Alabama Rules of Judicial Administration. The findings are noted in the Child Support Guidelines Notice of Compliance (CS-43). 2. The child support payments shall continue until discharged as provided by law. 3. The child support payments shall be made payable to: Alabama Child Support Payment Center at P.O. Box 244015, Montgomery, AL 36124-4015. 4. The Defendant OR the Plaintiff, wherever employed, shall include the child(ren) named above on any health insurance policy or health insurance coverage at his or her place of employment and shall provide proof of the coverage within thirty (30) days of the date of the Judge’s signature on this form to the other party in non-Title IV-D cases OR to the ___________County Department of Human Resources in Title IV-D cases. The Defendant OR the Plaintiff shall include the child(ren) named above on any health insurance policy or health insurance coverage which he or she shall purchase and shall provide proof of the coverage within thirty (30) days of the date of the Judge’s signature on this form to the other party in non-Title IV-D cases OR to the ____________ County Department of Human Resources in Title IV-D cases. The Defendant shall pay % and the Plaintiff shall pay % of all unreimbursed health expenses. The parties must submit within 30 days any unreimbursed health expenses to the other party and payment of the expenses must be made within 30 days of this submission. per The Defendant shall pay the sum of $ commencing on for the medical support of the minor child(ren) named above, as health insurance is not accessible, not available,or is not available at a reasonable cost. Other recommended arrangements regarding health insurance: ________________________________ . COURT RECORD ATTORNEY DEFENDANT American LegalNet, Inc. www.FormsWorkflow.com State of Alabama Unified Judicial System Court Case Number FINDINGS / RECOMMENDATIONS / DEFAULT JUDGMENT SETTING AMOUNT OF SUPPORT CS-5AR Rev. 3/2009 Page 2 of 2 5. The Defendant shall notify ____________County Department of Human Resources as to any change of address, employment, or lapse or change in health insurance coverage. 6. The Defendant shall pay the following: $ representing retroactive child support to be paid at the rate of $ commencing on _________________________ . per $ representing the cost of genetic testing to be paid at the rate of $ per commencing on , or repaid as follows: __________________________________. $ representing previous medical expenses to be paid at the rate of $ commencing on . per These sums are hereby reduced to a judgment for which let execution issue. Interest will continue to accrue on this judgment until it has been satisfied in full as provided in Ala.Code 1975, Section 8-8-10. 7. per commencing on (If applicable) The Defendant shall pay the sum of $ the support and maintenance of spouse/former spouse which support shall continue until further Order of the Court. 8. (If applicable) The spousal support payments shall be made payable to: Alabama Child Support Payment Center at P.O. Box 244015, Montgomery, AL 36124-4015. 9. Costs of these proceedings are taxed as follows: against Plaintiff, for which let execution issue; against Defendant, for which let execution issue; for waived. 10. Reference is hereby made in this Findings / Recommendations / Default Judgment Setting Amount of Support to a separate income withholding order, the entry of which is required of this Court by law, and is recommended that it be specifically incorporated herein as a part of this Court’s Order in this case. 11. In cases where payments are ordered paid directly to the Clerk of the Court, an additional $1.00 administrative fee shall be paid as provided in Ala.Code 1975, Section 12-19-26, with each periodic payment. 12. Other: __________________________. NOTICE Pursuant to Rule 2.1 of the Alabama Rules of Juvenile Procedure and Ala.Code 1975 , Section 12-15-106, the findings and recommendations of the Referee do not constitute an order until they are ratified by the original signature of the Judge. Within fourteen (14) days of the Referee’s findings and recommendations being filed in the Clerk’s Office, any party may file with the Clerk a written request for a rehearing before the judge. Recommended this the day of . Signature of Referee The findings and recommendations of the Referee are hereby confirmed and shall constitute a final order in this case. Date COURT RECORD Signature of Judge ATTORNEY DEFENDANT American LegalNet, Inc. www.FormsWorkflow.com