IN THE SUPERIOR COURT OF DEKALB COUNTY STATE OF GEORGIA , Plaintiff, Civil Action Case Number _______________ vs. , Defendant. FINAL ORDER FOR CHILD SUPPORT MODIFICATION This action came before the court on __________________, 200__. The Plaintiff appeared Pro Se. The Defendant  also appeared (or)  did not appear. The Court heard the evidence and considered the matter. It is hereby ordered and adjudged that: 1.  The Plaintiff did not satisfactorily prove that there has been a substantial change in his/her income or financial status or in the needs of the child(ren) so as to warrant a modification of child support in accordance with §19-6-19(a).  The Plaintiff did not satisfactorily prove there has been a substantial change in the Defendant's income or financial status or in the needs of the child(ren) so as to warrant a modification of child support in accordance with §19-6-19(a). (OR)  There has been a substantial upward change in the income or financial status of the Defendant which increases his/her ability to pay the child support award previously ordered.  There has been a substantial downward change in the income or financial status of the Plaintiff which decreases his/her ability to pay the child support award previously ordered.  There has been a substantial change in the needs of the child(ren) as follows: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Page 1 of 4 American LegalNet, Inc. www.USCourtForms.com 2.  Child support shall not be modified. (OR)  Child support shall be modified to reflect the substantial change in the income or financial status of the Plaintiff /Defendant, or in the needs of the child(ren). 3. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 4. The gross income of the father is _________________________________ dollars monthly. The gross income of the mother is ________________________________ dollars monthly. In this case child support is being determined for _________________________ children. The applicable percentage of gross income to be considered is: Number of Children 1 2 3 4 5 Percentage Range of Gross Income 17 percent to 23 percent 23 percent to 28 percent 25 percent to 32 percent 29 percent to 35 percent 31 percent to 37 percent Thus, _____percent of ___________(gross income of obligor)equals _________ dollars per Month. The court has considered the existence of special circumstances and has found the following special circumstances marked with an “X” to be present in this case. _____ 1. Ages of children _____ 2. A child’s extraordinary medical costs of need in addition to accident and sickness insurance, provided that all such costs or needs shall be considered if no insurance is available. _____ 3. Educational costs. _____ 4. Day-care costs. _____ 5. Shared physical custody arrangements, including extended visitation. _____ 6. A party’s other support obligations to another household. _____ 7. Income that should be imputed to a party because of suppression of income. _____ 8. In-kind income for the self-employed, such as reimbursed meals or a company car. _____ 9. Other support for a party is providing or will be providing, such as payment of a mortgage. Page 2 of 4 American LegalNet, Inc. www.USCourtForms.com _____ 10. A party’s own extraordinary needs, such as medical expenses. _____ 11. Extreme economic circumstances including but not limited to: _____(A) Unusually high debt structure; or _____(B) Unusually high income of either party or parties, which shall be construed as individual gross income of over $75,000.00 per annum. _____ 12. Historical spending in the family for children which varies significantly from the percentage table. _____ 13. Consideration of the economic cost-of-living factors of the community of each party, as determined by the trier of fact. _____ 14. In-kind contribution of either parent. _____ 15. The income of the custodial parent. _____ 16. The cost of accident and sickness insurance coverage for dependent children included in the order. _____ 17. Extraordinary travel expenses to exercise visitation or shared physical custody. _____ 18. Any other factor which the trier of fact deems to be required by the ends of justice, as described below. Having found that no special circumstances exist, or special circumstances numbered _________exist (delete the phrase that does not apply), the final award of child support which _____________________ shall pay to ___________________ for support of the child(ren)is ________________ dollars per week/biweekly/monthly/semimonthly per child, beginning on the ______day of _______________, ________ and payable thereafter on the ________ day of____________. Child support is hereby awarded as follows: __________________________________________________________________ __________________________________________________________________ _____________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ _____________________________________________ . Child support payments shall continue until the child reached the age of 18 years, dies, marries, or otherwise becomes emancipated, except that if the child becomes 18 years of age while enrolled in and attending secondary school on a full-time basis, then such support shall continue until the child completes secondary school, provided that such support shall not be required after the child attains 20 years of age. Page 3 of 4 American LegalNet, Inc. www.USCourtForms.com Health insurance shall be provided as follows:_________________________________________________________________ ____________________________________________________for so long as child support payments continue to be due under this Order. Whenever, in violation of the terms of this order, there shall have been a failure to make the support payments due hereunder so that the amount unpaid is equal to or greater than the amount payable for one month, the payments required to be made may be collected by the process of continuing garnishment for support. SO ORDERED this the _______ day of ______________________, ____________. ________________________________________ JUDGE DeKalb County Superior Court Stone Mountain Judicial Circuit Page 4 of 4 American LegalNet, Inc. www.USCourtForms.com