IN THE CIRCUIT COURT OF THE SECOND JUDICIAL CIRCUIT ____________________COUNTY, ILLINOIS UNIFORM ORDER FOR SUPPORT [ ] Initial Order [ ] Modification _________________________________________ ) Petitioner/Plaintiff ) ) vs. ) ) _________________________________________ ) Respondent/Defendant Court Case No. ______________________ Illinois Dept. of Healthcare & Family Services is, or has been, granted leave to intervene HFS. No. __________________________ Definitions: Obligor ­ An individual who owes a duty to make support payments pursuant to an order for support. Obligee ­ An individual to whom a duty of support is owed or the individual's legal representative. Payor ­ Any payor of income to an obligor. Unallocated Support ­ A total amount for maintenance and child support and not a specific amount for either. The Court finds: a) The net income of the obligor as of the date of this order is $______________per ______________. b) The amount of arrearage as of the date of this order is $_________for child support and $________ for maintenance or unallocated support. c) The amount of child support cannot be expressed exclusively as a dollar amount because all or a portion of the obligor's net income is uncertain as to source, time of payment, or amount. It is ordered that _________________________________, Obligor, is to provide: [ ] MAINTENANCE OR [ ] UNALLOCATED SUPPORT Payment Amount: Current Maintenance or Unallocated Support Payment: Arrearage Payment $__________ $__________ Payment Frequency: [ ] every week [ ] every other week [ ] monthly [ ] twice each month on ________&________ (date) [ ] every year [ ] other Payments Begin: ___________________ (date) [ ] CHILD SUPPORT (Do not complete this section if Unallocated Support is ordered.) Payment Amount Current Child Support Payment: $__________ Arrearage Payment: $__________ Payments Begin: ____________ (date) Payment Frequency: [ ] every week [ ] every other week [ ] monthly [ ] twice each month on ________&________ (date) [ ] every year [ ] other Approved by Conference of Chief Circuit Judges ­ Form 50 Page 1 of 4 Revised 4/28/06 American LegalNet, Inc. www.FormsWorkflow.com Case No.________________ [ ] PERCENTAGE AMOUNT OF CHILD SUPPORT (Complete this section only if finding c) is checked above.) In addition to the specific dollar amount of support ordered above, current child support shall be paid in the amount of _______% of obligor's ___________________________________________________________ payable ______________________________________________. The obligor is further ordered to provide income records sufficient to determine and enforce the percentage amount of child support, within 7 days of receipt of income subject to this percentage assessment, to the obligee and Clerk of the Court [X] PAYMENT ARRANGEMENTS (Payments must be sent to the STATE DISBURSEMENT UNIT if this box is checked.) A Notice to Withhold Income shall issue immediately and shall be served on the employer at the address in this Order. Payments shall be made payable to the State Disbursement Unit and sent to the State Disbursement Unit at ___________________________________________________. Payments must include CASE NUMBER, COUNTY of the Court issuing this Order, and obligor's name and social security number. Any subsequent employer may be served with a Notice to Withhold Income without further order of Court The parties have entered into a written agreement providing for an alternative arrangement for the payment of support that is approved by the Court and attached to this Order, meeting all requirements of, and consistent with, applicable law. An income withholding notice is to be prepared and served only if the obligor becomes delinquent in paying the order for support. Payments shall be made in accordance with the written agreement of the parties attached hereto. In the event the income withholding notice is served, payments shall be made to the State Disbursement Unit as set forth above. State law does not require payment to the State Disbursement Unit and the parties have not entered into a written agreement as provided above. Payments shall be made payable to _________________________ and sent to THE CLERK OF THE CIRCUIT COURT at ______________________________________. Payments must include CASE NUMBER and COUNTY of the Court issuing this Order. In addition to and separate from amounts ordered to be paid as maintenance or child support, the obligor shall pay a $36 per year Separate Maintenance and Child Support Collection Fee. This sum shall be paid directly to the Clerk of the Circuit Court of ______________________________________ County at _____________________ _______________________________________________________ and not to the State Disbursement Unit. listed [X] Check Only One DELINQUENCY If the obligor becomes delinquent in the payment of support after the entry of this Order For Support, the obligor must pay, in addition to the current support obligation, the sum of (a) $______________ for child support per the payment frequency ordered above for child support, and (b) $______________ for maintenance or unallocated support per the payment frequency ordered above for maintenance or unallocated support, until the delinquency is paid in full. (This additional amount, the total of (a) and (b), shall not be less than 20 percent of the total of the current support amount and the amount to be paid periodically for payment of any arrearage stated in the order for support.) A support obligation, or any portion of a support obligation which becomes due and remains unpaid for 30 days or more shall accrue interest at the rate of ___________, as set forth in Section 12-109 of the Code of Civil Procedure or as otherwise provided by law. Any portion of a support obligation that remains unpaid at the end of a month, excluding the support that became due for that month, shall accrue interest as provided in Section 12-109 of the Code of Civil Procedure. Approved by Conference of Chief Circuit Judges ­ Form 50 Page 2 of 4 Revised 4/28/06 American LegalNet, Inc. www.FormsWorkflow.com Case No. ________________ [X] TERMINATION This obligation to pay child support terminates on _______-_______-_______ unless modified by written order of the Court. (Insert a date no earlier than the date that the youngest child reaches the age of 18 or is expected to graduate from high school, whichever comes later.) This termination date does not apply to any arrearage th