ORDER FOR SUPPORT(Rev. 3/4/03) CCSD N066IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOISNo. vs.IV-D No. ORDER FOR SUPPORTThis cause coming on to be heard on the matter of child support and/or maintenance (hereinafter support), due noticehaving been given the (not) appearing in person (and/or by counsel) in open court, and the Courthaving jurisdiction of the parties and subject matter, having heard all the evidence and being fully advised in thepremises,THE COURT FINDS:1.That an Order for Support was entered in the above case on , 2.That an arrearage has (not) accrued under said Order (in the amount of $ as of , ).WHEREFORE IT IS ORDERED:1.That beginning , the Obligor, pay support as follows:$ per for current support; and$ per on an arrearage of $ owed and $ owed the Public Office until such arrearage is paid in full; and$ per on ; andmake payment to the Clerk of the Circuit Court for Cook County, 28 North Clark St., Room 200, Chicago,Illinois 60602.make payment to: until notified otherwiseby the Obligee/Public Office identified hereafter.2.That payments received by the Clerk of Court from the Obligor or his Payor of Income shall be paid to the Obligee,or the Public Office, the Illinois Department of Public Aid (IDPA), as follows:IDPA for so long as the minor child(ren) (and spouse) continue to receive Public assistance; upon termination ofsuch Public Assistance, IDPA will be permitted to direct that subsequent payments be applied first to the currentsupport obligation and paid to the Obligee and that any excess shall be applied to arrearage owed the Obligeeand paid to the Obligee until paid in full, then to arrearage owed IDPA and paid to IDPA; in the event PublicAssistance is resumed to the child(ren) (and spouse), the Clerk of Court, upon notification by IDPA of said fact,shall forward all subsequent payments to IDPA until and in accordance with further direction of IDPA.Obligee.OVERDOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS OVE(Rev. 3/4/03) CCSD 066 ORDER FOR SUPPORT Vs. No. 3.That execution of any Order for Withholding of income for payment of support does not relieve the Obligor of theresponsibility for payment of the full amount ordered for support.4.That all payments made by the Obligor must be made in the manner ordered by the Court and payment made to anyother person will be considered a gift and no credit will be given therefor.5.That IDPA, in addition to payment required to be made by the Obligor, may collect any arrearage established by orwhich may accrue under this Order for support by use of the offset provisions of Section 6402 (c) of The InternalRevenue Code of 1954 and 75 ILCS 405/10.5, as amended. Such arrearage shall be considered as 223past due224 or223due and payable224 within the meaning of said statutory provisions.6.In a case in which a party is receiving child and spouse support services under Article X of the Illinois Public Code,the Obligor shall notify the Illinois Department of Public Aid, within 7 days:(i)of the name and address of any new employer of the Obligor;(ii)whether the Obligor has access to health insurance coverage through the employer or othergroup coverage; and(iii)if so, the policy name and number and the names of persons covered under the policy.7.The current support obligation shall terminate on , . The termination datedoes notapply to any arrearage that may remain unpaid on that date.8.It is further ordered that:The Obligor shall provide medical and hospitalization insurance coverage for the benefit of his/herdependents.This cause is continued:Generally.To , , at M. in Room ,at , without further notice., ENTER:JudgeJudge's No.DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOISAtty. No.: Name: Atty. for: Address: City/State/Zip: Telephone: