COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : * IN THE : Plaintiff * CIRCUIT COURT : * v. FOR Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * . . . . . .__________________________________ . Defendant * * THE PEOPLE OF*THE STATE OF NEW*YORK * * * * TO Civil No.: * * * * * * ORDER FOR CHILD SUPPORT 1. BASIS GREETINGS: The provisions of this order are based upon: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at ] Court [ ] An evidentiary hearing before a [ theJudge [ ] Master following: located at County of a of in room , on the [ ] daywritten request for20 and a response , relief , at o'clock in the noon, and at any recessed [ and give evidence as a witness in entryactionorder of default. the ] a written request for relief and this of an on the part of or adjourned date, to testify At hearing the following individuals personally appeared: [ ] plaintiff [ ] punishable [ ] attorney for child(ren) Your failure to comply with this subpoena is defendant as a contempt of court and will make you liable to [ thisattorney for plaintiff [ for a maximum penalty ] other: and all damages sustained as a ] subpoena was issued ] attorney for defendant [ of $50 the party on whose behalf result of your failure to comply. [ ] An agreement of the parties: Witness, Honorable submitted in writing , one of the Justices of the [ ] Court in County,placed day of the record before a [ ] Judge [ ] Master. , 20 [ ] orally on 2. ORDER (Attorney must sign above and type name below) 2.1. Child Support. The child support worksheet which has been approved by the Court is attached to this order and is incorporated by reference or has been initialed and filed separately and is incorporated by reference. Child support for the child(ren) is awarded as follows: Attorney(s) for 2.1.1 CHILDREN FOR WHOM SUPPORT IS REQUIRED: Name DOB Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com Page 1 of 4 JO 16 - Revised 2 November 2000 COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : Plaintiff(s) -against2.1.2 Calendar No. : JUDICIAL SUBPOENA : PERSON PAYING SUPPORT (OBLIGOR) [ IF APPROPRIATE]* : Name: : Current Residential Address: Defendant(s) : . . . . . . . . . . . . . . . . . . . . . .Telephone .No.:. . . . . . . . . . . . . . . . . . . . . . ....... .. Date of Birth: THE PEOPLE OF THE STATE OF NEW YORK Driver’s License State & Number: TO Employer: Employer Telephone: Employer Address: GREETINGS: OBLIGOR IS REQUIRED TO NOTIFY THE COURT WITHIN TEN (10) DAYS AFTER EACH CHANGE OF ADDRESS OR EMPLOYMENT SO LONG AS THE SUPPORT ORDER IS IN EFFECT. FAILURE TO PROVIDE SUCH NOTICE SHALL SUBJECT THE OBLIGOR TO A PENALTY NOT TO EXCEED $250, AND MAY RESULT IN attend before WE COMMAND YOU, that all business and excuses being laid aside, you and each of youTHE OBLIGOR NOT RECEIVING NOTICE OF PROCEEDINGS FOR AN EARNINGS WITHHOLDING. , the Honorable at the Court located at County of 2.1.3 the PERSON RECEIVING SUPPORT (OBLIGEE) [IFo'clock in the APPROPRIATE]* noon, and at any recessed in room , on day of , 20 , at or adjourned date, to testify and give evidence as a witness in this action on the part of the Name: Current Residential Address: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf Telephone No.: was issued for a maximum penalty of $50 and all damages sustained as a this subpoena result of your failure to comply. Date of Birth: Witness, Honorable Driver’s License State & Number: Court in County, day of , 20 Employer: , one of the Justices of the Employer Telephone: Employer Address: (Attorney must sign above and type name below) 2.1.4 SUPPORT AWARD [ ] The Obligor shall pay $ WEEKLY / Attorney(s) for BI-WEEKLY / MONTHLY (circle one) as child support for the minor children identified in 2.1.1 above, beginning ___________ (date). [ ] This amount was calculated in accordance with the Maryland Child Support Guidelines. Office and P.O. Address [ ] This amount deviates from the Maryland Child Support Guidelines for the following reasons: Telephone No.: . Facsimile No.: E-Mail Address: [ ] This amount is a compromise figure based on disputed guidelines worksheets attached. Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com Page 2 of 4 JO 16 - Revised 2 November 2000 COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : Plaintiff(s) -against2.1.5 Calendar No. : JUDICIAL SUBPOENA : ARREARS : [ ] The Court finds that, as of the date of this order, the obligor owes child support arrears in the : amount of $ . Obligor is directed to pay $ WEEKLY / BI-WEEKLY / MONTHLY (circle one) towards the arrears until the arrears are Defendant(s) , (Date). paid in full, commencing : ...................................................... 2.1.6 HOW SUPPORT PAYMENTS SHALL BE MADE [ ] Direct Payment - Wage Lien. Child support payments are to be made directly to the obligee THE PEOPLE OF THE STATE OF NEWa YORK by means of wage withholding order. See attached Order. TO [ ] Direct Payment - No Wage Lien. Child support payments are to be made directly to the Obligee. Payments shall be sent to the address listed in Paragraph 2.1.3, unless obligee notifies obligor of a change in address. A wage withholding order will not be entered at this time because of the written agreement of the parties/good cause shown. If the obligor accumulates arrears amounting to more than thirty (30) days of support, the obligor shall be subject to an earnings withholding order. GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before [ ] Payment Through the Child Support Enforcement Agency - Wage Lien. Child support , the Honorable at the Court payments are to be made through the local child support enforcement office by means of an located at County of earnings withholding order. See, attached order. in room , on the day of , 20 at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the [ ] Payment Through the Child Support Enforcement Agency - No Wage Lien. Child support payments are to be made through the local child support enforcement office. Payment shall be made directly to the agency by the obligor without use of an earnings withholding order. Payments are to be sent is punishable as a contempt of court and will make you liable to Your failure to comply with this subpoena to the following address: the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. A wage withholding order will not be entered at this time because of the written agreement of the parties/good cause shown. If the obligor accumulates arrears amounting to more than Witness, Honorable thirty (30) days of support, the obligor shall be subject toof the Justices of the order. , one an earnings withholding Court in County, day of , 20 2.2 Health Insurance. [ ] shall provide health and hospitalization insurance ORDERED, that (Attorney must sign above coverage for the minor children identified in Paragraph 2.1.1 and provide and type name below) with any identification cards and claim forms necessary to access said insurance. [ ] shall provide the local Attorney(s) for child support enforcement office with evidence of the health and hospitalization coverage provided. Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com Page 3 of 4 JO 16 - Revised 2 November 2000 COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : 2.3 Attorney Fees and Judgment. : [ ] ORDERED, that to days. within is directed to pay $ : as contribution toward attorney fees, to be paid Defendant(s) : . . . . . . . . . . . . . . . [ . ] . . payment.is . . . made .within .30. days,. upon filing of an affidavit by the payee, a judgment . . If . . . . . . . not . . . . . . . . . . . . . . . . . . . shall be entered against interest at the legal rate. , in that amount, together with THE PEOPLE OF THE STATE OF NEW YORK 2.4 Court Costs. ORDERED that the following is/are to pay the costs of these proceedings, payable to the Court, in the manner indicated below: TO GREETINGS: [ [ [ [ ] PLAINTIFF ________________ ] DEFENDANT ______________ ] PLAINTIFF AND DEFENDANT EQUALLY ] COSTS ARE WAIVED. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock JUDGE in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Recommended by: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a (Date) result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com Page 4 of 4 JO 16 - Revised 2 November 2000