F.C.A. §454(5) Form 4-22-a (Enforcement of Arrearages--Driver's License Suspension-Determination of Objections) 8/2010 At a term of Family Court of the State of New York, held in and for the County of , at New York, on , . PRESENT: Hon. Judge _________________________________ In the Matter of a Proceeding for Support under Article (4)(5-B) of the Family Court Act1 Docket No. ORDER (Commission of Social Services, Assignee, on behalf of , Assignor) Petitioner S.S.#: xxxx-xx(Assignor) -against- (Determination of Objections to Support Collection Unit Review of Driver's License Suspension Order) Respondent S.S.#: xxxx-xx_________________________________ An order in the above-entitled proceeding, dated , , having been made, and a determination having been made by the Support Collection Unit that the above-named support obligor is in default pursuant to F.C.A . § 458-a on such order and that the driving privileges of the support obligor should therefore be suspended, and A further determination having been made by the Support Collection Unit denying the support obligor's challenge to the notification by the Support Collection Unit to the New York State Department of Motor Vehicles to suspend such driving privileges, And timely objections to that determination having been filed by the support obligor with this Court (and rebuttal thereto having been filed by the Support Collection Unit with this Court); and this Court having reviewed the objections (and timely rebuttal) filed herein; NOW, therefore, it is hereby [Delete inapplicable provision]: (ORDERED that the determination of the Support Collection Unit is affirmed, the objections are 1 Use caption of original petition. American LegalNet, Inc. www.FormsWorkFlow.com Form 4-22-a page 2 denied and the matter is remanded to the Support Collection Unit for further actions) (ORDERED that the determination of the Support Collection Unit is reversed as clearly erroneous, the objections are sustained and the Support Collection Unit is hereby directed not to notify the Department of Motor Vehicles to suspend the support obligor's driving privileges). PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST. ENTER ____________________________________ Judge of the Family Court Dated: , . Check applicable box: 9 Order mailed on [specify date(s) and to whom mailed ]:___________________________ 9 Order received in court on [specify date(s) and to whom given]:_____________________ American LegalNet, Inc. www.FormsWorkFlow.com