F.C.A. §§ 458-a,458-b, 458-c 548-a, 548-b, ART 5-B Form 4-2l a (Order to Licensing Entity to Terminate Suspension) 8/2010 At a term of the Family Court of the State of New York, held in and for the County of , at , New York on PRESENT: HON Judge/Support Magistrate ............................................................................ In the Matter of a Proceeding for Support under Article of the Family Court Act (Commissioner of Social Services Assignee, on behalf of , Assignor) Petitioner, S.S. #: xxxx-xx(Assignor) Docket No. ORDER TO LICENSING ENTITY TO TERMINATE SUSPENSION -againstRespondent. SS#: xxxx-xxDate of Birth: ............................................................................ [Check applicable box(es)]: TO: Q NEW YORK STATE DEPARTMENT OF MOTOR VEHICLES Q OTHER NEW YORK STATE PROFESSIONAL, OCCUPATIONAL BUSINESS OR RECREATIONAL, LICENSING ENTITY) [SPECIFY]: An Order of this court having been made on directing that proceedings be commenced to suspend the Respondent's Q motor vehicle operator's license Q professional, occupational, business or recreational licenses or permits [specify: and this Court having been advised by the licensing entity that a suspension resulted from such proceedings; __________ American LegalNet, Inc. www.FormsWorkFlow.com Form 4-21a page 2 This Court having Qreceived competent proof that the respondent is in full compliance with his/her support obligations Qbeen satisfied that the respondent has fully complied with all Qsummons Qsubpoenas Qwarrants relating to a Q paternity Qchild support proceeding; Now, therefore, it is hereby ORDERED that the Q New York State Department of Motor Vehicles Q Other State professional, business, occupational or recreational, licensing entity [specify ]: terminate the suspension of the Respondent's Q motor vehicle operator's license Q professional, business, occupational or recreational licenses or permits [specify]: Dated: , . ENTER Judge of the Family Court/Support Magistrate IF THIS ORDER WAS ENTERED BY A JUDGE, THE ORDER MAY BE APPEALED PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT. THAT SECTION PROVIDES THAT AN APPEAL FROM THAT ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY THE APPELLANT IN COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, OR 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO THE APPELLANT BY THE CLERK OF COURT, WHICHEVER IS EARLIEST. IF THIS ORDER WAS ENTERED BY A SUPPORT MAGISTRATE, SPECIFIC WRITTEN OBJECTIONS TO THIS ORDER MAY BE FILED WITH THIS COURT WITHIN 30 DAYS OF THE DATE THE ORDER WAS RECEIVED IN COURT OR BY PERSONAL SERVICE, OR IF THE ORDER WAS RECEIVED BY MAIL, WITHIN 35 DAYS OF THE MAILING OF THE ORDER. ORDER MAILED TO: NAME OF LICENSING ENTITY Check applicable box regarding Petitioner/Respondent GOrder mailed on [specify date(s) and to whom mailed]: GOrder received in court on [specify date(s) and to whom given]: ON Date American LegalNet, Inc. www.FormsWorkFlow.com