F.C.A §§ 432, 435(b), 439, 439(a), 528, Art.5-B Form 4-4 (Remand CommitmentUndertaking) 8/2010 FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF ....................................................................................... In the Matter of the Proceeding for Support under Article (4)(5)(5-B) of the Family Court Act Petitioner -againstRespondent ....................................................................................... TO ANY PEACE OFFICER OF THE STATE OF NEW YORK AND TO THE SHERIFF of the JAIL of COUNTY: The above-named Respondent having been brought before this Court upon a petition filed under Article Q4 Q5 Q5-B of the Family Court Act, alleging that the Respondent is chargeable with the support of certain alleged dependents; And the Respondent having thereupon been duly held for further proceedings to be held on , , (s)he is required to furnish an Undertaking in the sum of $ with sufficient surety approved by the Court, for (his)(her) appearance on that date and in default thereof (s)he is hereby committed to the custody of the above-named Sheriff or Warden until said date unless sooner discharged according to law; AND YOU ARE, THEREFORE, COMMANDED forthwith to take charge of the above-named Respondent and deliver (him)(her) into the care and custody of the said Sheriff or Warden. ______________________________ Judge of the Family Court ____________________________________________________________________________ Docket No. (Prison)(Jail) (County)(City)(Town) of TO THE FAMILY COURT, COUNTY. This is to acknowledge receipt of the body of committed hereto on the annexed Commitment under Article Q4 Q5 Q5-B of the Family Court Act. Date: Time: a.m. p.m. ___________________________ Sheriff or Warden Docket No. REMAND COMMITMENT (Undertaking) American LegalNet, Inc. www.FormsWorkFlow.com